Table 3:

Grading of Recommendations Assessment, Development and Evaluation evidence profile for primary outcomes

Outcome, no. of studiesQuality assessmentQualityImportance
Study designRisk of biasInconsistencyIndirectnessImprecisionOther considerations
Illicit opioid use, 7Observational studiesSerious*Very seriousNot seriousVery serious§None⊕○○○
VERY LOW
CRITICAL
Retention, 4Observational studiesNot seriousSeriousNot seriousVery serious§None⊕○○○
VERY LOW
CRITICAL
  • * Moderate risk of bias across studies.

  • Point estimates vary widely across studies, little overlap between individual confidence intervals.

  • Heterogeneity not explained by subgroup analyses.

  • § Small samples, wide pooled 95% confidence interval.