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Berkman ND, Lohr KN, Morgan LC, et al. Reliability Testing of the AHRQ EPC Approach to Grading the Strength of Evidence in Comparative Effectiveness Reviews [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 May.

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Reliability Testing of the AHRQ EPC Approach to Grading the Strength of Evidence in Comparative Effectiveness Reviews [Internet].

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Table 8Summary of RCT consistency domain scores, by condition and outcome

Condition

Outcome
Number of Studies
(Total N of subjects)
Direction of Difference Between Treatments and SignificanceIndividual Doman ScoresReconciled Domain Scores
MDD Benefits:
  • HAM-D response
5
(N=690)
4 of 5 studies: same direction; all studies: NSConsistent: 91%
Inconsistent: 9%
Unknown: 0%
Consistent: 100%
Inconsistent: 0%
Unknown: 0%
MDD Benefits:
  • HAM-D & MADRS response in elderly
1
(N=108)
1 studyConsistent: 5%
Inconsistent: 0%
Unknown: 95%
Consistent: 0%
Inconsistent: 0%
Unknown: 100%
MDD Harms:
  • Sexual dysfunction
4 (1 open label)
(N=904)
All studies: same direction, different measures, some sigConsistent: 14%
Inconsistent: 36%
Unknown: 23%
Consistent: 45%
Inconsistent: 45%
Unknown: 10%
MDD Harms:
  • Suicidality
1
(N=90)
1 studyConsistent: 5%
Inconsistent: 5%
Unknown: 91%
Consistent: 0%
Inconsistent: 0%
Unknown: 100%
MDD Harms:
  • Nausea
5
(N=689)
4 of 5 studies: same direction; all studies: NSConsistent: 82%
Inconsistent: 14%
Unknown: 4%
Consistent: 91%
Inconsistent: 9%
Unknown: 0%
RA Benefit:
  • ACR20
5
(N=1,639)
4 of 5 studies: same direction; all studies: NSConsistent: 10%
Inconsistent: 86%
Unknown: 4%
Consistent: 9%
Inconsistent: 91%
Unknown: 0%
RA Benefit:
  • ACR70
5
(N=1,639)
3 studies in same direction, 1 other direction, 1 data not reported, 4 studies: NSConsistent: 48%
Inconsistent: 48%
Unknown: 4%
Consistent: 45%
Inconsistent: 55%
Unknown: 0%
RA Benefit:
  • DAS remission
2
(N=982)
Virtually all measures same direction, all studies: NSConsistent: 82%
Inconsistent: 4%
Unknown: 14%
Consistent: 91%
Inconsistent: 0%
Unknown: 9%
RA Harms:
  • Serious infection
4
(N=1,215)
Mixed direction, all studies: NSConsistent: 41%
Inconsistent: 36%
Unknown: 23%
Consistent: 91%
Inconsistent: 9%
Unknown: 0%
RA Harms:
  • Infusion or injection reaction
4
(N=1,108)
All same direction. 3 of 4 sigConsistent: 82%
Inconsistent: 14%
Unknown: 4%
Consistent: 91%
Inconsistent: 9%
Unknown: 0%

Abbreviations: ACR = American College of Rheumatology; DAS = Disease Activity Scale; HAM-D = Hamilton Rating Scale for Depression; MADRS = Montgomery-Åsberg Depression Rating Scale; MDD = major depressive disorder; N = number; NS = not significant; RA = rheumatoid arthritis; RCT = randomized controlled trial; sig = statistically significant.

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