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Many studies are unpublished or published only in the grey literature.
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There is poor reporting of studies (e.g. information presented is inadequate, selective or ambiguous).
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A high proportion of individuals has been excluded from published analyses.
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Obtaining additional longer-term outcome data beyond that reported may provide useful insights (e.g. for mortality or child development outcomes).
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Outcome measures have been defined differently across studies.
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Time-to-event outcome measures are required.
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Multivariate or other complex analyses are required.
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Exploration of interactions between interventions and patient-level characteristics is important.