Table 4 Risk of bias using adapted Newcastle–Ottawa Quality Assessment Scale: Cohort Studies.

From: Predictors of emotional distress in uveal melanoma survivors: a systematic review

 

Selection

Outcome

Study

Representative of the exposed cohort?

Ascertainment of exposure?

Assessment of outcome?

Was follow-up long enough for outcomes to occur?

Adequacy of follow up cohorts?

Brandberg et al. [42]

Yes - Different tumour sizes, treatments, equal men and women, age range

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 2 months

Yes - subjects lost to follow up unlikely to introduce bias – small number lost (86%) and description provided of those lost.

Brown et al. [32]

Different tumour types and treatment, male and female. Age not reported.

Yes - Clinical records and self-report

Yes - Validated measures of emotional distress

Yes –12 months

Yes - subjects lost to follow up unlikely to introduce bias – moderate number lost (63.5%) and description provided of those lost.

Brown et al. [35]

Choroid and ciliary body, equal men and women, age limited to 69 (+−12), No description of tumour type or size.

Yes - Clinical records and self-report

Yes - Validated measures of emotional distress

Yes – 12 months

Partially - no percentage reported, some lost at follow up, some description of those lost

Brown et al. [36]

Unclear - Ciliary body and choroidal melanoma, treatment type varied. No description of age, gender or tumour size.

Yes - Clinical records and self-report

Yes - Validated measures of emotional distress

Yes – 12 months

No - large number lost at follow up (55.7%), no description of those lost

Damato et al. [38]

Yes -, Different size and tumour characteristics (choroidal only), varying treatment, male and female and age.

Yes - Clinical records and self-report

Yes - Validated measures of emotional distress

Yes – 12 months

No description or percentage.

Damato et al. [37]

Yes - Different size and tumour characteristics (choroidal only), varying treatment, male and female and age

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 12 months

No description or percentage.

Hope-Stone et al. [33]

Yes - Different tumour characteristics, treatment, male and female, age range 54–70 (average age for UM 65)

Yes - Clinical records and self-report

Partially- Subscale for worry from a complete validated measure used

Yes – 12 months

Partially - high number of subjects lost to follow up, (59.3 %), no description

Hope-Stone et al. [34]

Yes - Age, gender, tumour type, treatment

Yes, Clinical records and self-report

Yes - Validated measures of emotional distress

Yes – 12 months

Yes - Subjects lost to follow up unlikely to introduce bias – moderate number lost (74.2%) and description provided of those lost

Klingenstein et al. [41]

Partially - Somewhat representative, one treatment modality, age range accurate, male and female, tumour types, not sizes

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 3 months

No description or percentage.

Lieb et al. [43]

Yes - treatment modality, age range accurate, male female, tumour types and sizes

Yes - Clinical records and self-report

Yes - validated measures of emotional distress

Yes – 6 weeks

Partially - Subjects lost to follow up unlikely to introduce bias, small number lost, no percentage reported, some description of those lost

Melia – COMS [45]

Partially - Only unilateral choroidal melanoma, accurate age, gender, tumour size and treatment

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 6 months

Yes - Subjects lost to follow up unlikely to introduce bias – small number lost (91%) and some description provided of those lost

Schuermeyer et al. [40]

Partially - Somewhat representative, men and women, age limited to 60 (+−15), no description of tumour type size

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 3 months

Partially - Subjects lost to follow up no percentage reported but moderate proportion from sample, some description including number.

Van Beek et al. [44]

Yes - Equal men and women, age range, treatment type, tumour size

Yes - Clinical records

Yes - Validated measures of emotional distress

Yes – 6 months

Partially - Subjects lost to follow up no percentage reported but small proportion from sample, description provided of those lost.