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Fig 1.

Flow diagram of the systematic review process.

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Table 1.

Summary of the randomized clinical trials.

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Fig 2.

Meta-analysis of the mean difference in QoR-40 scores between the dexamethasone and control groups.

SD, standard deviation; MD, mean difference; CI, confidence interval.

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Fig 3.

The Trial Sequential Analysis for the effect of glucocorticosteroids compared with placebo.

The risk of type 1 errors was set at 0.05 with a power of 0.9 when the Trial Sequential Analysis was performed. The variance was calculated from the data obtained from the included trials. A clinically meaningful anticipated mean difference of the QoR-40 score was set at 5 points. We applied the anticipated heterogeneity at 50%.

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Fig 4.

The sensitivity analysis of the Trial Sequential Analysis for the effect of glucocorticosteroids compared with placebo.

The risk of type 1 errors was set at 0.05 with a power of 0.9 when the Trial Sequential Analysis was performed. The variance was calculated from the data obtained from the included trials. A clinically meaningful anticipated mean difference of the QoR-40 score was set at 15 points. We applied the anticipated heterogeneity at 50%.

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Fig 4 Expand

Table 2.

The risks of bias of the included trials.

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Table 2 Expand

Table 3.

Summary of findings.

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Table 3 Expand