Study | A1 | A2 | B1 | B2 | B3 | B4 | C1 | C2 | C3 | D1 | D2 | D3 | D4 | D5 | D6 | Total score* |
Ekelund, 196716 | • | • | • | • | • | 5 | ||||||||||
Quinn, 196712 | • | • | • | • | • | • | • | • | 8 | |||||||
Gharagozloo,197619 | • | • | • | • | • | • | • | • | 8 | |||||||
Sramek, 198114 | • | • | • | • | • | • | • | 7 | ||||||||
Berrios, 198413 | • | • | • | • | • | 5 | ||||||||||
Talbot, 198421 | • | • | • | • | • | • | • | • | • | • | • | 11 | ||||
Majeed, 198717 | • | • | • | • | • | • | 6 | |||||||||
Grover, 199320 | • | • | • | • | • | • | • | • | • | • | • | 11 | ||||
Majeed, 199318 | • | • | • | • | • | • | • | • | • | 9 | ||||||
Bach, 199614 | • | • | • | • | • | • | • | • | • | 9 |
*Maximum 15.
A1, as complete a population-based ascertainment of incidence of acute rheumatic fever as possible sought; use of numerous different sources for detecting cases; A2, active case finding; B1, documentation of version of Duckett–Jones criteria applied; B2, use of a cardiologist in establishing diagnosis; B3, clear statement of inclusion/exclusion criteria; B4, clear documentation of methods used to confirm cases (case verification); C1, clear definition of study population (ie, age, sex and geographical location all documented); C2, clearly defined recent, reliable population information specific to the target population; C3, clear documentation of actual age range, sex and geographical location of cases; D1, incident cases considered in results include those from only within the area delineated by the population data provided; D2, confidence intervals or standard errors of incidence measures documented; D3, separation of male and female incidences; D4, age-specific documentation of incidence; D5, clear specification of time period (year) for which the documented incidence measure applies; D6, adjustment of final incidence measure for overestimation in studies using active detection.