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Newcastle-Ottawa Scale

The Newcastle-Ottawa Scale (NOS) is a widely used tool for assessing the methodological quality of observational studies (case-control and cohort designs) included in systematic reviews and meta-analyses. Developed by Wells et al. at Ottawa Hospital in 2000, it provides explicit criteria and a star-based scoring system that enables transparent, quantitative comparison of study quality across evidence syntheses.

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Newcastle-Ottawa Scale for Observational Studies

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Wells, G. A., Shea, B., O'Connell, D., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2000). The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Retrieved from Ottawa Hospital Research Institute. · URL

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