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Abstract  \subsection{}  Objective: To assess the quality   \section{}  Introduction 
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The systematic reviews and meta-analyses chosen for our study were required to be of similar methodological standing and meet strict criteria found in Cochrane systematic reviews. Our exclusions included studies such as meta-analyses that were not the primary aim of the study, narrative reviews instead of systematic reviews, reviews of reviews, case reports, study collected data, case-control studies, and individual patient data meta-analyses.