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A total of 43 41  quality components were evaluated between all tools (see Table 3). The Downs and Black tool was the most extensive, assessed 62.79\% (27/43) assessing 63.4\% (26/41)  quality components, and was used in 4.60\% (4/87) of reviews that evaluated MQ/ROB. components.  TheNewcastle-Ottawa Scale and the Critical Appraisal Skills Programme (for randomized controlled trails) both assessed 34.88\% (15/43) of the quality items, and were also both used in 4.60\% (4/87) of reviews. QUADAS-2 and QUADAS assessed 32.56\% (14/43) and 30.23\% (13/43) of quality components, respectfully. QUADAS was used in 5.75\% (5/87) of studies, while QUADAS-2 was used in 4.60\% (4/87). Sanderson et al (27.91\%; 12/43), Jadad (27.91\%; 12/43), the Delphi List (18.60\%; 8/43) and the  Cochrane Risk of Bias Tool (16.28\%; 7/43) (14.63%; 6/41)  evaluated the least amount of quality items.