Table 4.

Overall quality of the included studies assessed by using the GRADE approach

Quality assessmentNo. of patients, n/N (%)EffectQuality
No. of studiesDesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsHLA-DRB3*0101ControlRelative OR (95% CI)Absolute
HLA-DRB3*0101to predict risk of HPA alloimmunization in HPA 1awomen 
 3 Observational studies No serious risk of bias No serious inconsistency No serious indirectness No serious imprecision None 8/529 (1.5) 73/271 (26.9) 0.03 (0.0-0.44) 258 fewer per 1000 (from 130 fewer to 269 fewer) ⊕⊕○○ LOW 
HLA-DRB3*0101to predict risk of severe neonatal thrombocytopenia in HPA alloimmunized women 
 4 Observational studies No serious risk of bias No serious inconsistency No serious indirectness No serious imprecision Strong association* 2/22 (9.1) 158/252 (62.7) 0.08 (0.02-0.37) 508 fewer per 1000 (from 244 fewer to 594 fewer) ⊕⊕⊕○ MODERATE 
HLA-DRB3*01:01to predict risk of intracranial hemorrhage 
 2 Observational studies Serious Serious, No serious indirectness Serious None 0/13 (0) 22/218 (10.1)  1.51 (0.16- 14.16) 44 more per 1000 (from 83 fewer to 513 more) ⊕○○○ VERY LOW 
Quality assessmentNo. of patients, n/N (%)EffectQuality
No. of studiesDesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsHLA-DRB3*0101ControlRelative OR (95% CI)Absolute
HLA-DRB3*0101to predict risk of HPA alloimmunization in HPA 1awomen 
 3 Observational studies No serious risk of bias No serious inconsistency No serious indirectness No serious imprecision None 8/529 (1.5) 73/271 (26.9) 0.03 (0.0-0.44) 258 fewer per 1000 (from 130 fewer to 269 fewer) ⊕⊕○○ LOW 
HLA-DRB3*0101to predict risk of severe neonatal thrombocytopenia in HPA alloimmunized women 
 4 Observational studies No serious risk of bias No serious inconsistency No serious indirectness No serious imprecision Strong association* 2/22 (9.1) 158/252 (62.7) 0.08 (0.02-0.37) 508 fewer per 1000 (from 244 fewer to 594 fewer) ⊕⊕⊕○ MODERATE 
HLA-DRB3*01:01to predict risk of intracranial hemorrhage 
 2 Observational studies Serious Serious, No serious indirectness Serious None 0/13 (0) 22/218 (10.1)  1.51 (0.16- 14.16) 44 more per 1000 (from 83 fewer to 513 more) ⊕○○○ VERY LOW 
*

Relative risk < 0.5

One study was a prospective screening study and the other was a retrospective study of neonates suspected of having FNAIT.

The ORs of the individual studies are not in the same direction.

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