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Outcomes | Context of the body of evidence | Size of the body of evidence (number) | Quality of the body of evidence | Consistency of the body of evidence | Strength of a body of evidence |
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Effect of smoking on bones |
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Decreased BMD | Relevant and global | Large (24) | High | Highly consistent | Very strong |
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Decreased BMC | Relevant but specific | Small (3) | High | Low level of consistency | Limited |
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Increased risk for fracture | Relevant and global | Large (6) | High | Highly consistent | Very strong |
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Delayed fracture healing | Relevant and global | Large (5) | High | Highly consistent | Very strong |
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Increased alveolar bone loss | Relevant and global | Medium (9) | High | Moderately consistent | Strong |
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Poor periodontal parameters | Relevant and global | Large (17) | High | Highly consistent | Very strong |
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Increased bone implant failure | Relevant and global | Large (13) | High | Highly consistent | Very strong |
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Poor histometric parameters for tissues surround implants | Relevant but specific | Small (4) | High | Highly consistent | Strong |
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Effect of smoking on joints |
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Increased RA disease activity | Relevant and global | Medium (5) | High | Moderately consistent | Medium |
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Increased remission of RA | Relevant but specific | Small (2) | High | Inconsistent | Limited |
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Increased RA progression | Relevant but specific | Small (2) | High | Inconsistent | Limited |
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Poor response to RA therapies | Relevant and global | Large (10) | High | Highly consistent | Very strong |
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Decreased incidence/prevalence of OA | Relevant but specific | Small (4) | High | Low level of consistency | Limited |
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Increased pain score associated with OA | Relevant but specific | Small (2) | High | Consistent | Medium |
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Increased risk for total joint replacement in OA patients | Relevant but specific | Small (2) | High | Inconsistent | Limited |
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Increased risk for complications after joint replacement in OA | Relevant and global | Small (4) | High | Highly consistent | Strong |
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Increased SA diseased activity | Relevant and global | Small (3) | Moderate | Highly consistent | Medium |
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Increased pain intensity in patients with TMD | Relevant and global | Small (4) | High | Moderately consistent | Strong |
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Effect of smoking on muscle |
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Decreased muscle strength | Relevant and global | Medium (6) | High | Highly consistent | Very strong |
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Decreased maximal muscle voluntary contraction | Relevant but specific | Small (3) | High | Low level of consistency | Limited |
|
Effect of smoking on cartilage |
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Increased volume of knee joint cartilage | Relevant but specific | Small (2) | High | Consistent | Medium |
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Increased defect of knee joint cartilage | Relevant but specific | Small (2) | High | Mixed | Limited |
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Poor postoperative outcomes after knee joint surgery | Relevant but specific | Small (3) | High | Highly consistent | Strong |
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Increased risk for spinal reoperation | Relevant but specific | Small (3) | High | Highly consistent | Strong |
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Decreased spinal fusion rate | Relevant and global | Small (4) | Moderate | Moderately consistent | Medium |
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Effect of smoking on tendons |
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Increased severity of rotator cuff tears | Relevant but specific | Small (2) | High | Consistent | Medium |
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Poor outcomes after rotator cuff reconstruction | Relevant but specific | Small (2) | High | Consistent | Medium |
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Effect of smoking on ligaments |
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Poor functional and stability scores after ACL reconstruction | Relevant and global | Small (4) | High | Moderately consistent | Medium |
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