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Cross-sectional observational study with associations only; no intervention tested, no comparator group, and findings are descriptive of perception gaps rather than causal mechanisms or treatment effects.
International Journal of Academic Excellence and Research
A descriptive cross-sectional survey of knowledge and behavioral patterns in a single demographic group; provides formative data on awareness gaps but lacks a comparator, control group, or hard clinical outcomes, and is limited to one region and one age/sex group.
Retrospective observational study in a single specialized centre with modest sample size (n=141) showing associations between ACE categories and psychiatric outcomes in severe obesity; clear methodology and specific effect sizes reported, but limited by observational design and lack of comparator group.
Cross-sectional study with clear mediation findings in a defined post-surgical population; sound statistical approach but observational design and lack of clinical outcome validation limit strength.
Real-world retrospective cohort with consistent improvements in medication costs, comorbidity prevalence, and disease burden over 3 years, but lacks control group and randomization, limiting causal inference.
Journal of the Asean Federation of Endocrine Societies
Single-centre cross-sectional survey of knowledge and attitudes with no control group, clinical outcome, or intervention; documents a problem rather than testing a solution.
A cross-sectional needs assessment survey in a single university population, measuring knowledge and risk via screening tools rather than clinical outcomes, establishing rationale for future intervention research rather than testing one.
A randomized trial of reasonable design that failed its primary endpoint in intention-to-treat analysis but showed metabolic benefits in per-protocol subgroups; results suggest potential in adherent participants but require confirmation in larger, longer studies.