Records identified through database searching

n=1926
Identification
Identification (Pubmed=449, Wiley lib.= 23, Cochrane=644
Science direct=810)

Records screened with tittle and abstract

n=1926
Screening
Screening

Records excluded
n=1900

Record full-text assessed for eligibility

n=26
Fulltext excluded
Eligibility
Eligibility

n=21
10 studies with exclusion criteria
(method, outcome)
9 lstudies out of range time
Record after full text assessed 1 studu with portuguese
n=5 1 study with unavailable fulltext
Included
Included

Studies included in Qualitative and

Quantitative studies
n=5