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Preoperative Melatonin for Women Undergoing Cesarean Section: A Systematic Review and Updated Meta-Analysis of Randomized Controlled Trials with Trial Sequential Analysis.

Diseases · 2026 · PMC13205847 · PMID 42187893

2
hedged sentences
0.0570
closest p · 1.1× alpha
0.0570
boldest claim

The sentences

showed a trendp = 0.057so close (0.05 < p ≤ 0.1)
The incidence of postoperative nausea showed a trend toward reduction in the conventional meta-analysis (RR 0.49, 95% CI 0.23–1.04; p = 0.057; I 2 = 34%); although TSA suggested a possible benefit, this finding should be considered exploratory.

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TSA crossed the monitoring boundary under the selected assumptions; however, because the conventional meta-analysis narrowly missed statistical significance and TSA is sensitive to assumptions regarding anticipated effect size and control event rate, this finding should be interpreted cautiously and considered exploratory ( Figure 10 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.