{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Pelvic floor muscle training itself × Female urinary incontinence — Common treatment and added device effects distinguished",
  "language": "en",
  "translation_date": "2026-10-11",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    }
  ],
  "status_dictionary": {
    "Partly verified": "Some information exists in the preserved review summary; detailed original materials remain unverified. This does not certify a passed review or clinical efficacy.",
    "Unverified": "Detailed materials for the selected condition could not be established within the stored scope; this does not mean zero effect, zero studies or safety",
    "Review incomplete": "Review of existing content incomplete",
    "Met": "Use only within the relevant conditions after existing content review; no automatic designation in this preparation",
    "Not reported": "Distinguish only within materials actually read; do not turn unread external materials into unreported findings",
    "Inaccessible": "Not applied during this preparation because actual access was not tested",
    "Not applicable": "Use with a reason for non-applicability based on an explicit question boundary",
    "Conflicting data": "Judge after actual material comparison; review was not performed during this preparation",
    "Insufficient evidence for the conditions": "Do not use as a clinical grade encompassing currently unread materials"
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Comparative efficacy",
      "question": "Is the selected subclaim preserved separately from the added device effect?",
      "needed": "Separate records of the original PFMT claim, verdict and boundaries",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Separate records of the original PFMT claim, verdict and boundaries",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "If a direct comparison evaluating PFMT itself is linked, review of the existing content can clarify its applicable scope."
    },
    {
      "item_id": "N02",
      "question_type": "Comparative efficacy",
      "question": "Does OPAL's comparison identify the causal effect of PFMT itself?",
      "needed": "Direct evidence comparing PFMT with an appropriate comparison without that training",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Direct evidence comparing PFMT with an appropriate comparison without that training",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "A study with a comparator suitable for the PFMT-itself question, or preserved material containing such direct evidence, is needed."
    },
    {
      "item_id": "N03",
      "question_type": "Comparative efficacy",
      "question": "What are the women's incontinence types and baseline ability to contract?",
      "needed": "Eligible populations and denominators by diagnosis, baseline severity and contraction ability",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Eligible populations and denominators by diagnosis, baseline severity and contraction ability",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain the original trial's eligibility criteria and baseline characteristics to distinguish populations appropriate to the PFMT-itself question."
    },
    {
      "item_id": "N04",
      "question_type": "Comparative efficacy",
      "question": "Are the shared PFMT program and accompanying treatments preserved?",
      "needed": "Research records of training, supervision, contact and accompanying treatments common to both groups",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Research records of training, supervision, contact and accompanying treatments common to both groups",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link the original protocol's program components and actual exposure and accompanying-treatment data."
    },
    {
      "item_id": "N05",
      "question_type": "Comparative efficacy",
      "question": "Are the home probe's characteristics distinguished from the effect of PFMT itself?",
      "needed": "Material identifying training and the added device intervention separately",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Material identifying training and the added device intervention separately",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link direct comparisons by device use and training components separately when available."
    },
    {
      "item_id": "N06",
      "question_type": "Comparative efficacy",
      "question": "To which comparison do randomization and blinding details apply?",
      "needed": "Records of the selected question's comparator, allocation concealment and outcome-assessment blinding",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Records of the selected question's comparator, allocation concealment and outcome-assessment blinding",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain allocation and measurement procedures together with a direct comparison design for the selected question."
    },
    {
      "item_id": "N07",
      "question_type": "Comparative efficacy",
      "question": "What does the 24-month ICIQ-UI SF result show about PFMT itself?",
      "needed": "Baseline, comparator, between-group estimates and scale definitions for PFMT itself",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Baseline, comparator, between-group estimates and scale definitions for PFMT itself",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Preserve between-group effects and CIs on the same scale from a direct comparison of PFMT itself."
    },
    {
      "item_id": "N08",
      "question_type": "Comparative efficacy",
      "question": "Are the added-device mean difference, CI and P value separated from PFMT-itself values?",
      "needed": "Original effects, intervals and significance results matched to each question",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Original effects, intervals and significance results matched to each question",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain original effects, intervals and analytical denominators from research directly comparing PFMT itself."
    },
    {
      "item_id": "N09",
      "question_type": "Comparative efficacy",
      "question": "To which question do the 1.9-point and 2.5-point clinical thresholds apply?",
      "needed": "Clinical-importance thresholds and plans appropriate to the selected comparison, population and duration",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Clinical-importance thresholds and plans appropriate to the selected comparison, population and duration",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Preserve clinical importance and prespecified plans for a PFMT-itself comparison separately from the subsequent anchor analysis's applicability conditions."
    },
    {
      "item_id": "N10",
      "question_type": "Comparative efficacy",
      "question": "To which outcome do analytical counts, questionnaire return and missing data apply?",
      "needed": "Original randomized and outcome-analysis denominators, attrition and missing-data handling",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Original randomized and outcome-analysis denominators, attrition and missing-data handling",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain group-specific reasons and handling of missing questionnaires, sensitivity analyses and denominators for a direct PFMT comparison."
    },
    {
      "item_id": "N11",
      "question_type": "Comparative efficacy",
      "question": "Are training adherence, actual exposure and departures distinguished in effect interpretation?",
      "needed": "Links between actual training exposure, adherence, crossover, departures and outcomes",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Links between actual training exposure, adherence, crossover, departures and outcomes",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link actual exposure, adherence and departure data from the original report and protocol."
    },
    {
      "item_id": "N12",
      "question_type": "Comparative efficacy",
      "question": "Are the outcome, time point and analytical hierarchy specified directly for PFMT effects?",
      "needed": "Primary outcome, duration and prespecified analysis plan for a PFMT-itself comparison",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Primary outcome, duration and prespecified analysis plan for a PFMT-itself comparison",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link the registry, protocol, SAP and amendment history of a direct PFMT-itself comparison."
    },
    {
      "item_id": "N13",
      "question_type": "Comparative efficacy",
      "question": "Are incontinence episodes, quality of life, cure or improvement and symptom scores distinguished?",
      "needed": "Outcome-specific definitions, denominators, time points and direct-comparison scope",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Outcome-specific definitions, denominators, time points and direct-comparison scope",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link each outcome definition and report from a PFMT-itself comparison separately."
    },
    {
      "item_id": "N14",
      "question_type": "Comparative efficacy",
      "question": "Did Burgio 2002 directly test the selected question?",
      "needed": "Direct effect evidence with appropriate populations, interventions and comparisons",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Direct effect evidence with appropriate populations, interventions and comparisons",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain original components of each multicomponent program and material directly comparing PFMT."
    },
    {
      "item_id": "N15",
      "question_type": "Comparative efficacy",
      "question": "What are the Cochrane review's overall comparison and outcome-specific denominators?",
      "needed": "Eligible review comparisons, outcome-specific trial and participant counts, and overlap lists",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Eligible review comparisons, outcome-specific trial and participant counts, and overlap lists",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Preserve the review's included-trial table, direct comparisons appropriate to the selected question and overlap mapping."
    },
    {
      "item_id": "N16",
      "question_type": "Comparative efficacy",
      "question": "Do the review's effects and CIs concern PFMT itself?",
      "needed": "Original effects and CIs by outcome for comparisons appropriate to the selected question",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Original effects and CIs by outcome for comparisons appropriate to the selected question",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain outcome-specific effects and CIs, heterogeneity and analysis plans for PFMT-itself comparisons."
    },
    {
      "item_id": "N17",
      "question_type": "Comparative efficacy",
      "question": "Are the same reports and OPAL data kept from being counted as independent replications?",
      "needed": "Study-family links between original trials, subsequent analyses and reviews",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Study-family links between original trials, subsequent analyses and reviews",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link identifiers for original trials, subsequent analyses and reviews containing them without newly certifying independence."
    },
    {
      "item_id": "N18",
      "question_type": "Comparative efficacy",
      "question": "Are sufficient direct sources linked for PFMT itself?",
      "needed": "Separate direct sources and effect scope corresponding to the subclaim's B grade",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Separate direct sources and effect scope corresponding to the subclaim's B grade",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "If existing direct sources for PFMT itself are provided, link their population, comparator and outcome scope separately."
    },
    {
      "item_id": "N19",
      "question_type": "Comparative efficacy",
      "question": "Is the result applied to other incontinence types or women unable to contract?",
      "needed": "Direct comparisons and denominators appropriate to population subgroups",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Direct comparisons and denominators appropriate to population subgroups",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Direct comparisons by incontinence type and baseline contraction ability are needed."
    },
    {
      "item_id": "N20",
      "question_type": "Comparative efficacy",
      "question": "Is training benefit extended to long-term clinical function or every product?",
      "needed": "Direct evidence for the selected symptoms and function- or product-specific applications",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Direct evidence for the selected symptoms and function- or product-specific applications",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link direct comparisons appropriate to each outcome, product and time point separately when available."
    },
    {
      "item_id": "N21",
      "question_type": "Comparative efficacy",
      "question": "Are public funding and sponsorship distinguished from the manufacturer's four roles?",
      "needed": "Separate records of cash funding, free equipment, employed authors and outsourced analysis",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Separate records of cash funding, free equipment, employed authors and outsourced analysis",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain original disclosures for funding, equipment provision, affiliations and analytical roles separately."
    },
    {
      "item_id": "N22",
      "question_type": "Comparative efficacy",
      "question": "Are Burgio and review funding details kept separate from another trial's funding?",
      "needed": "Separate funding, investigator and comparison identities for each source",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Separate funding, investigator and comparison identities for each source",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link each report's original disclosures and funding mapping for its included trials."
    },
    {
      "item_id": "N23",
      "question_type": "Supplementary harm evidence",
      "question": "To which intervention do participant counts and relatedness of adverse events belong?",
      "needed": "Group-specific harm definitions, exposure, denominators, collection procedures and original event data",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Group-specific harm definitions, exposure, denominators, collection procedures and original event data",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Obtain original safety tables and group-specific events and relatedness, distinguishing training from the probe."
    },
    {
      "item_id": "N24",
      "question_type": "Supplementary harm evidence",
      "question": "Are serious related complications distinguished from gaps in long-term and rare harms?",
      "needed": "Adequate observations by severity, relatedness, follow-up and rare harms",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Adequate observations by severity, relatedness, follow-up and rare harms",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Link original group-specific serious events, long-term follow-up, rare harms and reasons for discontinuation."
    },
    {
      "item_id": "N25",
      "question_type": "Supplementary harm evidence",
      "question": "Is material available to separately replicate and verify harms of training and the probe?",
      "needed": "Exposure, comparator and replicated harm evidence appropriate to PFMT itself",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Exposure, comparator and replicated harm evidence appropriate to PFMT itself",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "Harm data distinguishing training from probe exposure and follow-up of sufficient duration are needed."
    },
    {
      "item_id": "N26",
      "question_type": "Comparative efficacy",
      "question": "Are stored-summary reading and unread external sources distinguished?",
      "needed": "Individual access records for summaries, papers, reviews, registries, protocols and SAPs",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Individual access records for summaries, papers, reviews, registries, protocols and SAPs",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "If obtained original material is provided, link actual access and evidence for the relevant question separately for each source."
    },
    {
      "item_id": "N27",
      "question_type": "Comparative efficacy",
      "question": "Are dates, corrections, Korean and English text and original-verdict history preserved?",
      "needed": "Unchanged preservation of original values, language-specific wording, dates and corrections",
      "role": "Required",
      "role_reason": "Condition for recording direct comparisons, original values and interpretation boundaries for the selected question",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Unchanged preservation of original values, language-specific wording, dates and corrections",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "If additional material arises, preserve the original text and link a separate update event to review of the existing content."
    },
    {
      "item_id": "N28",
      "question_type": "Comparative efficacy",
      "question": "Is current production distinguished from independence or completed content review?",
      "needed": "Separate records of produced files, candidate history and existing-content review status",
      "role": "Supplementary",
      "role_reason": "Supplementary condition separating production status and scope of application",
      "application_exception": "Unread external material or results outside the question’s scope are not substituted with satisfied, null-effect or safe labels.",
      "criterion": "Separate records of produced files, candidate history and existing-content review status",
      "basis": "Benefit of PFMT itself",
      "condition_origin": "Individual production condition; not completed review or automatic satisfaction of a common definition",
      "proposed_research": "After content review, reflect only provided decisions and material in a separate event."
    }
  ]
}