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Table 2 Showing statement of evidence and grade of recommendations

From: The conundrum of guidelines, recommendations, and strength of recommendation

Grades of recommendations

A

Requires at least 1 prospective RCT as part of a body of literature of overall good quality and consistency addressing the specific recommendation (evidence levels Ia and Ib)

B

Requires the availability of well conducted clinical studies, but no prospective, randomized clinical trials on the topic of recommendation (evidence levels IIa, IIb, III)

C

Requires evidence obtained from expert committee reports or opinions and/or clinical experiences of respected authorities.

Indicates an absence of directly applicable clinical studies of good quality (evidence level IV)