1A |
Systematic review (with homogeneity) and meta-analysis of randomized controlled trials (RCTs) |
1B |
Individual RCT (with narrow confidence intervals) |
1C |
All or none study |
2A |
Systematic review (with homogeneity) of cohort studies |
2B |
Individual Cohort study (including low-quality RCT, e.g., <80% follow-up) |
2C |
“Outcomes” research; Ecological studies |
3A |
Systematic review (with homogeneity) of case-control studies |
3B |
Individual Case-control study |
4 |
Case series (and poor-quality cohort and case-control study |
5 |
Expert opinion without explicit critical appraisal or based on physiology bench research or “first principles”. |