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. 2024 May 2;316(5):142. doi: 10.1007/s00403-024-02895-4

Table 1.

Grades of recommendation [12]

Grade of recommendations Level of evidence Type of study
A 1a Systematic review of (homogeneous) randomized controlled trials
A 1b Individual randomized controlled trials (with narrow confidence intervals)
B 2a Systematic review of (homogeneous) cohort studies of “exposed” and “unexposed” subjects
B 2b Individual cohort study/low-quality randomized control studies
B 3a Systematic review of (homogeneous) case–control studies
B 3b Individual case–control studies
C 4 Case series, low-quality cohort or case–control studies
D 5 Expert opinions based on non-systematic reviews of results or mechanistic studies