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. 2009 Apr;7(2):117–126. doi: 10.2450/2008.0052-08

Table III.

Grades of recommendation and levels of evidence (see ref. 6)

Grade Level Type of evidence
A Ia Evidence obtained from meta-analysis of randomized-controlled trials.
Ib Evidence obtained from at least one randomized-controlled trial.
B IIa Evidence obtained from at least one well-designed controlled study without randomization.
IIb Evidence obtained from at least one other type of well-designed quasi-experimental study.
III Evidence obtained from well-designed non-experimental descriptive studies, such as comparative studies, cohort and case–control studies.
C IV Evidence obtained from expert committee reports or opinions and/or clinical experiences of respected authorities.