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. 2012 Feb 7;38(3):384–394. doi: 10.1007/s00134-011-2459-y

Table 1.

Grading of the quality of evidence and strength of recommendations

Quality of evidence Rationale
A High RCT or meta-analyses
B Moderate Downgraded RCTs or upgraded observational studies
C Low Well-done observational studies
D Very low Case series or expert opinion
Strength of recommendation
 Grade 1 Strong We recommend
 Grade 2 Weak We suggest

RCT randomized controlled trial