I |
evidence obtained by randomized controlled clinical studies and/or by systematic reviews of randomized studies |
II |
evidence obtained from an individual and adequately designed randomized study |
III |
evidence obtained by cohort studies with concurrent or historical controls, or a meta-analysis thereof. |
IV |
evidence obtained by retrospective, case-controlled studies or meta-analysis |
V |
evidence obtained from case-series studies without a control group |
VI |
evidence based on the opinion of authoritative experts or of committees of experts as indicated in guidelines or a consensus conference, or based on the opinion of the members of the workgroup responsible for this guideline |
|
Strength of recommendations |
A |
the performance of that particular procedure or diagnostic test is strongly recommended (it indicates a particular recommendation supported by good quality albeit not necessarily type I or II scientific evidence) |
B |
there is some doubt that the procedure/intervention must be always recommended, but it is thought that its execution has to attentively be considered |
C |
there is substantial uncertainty in favor of or against the recommendation to perform the procedure or the intervention |
D |
performing the procedure is not recommended |
E |
performing the procedure is strongly discouraged |