Skip to main content
. 2015 Oct 15;4(4):215–227. doi: 10.1159/000367742

Table 1.

Oxford Centre for Evidence-based Medicine – Levels of evidence and recommendation

Level of evidence
1A Systematic review (SR) of Randomized controlled trial (RCT)
1B Individual RCT
1C All-or-none
2A SR of cohort studies
2B Individual cohort study
2C “Outcomes” Research; Ecological studies
3A SR of case-control studies
3B Individual Case-Control Study
4 Case-series
5 Expert opinion without explicit critical appraisal, or based on physiology, bench research or “first principles”

Recommendations

A Consistent level 1 studies
B Consistent level 2 or 3 studies or extrapolations from level 1 studies
C Level 4 studies or extrapolations from level 2 or 3 studies
D Level 5 evidence or troublingly inconsistent or inconclusive studies of any level

From Centre for Evidence-Based Medicine in Oxford in the UK. http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/