Table 1.
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/