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. 2017 Jan 26;11:716. doi: 10.3332/ecancer.2017.716

Table 2: Strength of Recommendations—Classification System CDC (Adapted from [127]).

A: Robust evidence of efficacy with significant clinical benefit; strongly recommended.
B: Moderate evidence of efficacy, but with a limited or modest clinical benefit; usually recommended.
C: Either insufficient evidence of efficacy or the benefit does not outweigh the
risk/disadvantages (adverse events, costs, etc); optional.
D: Evidence against the efficacy or risk may outweigh benefit; generally not recommended.
E: Strong evidence against the efficacy or risk outweighs benefit; not recommended.