Table 4.

Strength of recommendation

Strength of recommendation	Meaning
Strong for	The intervention should be considered as the first treatment option (benefits are higher than risks)
Conditional for	The intervention can be considered as a possible treatment option (not sure that benefits are higher than risks)
Conditional against	The intervention should not be considered as the first treatment option; it could be considered in selected cases after discussion with the patient (not sure that risks are higher than benefits)
Strong against	The intervention should not be considered as a possible treatment option (risks are higher than benefits)