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. 2017 Aug 31;88(11):971–981. doi: 10.1136/jnnp-2016-315500

Grading of recommendations (adapted from Agency for Healthcare Policy and Research 1994) 5

Grade Evidence levels Description
A Ia, Ib Requires at least one randomised controlled trial as part of the body of literature of overall good quality and consistency addressing the specific recommendation
B IIa, IIb, III Requires availability of well-conducted clinical studies but no randomised clinical trials on the topic of recommendation
C IV Requires evidence from expert committee reports or opinions and/or clinical experience of respected authorities.
Indicates absence of directly applicable studies of good quality