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. 2017 Nov 27;178(1):146–148. doi: 10.1001/jamainternmed.2017.6680

Table 2. Guideline Recommendations by Class of Recommendation and Level of Evidence.

Guidelines (No.) GRADE Methodology Year Class of Recommendation – Level of Evidence, No. (%)a
I-A I-B I-C II-A II-B II-C III-A III-B III-C
OA (60) 2012 10.0 (17) 0 3.0 (5) 19.0 (32) 9.0 (15) 9.0 (15) 6.0 (10) 1.0 (2) 3.0 (5)
SpA (38) 2015 4.0 (11) 1.0 (3) 2.0 (5) 67.0 (18) 3.8 (10) 14.5 (38) 0.3 (1) 2.7 (7) 3.0 (8)
PMR (10) 2015 0 2.0 (20) 1.0 (10) 1.0 (10) 1.3 (13) 2.3 (23) 0 1.3 (13) 1.3 (13)
RA (35) 2015 3.0 (9) 3.3 (9) 5.6 (16) 1.6 (5) 2.8 (8) 17.7 (50) 0 0 1.0 (3)
Total (143) 17.0 (12) 6.3 (4.4) 11.6 (8.1) 28.3 (19.7) 16.8 (11.7) 43.4 (30.3) 6.3 (4.4) 4.9 (3.4) 8.3 (5.7)
Median % (IQR) 10.0 (7-12) 6.0 (2-12) 8.0 (5-12) 14.0 (9-21) 11.0 (10-13) 30.0 (21-41) 0 (0-3) 4.0 (1-8) 6.0 (4-9)

Abbreviations: GRADE, Grading of Recommendations and Assessment, Development, and Evaluation scoring system; IQR, interquartile range; OA, osteoarthritis; PMR, polymyalgia rheumatica; RA, rheumatoid arthritis; SpA, spondyloarthritis.

a

Class I strength of recommendation was assigned when a given procedure or treatment should be performed or administered (benefit much greater than harm); class II when a procedure or treatment is reasonable or may be considered (benefit greater than or equal to harm); and class III when procedure or treatment is not effective or useful and may be harmful (harm or no benefit).