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. 2018 Mar 26;9(3):657–697. doi: 10.1111/jdi.12810

Table 1.

Criteria for assigning levels of evidence to publications of interest

Level of evidence Type of evidence
1+ High‐qualitya randomized controlled trials (RCTs)
Meta‐analysis or systematic review of trials with level 1+
1 RCTs that fail to meet level 1+ evidence
Meta‐analysis or systematic review of trials with level 1
2 Prospective cohort studies, or meta‐analysis or systematic review of them
Pre‐specified sub‐analyses of RCTs
3 Non‐randomized controlled trials
Self‐controlled (before‐after) studies
Retrospective cohort studies
Case–control studies, or meta‐analysis or systematic review of them
Post‐hoc sub‐analyses of RCTs
4 Cross‐sectional studies
Case‐series
a

A high‐quality RCT was defined as a trial that was appropriately designed and conducted with a large sample size and a clearly specified randomization scheme, involving double masking and a high follow‐up rate.