Skip to main content
. 2018 Apr 24;29(6):1354–1365. doi: 10.1093/annonc/mdy117

Table 1.

ESCMID grading system of strength of recommendation and quality of evidence [1]

Strength of recommendation
A Strongly support a recommendation for use
B Moderately support a recommendation for use
C Marginally support a recommendation for use
D Support a recommendation against use
Quality of evidence
I Evidence from at least one properly designed randomized, controlled trial
II* Evidence from at least one well-designed clinical trial, without randomization; from cohort- or case-control analytic studies (preferably from more than one center); from multiple time series; or from dramatic results from uncontrolled experiments
III Evidence from opinion of respected authorities, based on clinical experience, descriptive case studies, or report of expert committees
*Added index
r Meta-analysis or systematic review of randomized controlled trials
t Transferred evidence, i.e. results from different patients’ cohorts or similar immune status situation
h Comparator group is a historical control
u Uncontrolled trial
a Abstract published at an international meeting