Skip to main content
. 2018 Jun;13(3):335–378.

Table 2.

Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group Criteria86

GRADE OF RECOMMENDATION STRENGTH OF EVIDENCE
A Strong A preponderance of level I and/or level II studies support the recommendation. Must include ≥ 1 level I study.
B Moderate A single high-quality randomized controlled trial or a preponderance of level II studies support the recommendation.
C Weak A single level II study or a preponderance of level III and level IV studies including statements of consensus by content experts support the recommendation.
D Conflicting Higher-quality studies conducted on this topic disagree with respect to their conclusions. The recommendation is based on these conflicting studies.
E Theoretical/Foundational A preponderance of evidence from animal or cadaver studies, from conceptual models/principles, or from basic sciences/bench research support this conclusion.
F Expert Opinion Best practice based on the clinical experience of the guidelines development team.