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. 2018 Nov 15;21(1):18–30. doi: 10.1007/s12094-018-1973-6

Table 1.

Strength of recommendation and quality of evidence score

Category, grade Definition
Strength of recommendation
 A Good evidence to support a recommendation for use
 B Moderate evidence to support a recommendation for use
 C Poor evidence to support a recommendation
 D Moderate evidence to support a recommendation against use
 E Good evidence to support a recommendation against use
Quality of evidence
 I Evidence from ≥ 1 properly randomized, controlled trial
 II Evidence from ≥ 1 well-designed clinical trial, without randomization; from cohort or case-controlled analytic studies (preferably from > 1 center); from multiple time series; or from dramatic results from uncontrolled experiments
 III Evidence from opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees