Table 5.

AGREE grades of recommendation

Level of evidence	Descriptor
Strongly recommend	This indicates that the guideline has a high overall quality and that it can be considered for use in practice without provisos or alterations
Recommend	This indicates that the guideline has a moderate overall quality. This could be due to insufficient or lacking information in the guideline for some items. If provisos or alterations are made the guideline could still be considered for use in practice, in particular when no other guidelines on the same topic are available
Would not recommend	This indicates that the guideline has a low overall quality and serious shortcomings. Therefore it should not be recommended for use in practice