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. 2020 Oct;9(5):1551–1563. doi: 10.21037/gs-20-444

Table S1. Levels of evidence and grades of the recommendations based on the Oxford Centre for Evidence-Based Medicine.

Strength of recommendation Quality of evidence Description
A 1a Systematic review (SR) with homogeneity of randomized controlled trials (RCTs)
1b Individual RCT (with narrow confidence interval)
1c All or none
B 2a SR (with homogeneity) of cohort studies
2b Individual cohort study (including low-quality RCT; for example, <80% follow-up)
2c “Outcomes” research; ecological studies
3a SR with homogeneity of case-control studies
3b Individual case-control study
C 4 Case series (and poor-quality cohort and case-control studies)
D 5 Expert opinion without explicit critical appraisal, or based on physiology, bench research, or “first principles”