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” |