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. 2021 Feb 9;22(5):840–860. doi: 10.3348/kjr.2020.0578

Table 4. Criteria for Evidence Level.

Criteria for level of evidence of selected literature
Level Content
1 Research satisfying all of the following three criteria:
 Criteria 1. Good reference standard
 Criteria 2. Consecutive patients' study
 Criteria 3. Blind interpretation
Systematic review of level 1
Randomized controlled trial or cross-sectional cohort study that compares index test with comparators
2 Research satisfying the following two criteria:
 Criteria 1. Good reference standard
 Criteria 2. Consecutive patient study or blind interpretation
Systematic review of level 2
Observational studies that compare index test with comparators
3 Without consistently applied reference standards
4 Case-control study
Poor or non-independent reference standard
5 Expert opinion
Definition of overall evidence level for each clinical scenario
Overall Evidence level Definition
High (I) Results are from appropriately designed experiments with low risk of bias
Moderate (II) Results are from appropriately designed experiments with intermediate risk of bias
Low (III) Results are from inappropriately designed experiments, or risk of bias is high
Very low (IV) Results are from inappropriately designed experiments, or risk of bias is high