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 |