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. 2021 Jun 10;21:198. doi: 10.1186/s12890-021-01532-4

Table 3.

Levels of evidence

Level of evidence ILATF BTS IAB JICS
High Evidence GRADE A: requires at least one randomized control trial as part of a body of literature of overall good quality and consistency addressing the specific recommendation GRADE A/B | 1 +  + and 1 +  Level 1: High‐quality evidence supported by findings from well‐executed randomized controlled trials or unequivocal evidence from well‐conducted observational studies with strong effects” "Level 1: High‐quality evidence supported by findings from well‐executed randomized controlled trials or unequivocal evidence from well‐conducted observational studies with strong effects "
Moderate Evidence Grade B: requires availability of well-conducted clinical studies but no randomized clinical trials on the topic of the recommendation GRADE C/D | 1-/2 + /2 +  +  Level 2: Moderate‐quality evidence from randomized trials or from several observational studies with some limitations (inconsistency, indirectness, flaws in conduct, reporting bias, imprecise estimates, small sample size, or others) Level 2: Moderate‐quality evidence from randomized trials or from several observational studies with some limitations (inconsistency, indirectness, flaws in conduct, reporting bias, imprecise estimates, small sample size, or others)
Low Evidence "Grade C: requires evidence from expert committee reports or opinions and clinical experience of respected authorities." Important practice point | 3 and 4 "Level 3: Low‐quality evidence from observational studies or from controlled trials with serious limitations UPP: Not supported by sufficient evidence; however, a consensus reached by the working group, based on clinical experience and expertise " "Level 3: Low‐quality evidence from observational studies or from controlled trials with serious limitations UPP: Not supported by sufficient evidence; however, a consensus reached by the working group, based on clinical experience and expertise "