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. 2022 Jan 1;27(2):265–280. doi: 10.1007/s10147-021-02081-w

Table 1.

Categories of evidence levels

Category of evidence level Description
Level I Evidence from a systematic review or meta-analysis of randomized controlled trials (RCTs)
Level II Evidence from 1 or more RCTs
Level III Evidence from 1 or more non-randomized controlled studies
Level IVa Evidence from 1 or more analytical epidemiology studies (cohort studies)
Level IVb Evidence from 1 or more analytical epidemiology studies (case–control studies and/or cross-sectional studies)
Level V Evidence from 1 or more descriptive studies (1 or more case reports and/or 1 or more case-series studies)
Level VI Based on the opinion of experts (boards and/or individuals) without supportive patient data