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. 2022 Apr 19;64:85–99. doi: 10.1016/j.breast.2022.04.003

Table 2.

Grading systems used in the included guidelines.

Grading systems Guideline organizations Level of evidence Strength of recommendations
GRADE WHO, 2014 [16]; ACS, 2015 [23]; ECIBC, 2020 [25]; CTFPHC, 2018 [27]; MOH of Brazil, 2018 [34]; NCC China, 2021 [32] High; Moderate; Low; Very low Strong; Qualified/Conditional; Weak
GRADE + RAM ACR, 2017 [19] Strong; Moderate; Limited Usually appropriate; May be appropriate; Usually not appropriate
USPSTF USPSTF, 2010 [7]; ACOG, 2019 [24] Ⅰ; Ⅱ-1; Ⅱ-2; Ⅱ-3; Ⅲ A; B; C; D; I (insufficient)
USPSTF + GRADE MOH of Malaysia, 2019 [31] Ⅰ; Ⅱ-1; Ⅱ-2; Ⅱ-3; Ⅲ Strong;
Conditional
OCEBM EUSOMA, 2010 [26]; AWMF, DKG, and DKH, 2018 [28] 1 a/1 b/1 c; 2 a/2 b; 3 a/3 b; 4; 5 A; B; C; D
OCEBM + GRADE CBR, SBM, and FEBRASGO, 2018 [35] None A; B; C; D
NCCN NCCN, 2019 [18] 1; 2 A; 2 B; 3 A; B; C; D
Adapted from the Infectious Disease Society of America-United States Public Health Service Grading System ESMO, 2019 [8] Ⅰ; Ⅱ; Ⅲ; Ⅳ; Ⅴ A; B; C; D; E
JRGCSG NCC Japan, 2016 [9] None A; B; C; D; I (insufficient)
MOH, Singapore MOH of Singapore, 2010 [30] 1++; 1+; 1-; 2++; 2+; 2-;3; 4 A; B; C; D; GPP

Abbreviations: ACOG: American College of Obstetricians and Gynecologists; ACS: American Cancer Society; ACR: American College of Radiology; AWMF: German Association of Scientific Medical Societies; CBR: Brazilian College of Radiology and Diagnostic Imaging; CTFPHC: Canadian Task Force on Preventive Health Care; DKG: German Cancer Society; DKH: German Cancer Aid; ECIBC: European Commission Initiative on Breast Cancer; ESMO: European Society for Medical Oncology; EUSOMA: European Society of Breast Cancer Specialists; FEBRASGO: Brazilian Federation of Gynecological and Obstetrical Associations; GPP: Good Practice Points; GRADE: Grading of Recommendations, Assessment, Development and Evaluations; JRGCSG: Japanese Research Group for the Development of Cancer Screening Guidelines; MOH: Ministry of Health; NCC: National Cancer Centre; NCCN: National Comprehensive Cancer Network; OCEBM: Oxford Centre for Evidence-based Medicine; RAM: RAND/UCLA Appropriateness Method; SBM: Brazilian Society for Breast Disease; USPSTF: U.S. Preventive Services Task Force; WHO: World Health Organization.