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. 2022 May 10;23(3):345–352. doi: 10.5811/westjem.2022.3.54419

Table 1b.

Oxford Centre for Evidence-Based Medicine grades of recommendation.20

Grade of evidence Definition
A Consistent level 1 studies
B Consistent level 2 or 3 studies or extrapolations* from level 1 studies
C Level 4 studies or extrapolations* from level 2 or 3 studies
D Level 5 evidence or troublingly inconsistent or inconclusive studies of any level
*

“Extrapolations” refer to the use of data in a situation that has potentially clinically important differences from the original study situation.