Table 1

Summary of GRADE recommendations for grading levels of evidence

Grade
1 Evidence strongly suggests that the benefit of the procedure outweighs potential risk or risks of the procedure outweighs potential benefits A Consistent evidence from systematic reviews or high quality randomized studies or high quality observational studies 
 B Evidence from randomized and observational studies with important methodological flaws 
2 Evidence suggests the benefit and risk of a procedure is finely balanced or uncertain C Evidence from randomized and observational studies with major methodological flaws or other sources of evidence e.g. case series 
Grade
1 Evidence strongly suggests that the benefit of the procedure outweighs potential risk or risks of the procedure outweighs potential benefits A Consistent evidence from systematic reviews or high quality randomized studies or high quality observational studies 
 B Evidence from randomized and observational studies with important methodological flaws 
2 Evidence suggests the benefit and risk of a procedure is finely balanced or uncertain C Evidence from randomized and observational studies with major methodological flaws or other sources of evidence e.g. case series 

Each recommendation in the guideline is given a numerical score which denotes how likely the patient is to gain benefit from the intervention and a letter which demonstrates the strength of the evidence.

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