Table 2.

Grading of evidence

Grade of recommendationDefinitionLevel of evidence
Requires ≥1 RCT as part of a body of literature of overall good quality and consistency addressing specific recommendation Evidence levels Ia, Ib 
Requires the availability of well-conducted clinical studies but no randomized clinical trials on the topic of recommendation Evidence levels IIa, IIb, III 
Requires evidence obtained from expert committee reports or opinions and/or clinical experiences of respected authorities. Indicates an absence of directly applicable clinical studies of good quality. Evidence level IV 
Grade of recommendationDefinitionLevel of evidence
Requires ≥1 RCT as part of a body of literature of overall good quality and consistency addressing specific recommendation Evidence levels Ia, Ib 
Requires the availability of well-conducted clinical studies but no randomized clinical trials on the topic of recommendation Evidence levels IIa, IIb, III 
Requires evidence obtained from expert committee reports or opinions and/or clinical experiences of respected authorities. Indicates an absence of directly applicable clinical studies of good quality. Evidence level IV 

Adapted from the National Guidelines Clearinghouse (www.guideline.gov).

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