Table 3.

Comparative Presentation of Different Grading Methods

USPSTFOCEBMGRADEPORT
Systematic review of randomized trials or n-of-1 trialsHigh qualityLevel A: Good research-based evidence, with some expert opinion, to support the recommendation
Level I: Evidence obtained from at least one properly designed randomized controlled trial.Randomized trial or observational study with dramatic effect
Level II-1: Evidence obtained from well-designed controlled trials without randomization.Medium qualityLevel B: Fair research-based evidence, with substantial expert opinion, to support the recommendation
Nonrandomized controlled cohort/follow-up studyLow quality
Level II-2: Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.Case-series, case-control studies, or historically controlled studiesVery low quality
Level II-3: Evidence obtained from multiple time series designs with or without the intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
Mechanism-based reasoningLevel C: Recommendation based primarily on expert opinion, with minimal research-based evidence, but significant clinical experience
Level III: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
USPSTFOCEBMGRADEPORT
Systematic review of randomized trials or n-of-1 trialsHigh qualityLevel A: Good research-based evidence, with some expert opinion, to support the recommendation
Level I: Evidence obtained from at least one properly designed randomized controlled trial.Randomized trial or observational study with dramatic effect
Level II-1: Evidence obtained from well-designed controlled trials without randomization.Medium qualityLevel B: Fair research-based evidence, with substantial expert opinion, to support the recommendation
Nonrandomized controlled cohort/follow-up studyLow quality
Level II-2: Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.Case-series, case-control studies, or historically controlled studiesVery low quality
Level II-3: Evidence obtained from multiple time series designs with or without the intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
Mechanism-based reasoningLevel C: Recommendation based primarily on expert opinion, with minimal research-based evidence, but significant clinical experience
Level III: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
Table 3.

Comparative Presentation of Different Grading Methods

USPSTFOCEBMGRADEPORT
Systematic review of randomized trials or n-of-1 trialsHigh qualityLevel A: Good research-based evidence, with some expert opinion, to support the recommendation
Level I: Evidence obtained from at least one properly designed randomized controlled trial.Randomized trial or observational study with dramatic effect
Level II-1: Evidence obtained from well-designed controlled trials without randomization.Medium qualityLevel B: Fair research-based evidence, with substantial expert opinion, to support the recommendation
Nonrandomized controlled cohort/follow-up studyLow quality
Level II-2: Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.Case-series, case-control studies, or historically controlled studiesVery low quality
Level II-3: Evidence obtained from multiple time series designs with or without the intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
Mechanism-based reasoningLevel C: Recommendation based primarily on expert opinion, with minimal research-based evidence, but significant clinical experience
Level III: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
USPSTFOCEBMGRADEPORT
Systematic review of randomized trials or n-of-1 trialsHigh qualityLevel A: Good research-based evidence, with some expert opinion, to support the recommendation
Level I: Evidence obtained from at least one properly designed randomized controlled trial.Randomized trial or observational study with dramatic effect
Level II-1: Evidence obtained from well-designed controlled trials without randomization.Medium qualityLevel B: Fair research-based evidence, with substantial expert opinion, to support the recommendation
Nonrandomized controlled cohort/follow-up studyLow quality
Level II-2: Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.Case-series, case-control studies, or historically controlled studiesVery low quality
Level II-3: Evidence obtained from multiple time series designs with or without the intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
Mechanism-based reasoningLevel C: Recommendation based primarily on expert opinion, with minimal research-based evidence, but significant clinical experience
Level III: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
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