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Table 1 Summary of a simplified evidence hierarchy, A) Levels of evidence across clinical research studies, and B) Grading of recommendations based on levels of evidence (Adapted from [2, 3])

From: The need to reform our assessment of evidence from clinical trials: A commentary

A)

 

Levels of Evidence

Level I

Well conducted, suitably powered RCT

Level II

Well conducted, but small and under powered RCT

Level III

Non-randomized observational studies

Level IV

Non-randomized study with historical controls

Level V

Case series without controls

B)

 

Grades of Recommendations

Grade A

Level I

Grade B

Level II

Grade C

Level III or lower