Grading of recommendations (adapted from Agency for Healthcare Policy and Research 1994) 5

GradeEvidence levelsDescription
AIa, IbRequires at least one randomised controlled trial as part of the body of literature of overall good quality and consistency addressing the specific recommendation
BIIa, IIb, IIIRequires availability of well-conducted clinical studies but no randomised clinical trials on the topic of recommendation
CIVRequires evidence from expert committee reports or opinions and/or clinical experience of respected authorities.
Indicates absence of directly applicable studies of good quality