A Strong evidence |
A preponderance of level I and or level II studies support the recommendation. This must include at least 1 level 1 study |
B Moderate evidence |
A single high-quality randomized controlled trial or a preponderance of level II studies support the recommendation |
C Weak evidence |
A single level II study or a preponderance of level III and IV studies, including statements of consensus by content experts, support the recommendation |
D Conflicting evidence |
Higher-quality studies conducted on this topic disagree with respect to their conclusions. The recommendation is based on these conflicting studies |
E Theoretical/foundational evidence |
A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research support this conclusion |
F Expert opinion |
Best practice based on the clinical experience of the guidelines development team |