Table 1

Brief description of the generic levels of evidence and guideline statement grades used

Evidence levelDefinitionGuideline statement grade
IaA good recent systematic review of studies designed to answer the question of interestA+
IbOne or more rigorous studies designed to answer the question, but not formally combinedA−
IIOne or more prospective clinical studies which illuminate, but do not rigorously answer, the questionB+
IIIOne or more retrospective clinical studies which illuminate, but do not rigorously answer, the questionB−
IVaFormal combination of expert viewsC
IVbOther informationD