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CMAJ
CMAJ - February 23, 1999JAMC - le 23 février 1999

Periodic health examination, 1999 update:
1. Detection, prevention and treatment of obesity

Appendix 1: Levels of evidence and grades of recommendations of the Canadian Task Force on Preventive Health Care

Levels of evidence
I Evidence from at least one well-designed randomized controlled trial
II-1 Evidence from well-designed controlled trials without randomization
II-2 Evidence from well-designed cohort or case–control analytic studies, preferably from more than one centre or research group
II-3 Evidence from comparisons between times and places with or without the intervention; dramatic results from uncontrolled studies (e.g., results of treatment with penicillin in 1940s)
III Opinions of respected authorities, based on clinical experience; descriptive studies or reports of expert committees
 
Grades of recommendations
A There is good evidence to support the recommendation that the condition or manoeuvre be specifically considered in a periodic health examination
B There is fair evidence to support the recommendation that the condition or manoeuvre be specifically considered in a periodic health examination
C There is poor evidence relating to the inclusion or exclusion of a condition or manoeuvre in a periodic health examination, but recommendations can be made on other grounds
D There is fair evidence to support the recommendation that a condition or manoeuvre be specifically excluded from a periodic health examination
E There is good evidence to support the recommendation that a condition or manoeuvre be specifically excluded from a periodic health examination

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