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