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Grade I (Strong evidence) RCTs or review of RCTS IA Calculation of sample size and accurate standard definition of appropriate outcome variables IB Accurate and standard definition of appropriate outcome variables
IC Neither of the above
Grade II (Fairly strong evidence) Prospective study with a comparison group (non-randomized controlled trial, good observational study or retrospective study that controls effectively for confounding variables) IIA Calculation of sample size and accurate, standard definition of appropriate outcome variables and adjustment for the effects of important confounding variables
IIB One or more of the above
Grade III (Weaker evidence) Retrospective or observational studies IIIA Comparison group, calculation of sample size, accurate and standard definition of appropriate outcome variables IIIB Two or more of the above
IIIC None of these
Grade IV (Weak evidence) Cross-sectional study, Delphi exercise, consensus of experts
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