Table 1

 Evidence hierarchy and traditional strength of recommendation

Category of evidenceStrength of recommendation
Ia Meta-analysis of randomised controlled trialsA Category I evidence
Ib Randomised controlled trial
IIa Controlled study without randomisationB Category II evidence or extrapolated from category I evidence
IIb Quasi-experimental study
III Non-experimental descriptive studies, such as comparative, correlation, and case-control studiesC Category III evidence or extrapolated from category I or II evidence
IV Expert committee reports or opinion or clinical experience of respected authorities, or bothD Category IV evidence or extrapolated from category II or III evidence