Table 5.1.5 Classification of recommendations

ClassEvidence
A• At least one meta-analysis, systematic review, or RCT rated as 1, and directly applicable to the target population, or
• A systematic review of RCTs or a body of evidence consisting principally of studies rated as 1, directly applicable to the target population and demonstrating overall consistency of results
• Evidence drawn from a NICE technology appraisal.
B• A body of evidence including studies rated as 2+, directly applicable to the target population and demonstrating overall consistency of results, or
• Extrapolated evidence from studies rated as 1
C• A body of evidence including studies rated as 2−, directly applicable to the target population and demonstrating overall consistency of results, or
• Extrapolated evidence from studies rated as 2+
D• Evidence level 3 or 4, or
• Extrapolated evidence from studies rated as 2−, or
• Formal consensus
D (G)• A body of evidence from guidelines published by clinical groups (for example, NICE, BSG, AUGIS).