Table 1

Strength of recommendations

ABC
(the group feels this element of care should be strongly recommended)(a recommendation rated moderately important by the group)(rated as relatively unimportant by the group, although may be considered in some cases)
IAIBICI
(well designed RCTs, meta-analyses, or systematic reviews)(strong recommendation based on strong evidence)(strong evidence but has impact on quality of care)(recommendations in this category are unlikely)
IIAIIBIICII
(well designed cohort or case controlled studies)(moderate evidence, but the group feels the issue is very important)(moderate evidence, but moderately important)(moderate evidence, but the group feels the issue is not particularly important)
IIIAIIIBIIICIII
(uncontrolled studies)(a rare grading, with no good experimental evidence, but the group feel it is very important, for example, splenectomy recommended for ruptured spleen)(limited level of evidence, but the group feels moderately strongly)(limited level of evidence, but might be considered in some cases)