Table 1

Hierarchy of evidence

Evidence levelStudy design
IEvidence from systematic reviews or meta-analyses of randomised controlled clinical trials (RCTs).
IIEvidence from a well-designed RCT.
IIIEvidence from well-designed controlled clinical trials without randomization (quasiexperimental).
IVEvidence from well-designed case–control, cohort or cross-sectional studies.
VEvidence from systematic reviews of qualitative and descriptive studies.
VIEvidence from a single descriptive or qualitative study.
VIIEvidence from the opinion of authorities and/or reports of expert committees.