Evidence-Based Dentistry

TABLE 1

FROM:

Guidelines for the management of patients who are taking oral anticoagulants and who require dental surgery

Derek Richards

BACK TO ARTICLE

Table 1. Classification of evidence levels and grades of recommendations

Evidence level Required standard
IaEvidence obtained from meta-analysis of RCT
IbEvidence obtained from at least one RCT
IIaEvidence obtained from at least one well-designed controlled study without randomisation
IIbEvidence obtained from at least one other type of well-designed quasi-experimental study*
IIIEvidence obtained from well-designed nonexperimental descriptive studies, eg, comparative studies, correlation studies and case studies
IVEvidence obtained from expert committee reports or opinions and/ or clinical experiences of respected authorities
Grades of recommendations
ARequires at least one RCT as part of a body of literature of overall good quality and consistency addressing specific recommendation (evidence levels Ia, Ib)
BRequires availability of well-conducted clinical studies but no RCT on topic of recommendation (evidence levels IIa, IIb, III)
CRequires evidence obtained from expert committee reports or opinions and/ or clinical experiences of respected authorities. Indicates an absence of directly applicable clinical studies of good quality (evidence level IV)

  *A situation in which implementation of an intervention is beyond the control of the investigators, but an opportunity exists to evaluate its effect.
RCT, Randomised controlled trial.

BACK TO ARTICLE