Levels of Evidence

Levels of evidence is a ranking system used in evidence-based practices to describe the strength of the results measured in a clinical trial or research study. The design of the study (such as a case report for an individual patient or a double-blinded randomized controlled trial) and the endpoints measured (such as survival or quality of life) affect the strength of the evidence. Levels of evidence range from I-IV.

  • Ia - Evidence from Meta-analysis of Randomized Controlled Trials
  • Ib - Evidence from at least one Randomized Controlled Trials
  • IIa - Evidence from at least one well designed controlled trial which is not randomized
  • IIb - Evidence from at least one well designed experimental trial
  • III - Evidence from case, correlation, and comparative studies.
  • IV - Evidence from a panel of experts

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