Table 1

Grading of Recommendations Assessment Development and Evaluation (GRADE) system: quality of evidence and definitions

Quality levelDescription
High Further research is very unlikely to change our confidence in the estimate of effect. 
Moderate Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. 
Low Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. 
Quality levelDescription
High Further research is very unlikely to change our confidence in the estimate of effect. 
Moderate Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. 
Low Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. 

Data are from Guyatt et al.12 

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