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Expert opinion without explicit critical appraisal, or based on economic theory or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; 5 Analysis with no sensitivity analysis Case-series or superseded reference standards Case-control study, poor or non-independent reference standard  Case-series (and  poor quality prognostic cohort studies*** ) Case-series (and  poor quality cohort and case-control studies§§  ) 4 Analysis based on limited alternatives or costs, poor quality estimates of data, but including sensitivity analyses incorporating clinically sensible variations. Non-consecutive cohort study, or very limited population Non-consecutive study; or without consistently applied reference standards    Individual Case-Control Study 3b SR (with  homogeneity* ) of 3b and better studies SR (with  homogeneity* ) of 3b and better studies SR (with  homogeneity* ) of 3b and better studies    SR (with  homogeneity* ) of case-control studies 3a Audit or outcomes research Ecological studies    &quot;Outcomes&quot; Research  &quot;Outcomes&quot; Research; Ecological studies 2c Analysis based on clinically sensible costs or alternatives; limited review(s) of the evidence, or single studies; and including multi-way sensitivity analyses Retrospective cohort study, or poor follow-up Exploratory** cohort study with  good††† reference standards;  CDR†  after derivation, or validated only on split-sample§§§ or databases Retrospective cohort study or follow-up of untreated control patients in an RCT; Derivation of  CDR†  or validated on split-sample§§§ only Individual cohort study (including low quality RCT; e.g., <80% follow-up) 2b SR (with  homogeneity* ) of Level >2 economic studies SR (with  homogeneity* ) of 2b and better studies SR (with  homogeneity* ) of Level >2 diagnostic studies SR (with  homogeneity* ) of either retrospective cohort studies or untreated control groups in RCTs SR (with  homogeneity*  ) of cohort studies 2a Absolute better-value or worse-value analyses †††† All or none case-series Absolute   SpPins   and   SnNouts†† All or none case-series All   or   none§ 1c Analysis based on clinically sensible costs or alternatives; systematic review(s) of the evidence; and including multi-way sensitivity analyses Prospective cohort study with good follow-up**** Validating** cohort study with  good†††  reference standards; or  CDR†  tested within one clinical centre Individual inception cohort study with  >  80% follow-up;  CDR†  validated in a single population Individual RCT (with narrow  Confidence Interval‡ ) 1b SR (with  homogeneity* ) of Level 1 economic studies SR (with  homogeneity* ) of prospective cohort studies  SR (with  homogeneity* ) of Level 1 diagnostic studies;  CDR†  with 1b studies from different clinical centres SR (with  homogeneity* ) of inception cohort studies;  CDR†  validated in different populations  SR (with  homogeneity* ) of RCTs  1a Economic and decision analyses Differential diagnosis/symptom prevalence study Diagnosis Prognosis Therapy/Prevention, Aetiology/Harm Level

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Presentación1

  • 1. Expert opinion without explicit critical appraisal, or based on economic theory or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; Expert opinion without explicit critical appraisal, or based on physiology, bench research or &quot;first principles&quot; 5 Analysis with no sensitivity analysis Case-series or superseded reference standards Case-control study, poor or non-independent reference standard Case-series (and poor quality prognostic cohort studies*** ) Case-series (and poor quality cohort and case-control studies§§ ) 4 Analysis based on limited alternatives or costs, poor quality estimates of data, but including sensitivity analyses incorporating clinically sensible variations. Non-consecutive cohort study, or very limited population Non-consecutive study; or without consistently applied reference standards   Individual Case-Control Study 3b SR (with homogeneity* ) of 3b and better studies SR (with homogeneity* ) of 3b and better studies SR (with homogeneity* ) of 3b and better studies   SR (with homogeneity* ) of case-control studies 3a Audit or outcomes research Ecological studies   &quot;Outcomes&quot; Research &quot;Outcomes&quot; Research; Ecological studies 2c Analysis based on clinically sensible costs or alternatives; limited review(s) of the evidence, or single studies; and including multi-way sensitivity analyses Retrospective cohort study, or poor follow-up Exploratory** cohort study with good††† reference standards; CDR† after derivation, or validated only on split-sample§§§ or databases Retrospective cohort study or follow-up of untreated control patients in an RCT; Derivation of CDR† or validated on split-sample§§§ only Individual cohort study (including low quality RCT; e.g., <80% follow-up) 2b SR (with homogeneity* ) of Level >2 economic studies SR (with homogeneity* ) of 2b and better studies SR (with homogeneity* ) of Level >2 diagnostic studies SR (with homogeneity* ) of either retrospective cohort studies or untreated control groups in RCTs SR (with homogeneity* ) of cohort studies 2a Absolute better-value or worse-value analyses †††† All or none case-series Absolute SpPins and SnNouts†† All or none case-series All or none§ 1c Analysis based on clinically sensible costs or alternatives; systematic review(s) of the evidence; and including multi-way sensitivity analyses Prospective cohort study with good follow-up**** Validating** cohort study with good††† reference standards; or CDR† tested within one clinical centre Individual inception cohort study with > 80% follow-up; CDR† validated in a single population Individual RCT (with narrow Confidence Interval‡ ) 1b SR (with homogeneity* ) of Level 1 economic studies SR (with homogeneity* ) of prospective cohort studies SR (with homogeneity* ) of Level 1 diagnostic studies; CDR† with 1b studies from different clinical centres SR (with homogeneity* ) of inception cohort studies; CDR† validated in different populations SR (with homogeneity* ) of RCTs 1a Economic and decision analyses Differential diagnosis/symptom prevalence study Diagnosis Prognosis Therapy/Prevention, Aetiology/Harm Level