CLASS (STRENGTH) OF RECOMMENDATION |
CLASS I (STRONG) Benefit >>> Risk |
Suggested phrases for writing recommendations:
- Is recommended
- Is indicated/useful/effective/beneficial
- Should be performed/administered/other
- Comparative-Effectiveness Phrases†:
- Treatment/strategy A is recommended/indicated in preference to treatment B
- Treatment A should be chosen over treatment B
|
CLASS IIa (MODERATE) Benefit >> Risk |
Suggested phrases for writing recommendations:
- Is reasonable
- Can be useful/effective/beneficial
- Comparative-Effectiveness Phrases†:
- Treatment/strategy A is probably recommended/indicated in preference to treatment B
- It is reasonable to choose treatment A over treatment B
|
CLASS IIb (WEAK) Benefit ≥ Risk |
Suggested phrases for writing recommendations:
- May/might be reasonable
- May/might be considered
- Usefulness/effectiveness is unknown/unclear/uncertainor not well established
|
CLASS III: No Benefit (MODERATE) Benefit = Risk(Generally, LOE A or B use only) |
Suggested phrases for writing recommendations:
- Is not recommended
- Is not indicated/useful/effective/beneficial
- Should not be performed/administered/other
|
CLASS III: Harm (STRONG) Risk > Benefit |
Suggested phrases for writing recommendations:
- Potentially harmful
- Causes harm
- Associated with excess morbidity/mortality
- Should not be performed/administered/other
|