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Table 1 Levels of evidence [6]

From: Methotrexate in juvenile idiopathic arthritis: advice and recommendations from the MARAJIA expert consensus meeting

Levels of evidence

1

Systematic review of all relevant randomized clinical trials or n-of-1 trials

2

Randomized trial or observational study with dramatic effect

3

Non-randomized controlled cohort/follow-up study (observational)

4

Case series, case-control study, or historically controlled study

5

Mechanism-based reasoning (expert opinion, based on physiology, animal or laboratory studies)

Grades of recommendation

A

Consistent level 1 studies

B

Consistent level 2 or 3 studies, or extrapolations from level 1 studies

C

Level 4 studies, or extrapolations from level 2 or 3 studies

D

Level 5 evidence or troubling, inconsistent or inconclusive studies of any level