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Traditional Hierarchy of Evidence, High to Low The following list reflects strength of evidence from the biomedical literature. It is listed with the highest degree of evidence supplied first. As a refresher, visit the Centre for Evidence Based Medicine link below for a description of each. http://www.cebm.net/study_designs.asp.
This hierarchy is useful when limiting information to be reviewed. Where to Find the Evidence at UMDNJ Controlled clinical trials, especially randomized controlled trials, are the basis for much of the best evidence. Not every clinical trial provides high quality information that will assist in clinical decision-making. For that reason, it is important to start with resources that have a reputation for pulling together the highest quality, most relevant, information. These resources also provide evaluations of the research studies, synthesizing the findings for users. If no systematic review, meta-analysis, or other synopsis is available consult Critically Appraised Research Studies. Lastly, look for Raw Evidence when there are no synopses of evidence or critically-appraised research studies available on a subject. |
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