Asthma Management Handbook

Recommendation types

 

Type and symbol

Description

Evidence-based recommendation – Grade A

 

Based on a systematic literature review and formulated by multidisciplinary working group using NHMRC grading method

Body of evidence can be trusted to guide practice

 

Evidence-based recommendation – Grade B

 

Based on a systematic literature review and formulated by multidisciplinary working group using NHMRC grading method

Body of evidence can be trusted to guide practice in most situations

Evidence-based recommendation – Grade C

 

Based on a systematic literature review and formulated by multidisciplinary working group using NHMRC grading method

Body of evidence provides some support for recommendation but care should be taken in its application

Evidence-based recommendation – Grade D

 

Based on a systematic literature review and formulated by multidisciplinary working group using NHMRC grading method

Body of evidence is weak and recommendation must be applied with caution

Evidence-based recommendation

Formulated by a multidisciplinary working group based on a structured literature review

Consensus recommendation following inconclusive systematic literature review

Formulated by a multidisciplinary working group based on available evidence, clinical experience and expert opinion after systematic literature review yielded insufficient evidence for an evidence-based recommendation

Consensus recommendation following inconclusive literature search

Formulated by a multidisciplinary working group based on available evidence, clinical experience and expert opinion after structured literature review yielded insufficient evidence for an evidence-based recommendation

Based on selected evidence

Formulated by a multidisciplinary working group based on a structured literature review

[Applies to recommendations developed V1.0–V1.3]

Adapted from existing guidance

 

Based on reliable clinical practice guideline(s) or position statement(s)

Consensus recommendation (with reference to named sources)

Formulated by a multidisciplinary working group based on clinical experience and expert opinion (informed by evidence, where available), with particular reference to named source(s)

Consensus recommendation

Formulated by a multidisciplinary working group based on clinical experience and expert opinion (informed by evidence, where available)

NHMRC: Recommendations based on systematic review graded according to National Health and Medical Research Council categories (NHMRC levels of evidence and grades for recommendations for developers of guidelines. NHMRC; 2009.)