Table 2

Oxford Centre for Evidence-Based Medicine—levels of evidence

Level
1aSystematic review (with homogeneity) of RCTs
1bIndividual RCT (with narrow CI)
1c‘All or none’
2aSystematic review (with homogeneity) of cohort studies
2bIndividual cohort study (including low-quality RCT)
2c‘Outcomes’ research, ecological studies
3aSystematic review (with homogeneity) of case-control studies
3bIndividual case-control study
4Case series (and poor quality cohort and case-control studies)
5Expert opinion without explicit critical appraisal, or based on physiology, bench research of ‘first principles’
  • RCT, randomised controlled trial.