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Table 1 The hierarchy of evidence from the center for evidence-based-medicine

From: Italian guidelines for the management and treatment of neonatal cholestasis

Level

Definition

1a

Systematic review (with homogeneity) of randomized clinical trials (RCTs)

1b

Individual RCT (with narrow confidence interval)

2a

Systematic review (with homogeneity) of cohort studies

2b

Individual cohort study

3a

Systematic review (with homogeneity) of case–control studies

3b

Individual case–control study

4

Case-series (and poor quality cohort and case–control studies)

5

Expert opinion without explicit critical appraisal, or based on physiology, bench research or “first principles”