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Principles and Practice of Hospital Medicine, 2e > Principles of Evidence-

Based Medicine and Quality of Evidence
 
Sylvia C. McKean, John J. Ross, Daniel D. Dressler, Danielle B. Scheurer+
 TABLE 7-2Hierarchy of Evidence for Different Types of Clinical Questions  
 
Type of Clinical Question Best Types of Articles (Listed in Decreasing Level of Evidence)

1. Systematic review/meta-analysis of randomized controlled trials
2. Randomized controlled trial
3. Cohort study
Therapy or harm 4. Case-control study
5. Case series
6. Case reports
7. Expert opinion

1. Systematic review/meta-analysis
Accuracy of a diagnostic test 2. Prospective comparison against gold standard conducted in setting diagnostic test will be used in
practice

1. Systematic review/meta-analysis
2. Prospective cohort study of a representative, homologous patient group with appropriate follow-up
Prognosis
and objective outcomes.
3. Retrospective case-controlled study

1. Systematic review/meta-analysis
Differential diagnosis of a condition 2. Prospective evaluation of a representative sample that includes definitive diagnostic evaluation,
performed in a setting similar to actual practice

Date of download: 05/03/19 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw-Hill Education. All rights reserved.
 
 

 
 

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