TABLE 3

Classes of recommendations

DefinitionWording to use
Class IEvidence and/or general agreement that a given treatment or procedure is beneficial, useful, effectiveIs recommended or is indicated
Class IIConflicting evidence and/or a divergence of opinion about the usefulness/efficacy of the treatment or procedure
 Class IIaWeight of evidence/opinion is in favour of usefulness/efficacyShould be considered
 Class IIbUsefulness/efficacy is less well established by evidence/opinionMay be considered
Class IIIEvidence or general agreement that the given treatment or procedure is not useful/effective, and in some cases may be harmfulIs not recommended