Grade | Definition |
---|---|
Quality of evidence | |
A | Evidence from one or more well-designed clinical study, and a clear mechanistic rationale supported by at least one in vitro or ex vivo functional study |
B | Evidence from ≥2 clinical studies with consistent data, and clear mechanistic rationale supported by in silico prediction (no in vitro functional study) |
C | Evidence from ≥2 clinical studies with consistent data but unclear or no mechanistic basis |
D | Conflicting data and convincing data against a functional effect |
Level of recommendation for further research in CRC risk factor | |
1 | Highly recommended candidate: QOE of grade A or B, and ≥1 positive association study in CRC risk factor or candidate not yet studied in CRC with a QOE of grade A |
2 | Recommended candidate: candidate not yet studied in CRC risk factor with a QOE of grade B |
3 | Potential candidate: QOE of C or candidate with a QOE of grade A or B unsuccessfully tested in one CRC risk factor (≤2 negative studies) |
4 | Candidate to exclude: QOE of grade D or a QOE of grade A, B or C with convincing data against any statistical association in CRC risk factor (>2 negative studies) |