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Table 1 Recommendation grading

From: Medical follow-up of workers exposed to lung carcinogens: French evidence-based and pragmatic recommendations

Level of scientific proof provided by the literature (for clinical studies)

Recommendation grading

Level 1

High-power randomised comparative studies

Meta-analysis of randomised comparative studies

Decision analysis based on well-conducted studies

A

Scientific proof established

Level 2

Low-power randomised comparative studies

Well-conducted non-randomised comparative studies

Cohort studies

B

Scientific proof presumed

Level 3

Case–control studies

C

Low level of proof

Level 4

Comparative studies with major bias

Retrospective studies

Case series

Descriptive epidemiological studies (cross-sectional, longitudinal)