Recommendations

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Overview

Any recommendations found on these pages are for education use only. wiki doc is not a substitute for a licensed healthcare provider. Plese see the disclaimers page for important information regarding limitations of the information found here. In recommending therapies, wiki doc suggests that the following classification scheme be used. This is the classification scheme used by the ACC / AHA Guidelines Committee. Use the Class designation to indicate whether the therapy is recommedned or not and the certainty surrounding that recommendation. Use the Level of Evidence designation to indicate the strength of the data associated with that recommendation.

Classification of Recommendations

• Class I: Conditions for which there is evidence and/or general agreement that a given procedure or treatment is beneficial, useful, and effective.

• Class II: Conditions for which there is conflicting evidence and/or a divergence of opinion about the usefulness/efficacy of a procedure or treatment.

• Class IIa: Weight of evidence/opinion is in favor of usefulness/efficacy.

• Class IIb: Usefulness/efficacy is less well established by evidence/opinion.

• Class III: Conditions for which there is evidence and/or general agreement that a procedure/treatment is not useful/effective and in some cases may be harmful.

Level of Evidence

• Level of Evidence A: Data derived from multiple randomized clinical trials or meta-analyses.
• Level of Evidence B: Data derived from a single randomized trial, or nonrandomized studies.
• Level of Evidence C: Only consensus opinion of experts,case studies, or standard-of-care.

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .