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Comparing the USPSTF and GRADE Approaches to Recommendations
- Gordon H. Guyatt, MD, MSc;
- Mark Helfand, MD, MS; and
- Regina Kunz, MD, MSc(Epi)
- From McMaster University Health Sciences Center, Hamilton, Ontario L8S 4L8, Canada; Portland Veterans Affairs Medical Center, Portland OR 97239; and University Hospital Basel, 4031 Basel, Switzerland.
TO THE EDITOR:
In their article on the “insufficient evidence” category of the U.S. Preventive Services Task Force (USPSTF) system (1), Petitti and colleagues make 3 potentially misleading statements about the Grading of Recommendations Assessment, Development and Evaluation (GRADE) (www.gradeworkinggroup.org) approach to rating quality of evidence and strength of recommendations (2). We would like to clarify the GRADE characteristics in question.
First, Petitti and colleagues state that GRADE has no equivalent to the USPSTF “I statement.” The I statement accompanies a USPSTF decision not to recommend either in favor …
This 100-word excerpt has been provided in the absence of an abstract.
