22 24 28 Based on moderate quality evidence that included meta-analysis of two studies with over 2500 patients, 22 28 the mean total consultation time in the nurse practitioner group was 4.1 min longer per patient (95% CI 3.7 to 4.5; p<0.0001).
22 28 These data were combined, and based on moderate quality evidence, nurse practitioners were more likely to ask patients to return than the general practitioners (2562 patients; I=76% (RR 1.32, 95% CI 1.20 to 1.46); p<0.0001.46
[ Based on moderate quality evidence from case-control and case series studies and on the experience of the Guideline Development Group] Ensure that pretreatment ultrasonography of the axilla is carried out and ultrasound guided needle biopsy also if abnormal lymph nodes are detected.
Our conclusion that the human data were sufficient was based on "moderate" quality evidence, a meta-analysis estimating a decrement in birth weight in relation to PFOA exposure in which we judged that the confidence bounds were narrow, and our confidence that a new study would be unlikely to have an effect estimate that would change the overall effect estimate of the meta-analysis.
[ Based on moderate quality clinical evidence from case series studies that informed an economic analysis of cost effectiveness] Members of the breast cancer clinical team should have completed an approved communication skills training programme.
Our meta-analysis of 17 RCTs (1239 patients) suggests, based on moderate-quality evidence, that omega-3 supplementation does not significantly reduce mortality in septic critically ill patients, with the absolute effect ranging from 77 fewer to 8 more deaths per 1000 patients.
Routinely screening for breast cancer with mammography every 2 3 years for this age group was rated as a weak recommendation, based on moderate-quality evidence according to GRADE criteria (Schünemann et al, 2011).
Physiotherapists also provide several treatment modalities based on moderate and low quality evidence of benefit, or without evidence from systematic reviews.
This is in contrast to the reported evidence base for the quality of acute hospital-based paediatric care reported by Stang et al where 37% per cent of the selected indicators are based on moderate or high-quality evidence.
In the third iteration in 2012 2013 [ 7], SDD has achieved a level 2B recommendation (suggested use based on 'moderate evidence').
