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MANAGEMENT OF ERECTILE DYSFUNCTION






                                   LEVELS OF EVIDENCE

                                   LEVELS OF EVIDENCE
                Level   Study design   LEVELS OF EVIDENCE
                                   LEVELS OF EVIDENCE
                Level   Study design
                I  Level   Study design
                       Properly  powered  and  conducted  randomised  controlled  trial;  well-
                       Study design
                Level
                I  I  I   conducted  systematic  review  or  meta-analysis  of  homogeneous
                       Properly  powered  and  conducted  randomised  controlled  trial;  well-
                       Properly  powered  and  conducted  randomised  controlled  trial;  well-
                       randomised controlled trials
                       conducted  systematic  review  or  meta-analysis  of  homogeneous
                       Properly  powered  and  conducted  randomised  controlled  trial;  well-
                       conducted  systematic  review  or  meta-analysis  of  homogeneous
                       randomised controlled trials
                       randomised controlled trials
                II -1   conducted  systematic  review  or  meta-analysis  of  homogeneous
                       Well-designed controlled trial without randomisation
                       randomised controlled trials
                II -1   Well-designed controlled trial without randomisation
                II-2
                       Well-designed cohort or case-control analysis study
                       Well-designed controlled trial without randomisation
                II -1
                II -1
                       Well-designed cohort or case-control analysis study
                II-2   Well-designed controlled trial without randomisation
                II-2
                       Well-designed cohort or case-control analysis study
                II-3
                       Multiple  time  series,  with  or  without  the  intervention;  results  from
                II-2
                       uncontrolled studies that yield results of large magnitude
                II-3   Well-designed cohort or case-control analysis study
                       Multiple  time  series,  with  or  without  the  intervention;  results  from
                II-3   Multiple  time  series,  with  or  without  the  intervention;  results  from
                II-3   Multiple  time  series,  with  or  without  the  intervention;  results  from
                       uncontrolled studies that yield results of large magnitude
                III    uncontrolled studies that yield results of large magnitude
                       Opinions  of  respected  authorities,  based  on  clinical  experience;
                       uncontrolled studies that yield results of large magnitude
                III    descriptive studies or case reports; reports of expert committees
                       Opinions  of  respected  authorities,  based  on  clinical  experience;
                III
                       Opinions  of  respected  authorities,  based  on  clinical  experience;
                III
                       Opinions  of  respected  authorities,  based  on  clinical  experience;
                       descriptive studies or case reports; reports of expert committees
                       descriptive studies or case reports; reports of expert committees
            Source: U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual
                       descriptive studies or case reports; reports of expert committees
                 Rockville, MD: USPSTF; 2015.
            Source: U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual
            Source: U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual

            Source: U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual
                 Rockville, MD: USPSTF; 2015.
                 Rockville, MD: USPSTF; 2015.
                 Rockville, MD: USPSTF; 2015.




                             FORMULATION OF RECOMMENDATION

                             FORMULATION OF RECOMMENDATION
               In line with the new development in CPG methodology, the CPG Unit of MaHTAS is
                             FORMULATION OF RECOMMENDATION
                             FORMULATION OF RECOMMENDATION
               adapting Grading Recommendations, Assessment, Development and Evaluation
               In line with the new development in CPG methodology, the CPG Unit of MaHTAS is
               In line with the new development in CPG methodology, the CPG Unit of MaHTAS is
               (GRADE) in its work process. The quality of body of evidence and related effect size are
               adapting Grading Recommendations, Assessment, Development and Evaluation
               In line with the new development in CPG methodology, the CPG Unit of MaHTAS is
               adapting Grading Recommendations, Assessment, Development and Evaluation
               adapting Grading Recommendations, Assessment, Development and Evaluation
               carefully assessed/reviewed by the CPG DG.
               (GRADE) in its work process. The quality of body of evidence and related effect size are
               (GRADE) in its work process. The quality of body of evidence and related effect size are
               (GRADE) in its work process. The quality of body of evidence and related effect size are
               Recommendations  are formulated  based  on  certainty  of  evidence  and the  wording
               carefully assessed/reviewed by the CPG DG.
               carefully assessed/reviewed by the CPG DG.
               Recommendations  are formulated  based  on
               used denotes the strength of recommendati certainty  of  evidence  and
               carefully assessed/reviewed by the CPG DG. ons. This takes into account:  the  wording
               Recommendations  are formulated  based  on  certainty  of  evidence  and the  wording
                o  quality and level of the evidence
               used denotes the strength of recommendations. This takes into account:
               Recommendations  are formulated  based  on  certainty  of  evidence  and the  wording
               used denotes the strength of recommendations. This takes into account:
                o  balance of benefits and harms of the options
               used denotes the strength of recommendations. This takes into account:
                o  quality and level of the evidence
                o  quality and level of the evidence
                o  patient’s preference and values
                o  quality and level of the evidence  the options
                o  balance of benefits and harms of
                o  balance of benefits and harms of the options
                o  resource implications
                o  balance of benefits and harms of the options
                o  patient’s preference and values
                o  patient’s preference and values
                o  relevancy and applicability to the local target population
                o  patient’s preference and values
                o  resource implications
                o  resource implications
               The  more  criteria  being
                o  resource implications  fulfilled,  the  more  certain  is  the  evidence  leading  to  strong
                o  relevancy and applicability to the local target population
                o  relevancy and applicability to the local target population
               recommendations  using  the  word  “should”  being  considered.  Otherwise,  weak
               The  more  criteria  being  fulfilled,  the  more  certain  is  the
                o  relevancy and applicability to the local target population  evidence  leading  to  strong
               The  more  criteria  being  fulfilled,  the  more  certain  is  the  evidence  leading  to  strong
               recommendations use the word “may” in proposing an action to be made.
               The  more  criteria  being  fulfilled,  the  more  certain  is  the  evidence  leading  to  strong
               recommendations  using  the  word  “should”  being  considered.  Otherwise,  weak
               recommendations  using  the  word  “should”  being  considered.  Otherwise,  weak
               In the CPG, a yellow box           highlights important message(s) in the management
               recommendations  using  the  word  “should”  being  considered.  Otherwise,  weak
               recommendations use the word “may” in proposing an action to be made.
               recommendations use the word “may” in proposing an action to be made.
               recommendations use the word “may” in proposing an action to be made. he particular
               while a blue box              contains evidence-based recommendation(s) for t
               In the CPG, a yellow box           highlights important message(s) in the management
               In the CPG, a yellow box           highlights important message(s) in the management
               condition.
               while a blue box              contains evidence-based recommendation(s) for the particular
               In the CPG, a yellow box           highlights important message(s) in the management
               while a blue box              contains evidence-based recommendation(s) for the particular
               while a blue box              contains evidence-based recommendation(s) for the particular
                 condition.
               condition.

               condition.












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