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TableĀ 1 The PARM writing guide (Gonzalez-Suarez et al. [3], page 150)

From: Updating contextualized clinical practice guidelines on stroke rehabilitation and low back pain management using a novel assessment framework that standardizes decisions

1. There is strong evidence

Consistent grades of high-quality evidence with uniform thought, and at least a moderate volume of references to support the recommendation(s)

2. There is evidence

A mix of moderate- and high-quality evidence with uniform thought and at least a low volume of references; OR A mix of high- and low-quality evidence with uniform thought and high volume of references; OR High-level evidence coupled with GPPs, and at least moderate volume of references; OR One level I paper with at least moderate volume of references

3. There is some evidence

Single level II (A) paper; OR Inconsistent grades of high and low evidence with uniform thought and moderate volume of references; OR Consistent grades of low-level evidence with uniform thought and at least a moderate volume of references

4. There is conflicting evidence

A mix of levels of evidence with non-uniform thought, irrespective of the volume of evidence

5. There is insufficient evidence

Low or inconsistent levels of evidence with low volume references with or without GPPs

6. There is no evidence

Absence of evidence for any aspect of the patient journey