Skip to main content

Table 2 Recommendations and their definitions by the Danish Health Authority (DHA)

From: Percutaneous vertebroplasty as treatment of malignant vertebral lesions: a systematic review and GRADE evaluation resulting in a Danish national clinical guideline

Recommendation Definition
Strong recommendation in favor ↑↑ The DHA makes a strong recommendation in favor of an intervention when its desirable effect clearly outweighs undesirable effect
Weak/conditional recommendation in favor ↑ The DHA makes a weak/conditional recommendation in favor of an intervention when the desirable effect of an intervention is considered to outweigh the undesirable effects or when the available evidence cannot rule out a significant benefit of an intervention, and the side effects are judged to be few or absent
Weak/conditional
recommendation against ↓
The DHA makes a weak/conditional recommendation against an intervention when the undesirable effects are judged to outweigh the desirable effects, but where this is not supported by strong evidence
This recommendation is also made in case of strong evidence for both beneficial and harmful effects when the equilibrium between them is difficult to determine. Also used when it is likely that patient preferences vary
Strong recommendation
against ↓↓
The DHA makes a strong recommendation against an intervention in case of high-quality evidence showing that the undesirable effects of an intervention clearly outweigh the desirable effects, or when the review of the evidence demonstrates great certainty that the intervention is ineffective
Good practice √ Good practices are based on professional consensus among the members of the working group. The recommendation may be either for or against the intervention. These types of recommendations are weaker than the evidence-based recommendations irrespective of whether these are strong or weak
  1. Recommendations and their definitions by the Danish Health Authority (DHA)