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levels of evidence quantitative
1- meta analysis
2- individual study (strong design)
3- less strong design
4- case series
5- mechanistic reasoning
(go up if strong effect size or strong design)
(go down in poor deisgn, lack of consistency, small effect

levels of evidence qualitative
generalizable
conceptual
descriptive
case study

what is the appraisal process
find study relating to question
read abstract check relevancy
read full text
what are important core questions about meaningfulness
what were outcomes
results clear?
how large of an effect
how were results interpreted
limitations aknowledged
core application questions
are findings useful
clinical relevance of findngs
study participant similarities to my patient
approach feasible
general appraisal questions
study results valid
resutls meaningful
relevance to patient