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High Blood Pressure - Merck Supported

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86 Class of Recommendations and Level of Evidence Class of Recommendations and Level of Evidence* CLASS (STRENGTH) OF RECOMMENDATION CLASS 1 (STRONG) Benefit >>> Risk Suggested phrases for writing recommendations: ◼ Is recommended ◼ Is indicated/useful/effective/beneficial ◼ Should be performed/administered/other ◼ Comparative-Effectiveness Phrases † : ◦ Treatment/strategy A is recommended/indicated in preference to treatment B ◦ Treatment A should be chosen over treatment B CLASS 2a (MODERATE) Benefit >> Risk Suggested phrases for writing recommendations: ◼ Is reasonable ◼ Can be useful/effective/beneficial ◼ Comparative-Effectiveness Phrases † : ◦ Treatment/strategy A is probably recommended/indicated in preference to treatment B ◦ It is reasonable to choose treatment A over treatment B CLASS 2b (WEAK) Benefit ≥ Risk Suggested phrases for writing recommendations: ◼ May/might be reasonable ◼ May/might be considered ◼ Usefulness/effectiveness is unknown/unclear/uncertain or not well-established CLASS 3: No Benefit (MODERATE) (Generally, LOE A or B use only) Benefit = Risk Suggested phrases for writing recommendations: ◼ Is not recommended ◼ Is not indicated/useful/effective/beneficial ◼ Should not be performed/administered/other CLASS 3: Harm (STRONG) Risk > Benefit Suggested phrases for writing recommendations: ◼ Potentially harmful ◼ Causes harm ◼ Associated with excess morbidity/mortality ◼ Should not be performed/administered/other

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