Research Methods

GRADE Evidence Framework

Grading of Recommendations Assessment, Development and Evaluation. A systematic approach to rating the certainty of evidence and strength of recommendations in clinical guidelines.

In Depth

GRADE classifies evidence quality as high, moderate, low, or very low based on study design, risk of bias, inconsistency, indirectness, imprecision, and publication bias. Most cannabinoid evidence is rated as low to moderate quality due to small sample sizes, short follow-up, and methodological limitations. GRADE is used by WHO, Cochrane, and most major clinical guideline bodies. Understanding GRADE ratings is essential for interpreting cannabis research claims.

Related Terms

Systematic ReviewEvidence LevelRCT

Further Reading