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The recent debate in this journal about the applicability of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to public health interventions is both important and timely.1 2 To say it upfront, we are enthusiastic about the transparent, systematic, comprehensive and nevertheless straightforward way in which GRADE guides its users in judging the quality of evidence and in classifying the strength of a recommendation. We do, however, continue to struggle to apply GRADE to a range of public health …
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