{
  "schema": "vedokrok.public-item.v1",
  "release_id": "MHC-RPUB-20261011-9e4b62c5",
  "url": "/knowledge/keep-evidence-certainty-attached-to-its-outcome",
  "id": "MHC-D-RESEARCH-0071",
  "version": "0.1.0",
  "title": "Keep evidence certainty attached to its outcome",
  "summary": "One confident row does not certify the whole table.",
  "kind": "concept",
  "body": "GRADE certainty concerns a specified outcome across a body of evidence. Benefits, harms and longer-term outcomes can have different ratings. Read the row and its reasons before borrowing the label.",
  "limits": [
    "This card does not authorize assigning formal GRADE scores. Certainty alone also does not decide the best option for every person's preferences and circumstances."
  ],
  "topics": [],
  "intents": [
    "understand-a-decision"
  ],
  "source_ids": [
    "cochrane-evidence-certainty"
  ],
  "evidence": [
    {
      "claim": "GRADE certainty is assessed for a body of evidence on a particular outcome.",
      "source_id": "cochrane-evidence-certainty",
      "role": "supports",
      "note": "Claim basis: guidance. Claim limit: A high-certainty result is not automatically a recommendation for every person.\nSource access: selected_html_passages; accessed on: 2026-09-17; inspected sections: [\"14.1.1-14.1.2\", \"14.2.1\", \"14.2.2 indirectness and imprecision\"].\nSource note: GRADE ratings belong to bodies of evidence for specified outcomes; the corpus does not assign new GRADE ratings through these cards.\nAgent scope review, 2026-10-11: Cochrane Chapter 14 assesses certainty by outcome. The example distinguishes benefit and harm ratings; no formal GRADE rating or personal treatment recommendation is supplied.",
      "locator": "14.2.1"
    }
  ],
  "use_when": [
    "A review's strongest rating is being applied to every claim about an intervention."
  ],
  "avoid_when": [
    "This card does not authorize assigning formal GRADE scores. Certainty alone also does not decide the best option for every person's preferences and circumstances."
  ],
  "example": "A review may be confident about a short-term symptom outcome while remaining uncertain about rare harms. The stronger rating does not fill the second gap.",
  "check": "Can you name the outcome, comparison and reasons belonging to the quoted certainty rating?",
  "published_at": "2026-10-11T18:15:00Z",
  "review": {
    "kind": "agent",
    "label": "Agent editorial and scoped evidence review",
    "reviewed_at": "2026-10-11T18:12:50Z"
  },
  "editorial_overlay": null,
  "editorial": null,
  "notices": [],
  "sources": [
    {
      "id": "cochrane-evidence-certainty",
      "title": "Chapter 14: Completing Summary of findings tables and grading the certainty of the evidence",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-14"
    }
  ],
  "relations": [],
  "collections": [
    {
      "id": "RC-D4FD0B28897E9517",
      "title": "Check what a study can actually tell you",
      "url": "/collections/check-what-a-study-can-actually-tell-you"
    }
  ],
  "topic_hubs": [],
  "solution_packs": []
}