Methodology
How Praxia's evidence is built
Every recommendation we publish declares its certainty, its strength and its primary source. This page explains the method.
GRADE: certainty and strength
Each recommendation declares two separate judgments under the GRADE framework: the certainty of the evidence (from ⊕○○○ very low to ⊕⊕⊕⊕ high) and the strength of the recommendation (strong or conditional). An intervention can have a real effect with low certainty — and it is shown as such, without makeup.
Adopt and adapt
We do not start from scratch: we adopt and adapt recommendations from existing guidelines and evidence syntheses (the ADOLOPMENT approach), declaring the source and the adjustment to the LATAM context.
Verifiable sources
Each recommendation links its primary source with PMID or DOI one click away. If a statement has no source, it is not published.
Exercise is not the same as physical activity
Physical activity is any bodily movement; exercise is structured movement with a dose: frequency, intensity, time, type, volume and progression (FITT-VP). The Vademecum prescribes exercise; the evidence distinguishes both.
What Praxia is not
Praxia does not replace clinical judgment, local guidelines or the professional-patient relationship. It is a reference and training tool for health professionals.