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LOE for Grading Clinical utility<br />

of Tumor Markers<br />

• I. High powered randomized prospective<br />

trial or meta/pooled analysis<br />

• II. Therapeutic trial to test therapeutic<br />

hypothesis but not marker utility<br />

• III. Large retrospective study<br />

• IV. Small retrospective study<br />

• V. Pilot study<br />

Hayes et al JNCI 1996;88:1456

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