What is the overall judgement of adequacy in GRADE-CERQual?
The overall judgement of adequacy in GRADE-CERQual is a rating of no concerns, minor concerns, or substantial concerns about adequacy. GRADE-CERQual also uses 4 levels of confidence: high, moderate, low and very low confidence. Each review finding starts at a high level of confidence and is downgraded based on the concerns identified in any one or more of the four components (methodological limitations, coherence, relevance and adequacy). Quality assessment of qualitative reviews is a subjective judgement by the reviewer based on the concerns that have been noted.