Abstract
Several universities and research centers throughout the world have succeeded in establishing the paradigm to be followed by all parties in relation to decision making with regard to the best research designs. Excluding the internal validity of each study, since this lies beyond the scope of this editorial, one may perceive a degree of plurality with regard to these institutions as to the research proposals that represent the best study approach in order to support decision making. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) initiative constitutes a significant collaborative effort in order to provide evidence rating and a measure of the strength of recommendations. As far as secondary studies are concerned in terms of the quality of evidence there arises the problem of its trivialization. This often causes it to be thought of as a shortcut when faced with problems such as an extremely short deadline, a lack of resources, a discipline associated with a postgraduate course that intends to optimize production, or else for a project that does not move learning forward.
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