1. The GRADE website and membership Yngve Falck-Ytter, M.D. Case Western Reserve University School of Medicine Barcelona, January 12&13, 2012 GRADE January 2012

2. The GRADE web presence 2

3. How do people find GRADE? 3

4. Do people find GRADE? 4 2005200620072008200920102011 GRADE working group1111111 GRADE100 8321 GRADE recommendation100375080311 Grading1091917 Levels of evidence100 Levels of evidence and strengths of recommendation 1005990100 14

5. Unique visitors 6 year trend (2006-2011): 100,000; 35,000 new visitor in 2011 vs. 2010 5

6. …from these countries in 2011 6 51,000 unique visitors in 2011 from 165 countries

7. …and these cities 7

8. Site uptime  Incidental reports from Norway of site being down in summer of 2010  Site uptime now monitored externally since Aug 2010  73 weeks monitored up to January 2012  Value compared to reference standard: Google Average uptime: 99.70% (GRADE) vs. 99.76% (Google) Average 0.5 hrs downtime / single week 51/73 weeks 100% uptime 8

9. Membership 308 members covering 32 countries: Australia, Austria, Bahrain, Brazil, Canada, China, Costa Rica, Denmark, Egypt, Finland, France, Germany, Hungary, India, Italy, Japan, Mexico, New Zealand, Norway, Poland, Portugal, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, The Netherlands, The Philippines, Turkey, UK, Uganda, USA 2011: + 76 2010: + 28 2009: + 60 2008: + 27 2007: + 30 9

10. Organizations 64 organizations covering 14 countries (another 30+ organizations interested / pending): Austria, Canada, Finland, Germany, Italy, Japan, Mexico, Norway, Poland, Spain, Sweden, The Netherlands, UK, USA, plus International Organizations 2011: + 11 2010: + 13 2009: + 9 2008: + 3 2007: + 14 2006: + 9 2005: 5 10

11. Organizations 11 2005 2006 2007 2008 2009 2010 2011