Reference 4

Level I Good quality evidence Systematic review of RCTs with
consistent findings
High quality individual RCT
Level II Limited quality patient
orientated evidence
Systematic review of lower quality
studies or studies with inconsistent
findings
Low quality clinical trial
Cohort studies
Case-control studies
Level III Other Consensus guidelines, extrapolations
from bench research, usual practice,
opinion, disease-oriented evidence
(intermediate or physiologic outcomes
only), or case series

[4] Bisacodyl suppository: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid response report ‐ Routine Bowel Care for Patients in Long‐Term or Palliative Care: Guidelines; 2015 Dec 7. [Internet]. Canadian [cited 2017 October 30]. Available from:

https://www.cadth.ca/sites/default/files/pdf/htis/dec-2015/RB0940%20Bowel%20Care%20in%20LTC%20Final.pdf

Bisacodyl suppository: Larkin PJ ,Sykes NP, Centeno C, Ellershaw JE, Elsner F, Eugene B, Gootjes JRG, Naba M, Noguera IA, Ripamonti C, Zucco F, Zuurmond WWA .The management of constipation in palliative care: clinical practice recommendations Palliative Medicine. Vol 22, Issue 7, pp.796 – 807. http://dx.doi.org/10.1177%2F0269216308096908

Bisacodyl suppository: National Department of Health: Affordable Medicines, EDP-Primary Health Care. Medicine Review: Bisacodyl suppository in palliative care, 29 August 2017. http://www.health.gov.za/