Defining consensus: A systematic review recommends methodologic criteria for reporting of Delphi studies

Diamond, Ivan; Grant, Robert C.; Feldman, Brian M.; Pencharz, Paul B.; Ling, Simon C.; Moore, Aideen M.; Wales, Paul W.

doi:10.1016/j.jclinepi.2013.12.002

Cited by 1,791 publications

(1,610 citation statements)

References 98 publications

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“…We defined consensus being achieved when at least 70% of panel members agreed on inclusion of a particular statement. Although a universally agreed upon proportion for consensus does not currently exist for Delphi studies, 70% consensus is a commonly used benchmark (24).…”

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confidence: 99%

What Do People With Knee or Hip Osteoarthritis Need to Know? An International Consensus List of Essential Statements for Osteoarthritis

French

Bennell

Nicolson

et al. 2015

Arthritis Care & Research

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Objective. To establish priority key messages for patients with osteoarthritis (OA). Methods. A Delphi survey and priority pairwise ranking activity was conducted. Participants included 51 OA experts from 13 countries and 9 patients (consumers) living with hip and/or knee OA. During 3 Delphi rounds, the panel of experts and consumers rated recommendations extracted from clinical guidelines and provided additional statements they considered important. When ‡70% of panel members agreed a statement was "essential," it was retained for the next Delphi round. The final list of essential statements was reviewed by a consumer focus group and statements were modified for clarity if required. Finally, a priority pairwise ranking activity determined the rank order of the list of essential messages. Results. Eighty-five experts and 15 consumers were invited to participate; 51 experts and 9 consumers completed round 1 of the Delphi survey, and 43 experts and 8 consumers completed the final priority ranking activity. From an original list of 114 statements, 21 statements were rated as essential. Most statements (n 5 17) related to nondrug treatment approaches for OA. Study limitations included that >50% of the panel comprised of physical therapists lead to high rankings of exercise and physical activity statements and also that only English-language statements were considered. Conclusion. OA experts and consumers have identified and prioritized 21 key patient messages about OA. These messages may be used to inform the content of consumer educational materials to ensure patients are educated about the most important aspects of OA and its management.

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confidence: 99%

What Do People With Knee or Hip Osteoarthritis Need to Know? An International Consensus List of Essential Statements for Osteoarthritis

French

Bennell

Nicolson

et al. 2015

Arthritis Care & Research

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“…A simple majority consensus was reached, with a total of 7 of 13 (62%), although this did not meet our goal of a 75% majority consensus 22. One additional respondent agreed with the list but presented a different prioritized order than the group consensus.…”

Section: Resultsmentioning

confidence: 92%

Delphi Analysis of Science Gaps in the 2015 American Heart Association Cardiac Arrest Guidelines

Panchal

Cash

Crowe

et al. 2018

JAHA

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BackgroundCurrent cardiac arrest guidelines have limited high‐quality scientific evidence to support recommendations for care. The quality of scientific evidence on which guidelines are based may correlate with improved patient outcomes and meaningful survival. We sought to develop a prioritized list of knowledge gaps in resuscitation to assist researchers, policy makers, and funding agencies in their decision‐making process.Methods and ResultsA 4‐stage modified Delphi method was used with a panel of cardiac arrest experts. Experts addressed the prompt: “What are the top 3 gaps in knowledge involving cardiac arrest care that should be research priorities for National Institutes of Health/American Heart Association funding to have the greatest impact on public health?” Knowledge gaps were identified in the initial round, rated in a second round, and rank ordered in the third round, and they underwent final review and consensus (final round). The outcome was 10 knowledge gaps, with prioritization of the top 3 gaps. A total of 61 gaps, with 19 distinct themes, were identified by participants. The 10 knowledge gaps most likely to affect public health identified by the expert panel included, in order, the following: telecommunicator cardiopulmonary resuscitation, hemodynamic monitoring for goal‐directed resuscitation, reasons why bystanders fail to respond, optimization of postarrest care, out‐of‐hospital cardiac arrest identification and response, individualizing resuscitation strategies, predicting patients at risk, tools for neuroprognostication, optimal airway management, and optimizing educational strategies.ConclusionsTen priorities for cardiac arrest research were identified, but consensus was not reached on the prioritized top 3. Future research should address these gaps to potentially improve resuscitation guideline evidence quality.

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“…3 The AAO-HNSF methodology categorizes statements ( Table 6) as "consensus," "near consensus," or "no consensus," defining outliers as any rating by a development group member that is at least 2 Likert points away from the mean score for that item.…”

Section: Discussionmentioning

confidence: 99%

Clinical Consensus Statement Development Manual

Rosenfeld

Nnacheta

Corrigan

2015

Otolaryngol.--head neck surg.

139

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Clinical consensus statements reflect opinions drafted by content experts for which consensus is sought using explicit methodology to identify areas of agreement and disagreement. In contrast to clinical practice guidelines, which are based primarily on high-level evidence, clinical consensus statements are more applicable to situations where evidence is limited or lacking, yet there are still opportunities to reduce uncertainty and improve quality of care. This manual describes methodology used by the American Academy of Otolaryngology-Head and Neck Surgery Foundation to promote rapid and consistent development of clinical consensus statements for its membership. Although the manual contains specific practices relevant to the Academy, the principles are also explained and may help other organizations create similar products.

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Defining consensus: A systematic review recommends methodologic criteria for reporting of Delphi studies

Cited by 1,791 publications

References 98 publications

What Do People With Knee or Hip Osteoarthritis Need to Know? An International Consensus List of Essential Statements for Osteoarthritis

What Do People With Knee or Hip Osteoarthritis Need to Know? An International Consensus List of Essential Statements for Osteoarthritis

Delphi Analysis of Science Gaps in the 2015 American Heart Association Cardiac Arrest Guidelines

Clinical Consensus Statement Development Manual

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