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ACcurate COnsensus Reporting Document (ACCORD) explanation and elaboration: Guidance and examples to support reporting consensus methods

PLoS Medicine, vol. 21, pp. e1004390

Abstract

BACKGROUND: When research evidence is limited, inconsistent, or absent, healthcare decisions and policies need to be based on consensus amongst interested stakeholders. In these processes, the knowledge, experience, and expertise of health professionals, researchers, policymakers, and the public are systematically collected and synthesised to reach agreed clinical recommendations and/or priorities. However, despite the influence of consensus exercises, the methods used to achieve agreement are often poorly reported. The ACCORD (ACcurate COnsensus Reporting Document) guideline was developed to help report any consensus methods used in biomedical research, regardless of the health field, techniques used, or application. This explanatory document facilitates the use of the ACCORD checklist. METHODS AND FINDINGS: This paper was built collaboratively based on classic and contemporary literature on consensus methods and publications reporting their use. For each ACCORD checklist item, this explanation and elaboration document unpacks the pieces of information that should be reported and provides a rationale on why it is essential to describe them in detail. Furthermore, this document offers a glossary of terms used in consensus exercises to clarify the meaning of common terms used across consensus methods, to promote uniformity, and to support understanding for consumers who read consensus statements, position statements, or clinical practice guidelines. The items are followed by examples of reporting items from the ACCORD guideline, in text, tables and figures. CONCLUSIONS: The ACCORD materials - including the reporting guideline and this explanation and elaboration document - can be used by anyone reporting a consensus exercise used in the context of health research. As a reporting guideline, ACCORD helps researchers to be transparent about the materials, resources (both human and financial), and procedures used in their investigations so readers can judge the trustworthiness and applicability of their results/recommendations.

Authors 10

  1. Patrícia Logullo corresponding

    University of Oxford

    Affiliation as printed

    Centre for Statistics in Medicine, University of Oxford, and EQUATOR Network UK Centre, Oxford, United Kingdom

  2. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Leiden University Medical Centre, Leiden, The Netherlands

    Leiden University Medical Centre, Leiden, the Netherlands

  3. University of Oxford

    Affiliation as printed

    Green Templeton College, University of Oxford, Oxford, United Kingdom

    Oxford PharmaGenesis, Oxford, United Kingdom

  4. Affiliation as printed

    Journal of Clinical Epidemiology, London, United Kingdom

  5. Bristol-Myers Squibb (United Kingdom)

    Affiliation as printed

    Bristol Myers Squibb, Uxbridge, United Kingdom

  6. Dartmouth College · Dartmouth Institute for Health Policy and Clinical Practice · Stanford Medicine · Stanford University

    Affiliation as printed

    Dartmouth Institute for Health Policy & Clinical Practice (TDI), Geisel School of Medicine, Dartmouth College, Hanover, NH, USA, previously at Stanford Anesthesia, Informatics and Media Lab, Stanford University School of Medicine, Stanford, California, United States of America

  7. Affiliation as printed

    OPEN Health Communications, Marlow, United Kingdom

  8. AbbVie (United States)

    Affiliation as printed

    Global Medical Affairs, AbbVie, North Chicago, Illinois, United States of America

  9. Affiliation as printed

    Oxford PharmaGenesis, Oxford, United Kingdom

  10. University of British Columbia

    Affiliation as printed

    Department of Medicine, University of British Columbia, Vancouver, Canada

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References 108