Definition of consensus
| Category | Definition | Action |
| Consensus in (high agreement) | Scored as very important (7–9) by ≥70% of panel members and not important (1–3) by <15% of panel members | Item retained for the next survey round/consensus meeting. |
| Consensus out (low agreement) | Scored as not important (1–3) by ≥70% of panel members and very important (7–9) by <15% of panel members | Item discarded after round 2 (to be ratified at the face-to-face consensus meeting). |
| No consensus | Neither criteria above are met | Item retained for the next survey round/consensus meeting. |
| Suggest rewording | Scored as important but must be reworded. | Provide the opportunity for panel members to suggest rewording. The study steering committee will consider retaining a reworded item for the next survey round. |