We have chosen to use a Delphi technique as the most appropriate study design to develop explicit criteria that are consensus based where an insufficient quantity or grade of evidence exists to develop evidence-based criteria.
The purpose of publishing the algorithm as a separate document is to provide guidance for clinicians while maintaining a clear distinction between what is evidence based and what is consensus based.
The users thought that the recommendations were consensus based rather than evidence based.
There is consensus based on several systematic reviews and meta-analyses that use of LIPUS accelerates the healing of fresh fractures [ 5, 19- 21], and offers a cost-effective addition to conservative or operative management of these injuries [ 22].
However, few validated quality indicators exist for prescribing in general practice [ 29], and published standards tend to be consensus-based rather than evidence-based.
Regardless of where we find ourselves 50 years from now, one thing that I hope will remain constant is that Codex standards will continue to be consensus-based, transparent, applicable and useful tools to assure food safety and fair trade worldwide.
However, despite widespread acceptance, such guidelines tend to be consensus rather than evidence based with limited, and conflicting, evidence to support the use of manipulation [ 4- 6] or exercise [ 7- 9].
However, there appears to be consensus in methodological literature that analyses based on 5-point scales in general result in findings similar to data obtained with interval scales, and may therefore be accepted in such analytical techniques [ 43- 45].
It seems likely that uncertainty factors will need to be developed by consensus based on a qualitative understanding of the mode of action of the toxic substance and the potential shape of the dose response for this mode of action.
"It's simple, it's easy-to-use, its consensus based, it's science based," said Anita Larsen, a Unilever spokeswoman.
As members of the Women's Advisory Board, we come from diverse and opposing backgrounds, but we were able to build consensus based on our common agenda for peace.
