ACCORD (ACcurate COnsensus Reporting Document): A reporting guideline for consensus methods in biomedicine developed via a modified Delphi
Bibliographic record
Abstract
Abstract Background In biomedical research, it is often desirable to seek consensus among individuals who have differing perspectives and experience. This is important when evidence is emerging, inconsistent, limited or absent. Even when research evidence is abundant, clinical recommendations, policy decisions and priority-setting may still require agreement from multiple, sometimes ideologically opposed parties. Despite their prominence and influence on key decisions, consensus methods are often poorly reported. We aimed to develop the first reporting guideline applicable to all consensus methods used in biomedical research, called ACCORD (ACcurate COnsensus Reporting Document). Methods We followed methodology recommended by the EQUATOR Network for the development of reporting guidelines: a systematic review was followed by a Delphi process and meetings to finalise the ACCORD checklist. The preliminary checklist was drawn from the systematic review of existing literature on the quality of reporting of consensus methods and suggestions from the Steering Committee. Results A Delphi panel (n=72) was recruited with representation from six continents and a broad range of experience, including clinical, research, policy and patient perspectives. The three rounds of the Delphi process were completed by 58, 54 and 51 panellists. The preliminary checklist of 56 items was refined to a final checklist of 35 items relating to the article title (n=1), introduction (n=3), methods (n=21), results (n=5), discussion (n=2) and other information (n=3). Conclusions The ACCORD checklist is the first reporting guideline applicable to all consensus-based studies. It will support authors in writing accurate, detailed manuscripts, thereby improving the completeness and transparency of reporting and providing readers with clarity regarding the methods used to reach agreement. Furthermore, the checklist will make the rigour of the consensus methods used to guide the recommendations clear for readers. Reporting consensus studies with greater clarity and transparency may enhance trust in the recommendations made by consensus panels.
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How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | Metaresearch Domain: Reporting · Genre: Methods About the Canadian research system: no · About a Canadian topic: no | Not applicable | high |
| gpt | Metaresearch Domain: Reporting · Genre: Methods About the Canadian research system: no · About a Canadian topic: no | Other design | high |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.662 | 0.734 |
| Meta-epidemiology (narrow) | 0.004 | 0.006 |
| Meta-epidemiology (broad) | 0.005 | 0.011 |
| Bibliometrics | 0.023 | 0.019 |
| Science and technology studies | 0.007 | 0.010 |
| Scholarly communication | 0.016 | 0.013 |
| Open science | 0.012 | 0.020 |
| Research integrity | 0.011 | 0.019 |
| Insufficient payload (model declined to judge) | 0.008 | 0.009 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".