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Medical consensus research

What Changed Between Delphi Rounds?

Plan inter-round analysis that separates consensus, stability, participant change, and attrition.

Consensus and stability answer different questions

Consensus describes agreement within a round under a predefined rule. Stability describes how judgments change between rounds. A panel can remain stably divided, or cross a consensus threshold while individual ratings still move. Neither alone demonstrates clinical validity.

Compare the same item under comparable conditions

Match stable item identifiers, wording versions, scales, dimensions, and anonymous panelist identifiers. Substantially revised statements should be identified as revised items rather than treated as directly comparable. Preserve matrix row and column identifiers and distinguish skipped items from explicit non-ratings.

Use two complementary views

All responders in each round

Report valid counts, median, IQR, distribution, and agreement percentage for each round. Show percentage-point change and consensus-status transitions. These results reflect both rating changes and panel composition.

The matched panel

Compare the same panelists on the same item across two rounds. Report the paired count, unchanged ratings, upward and downward movement, and absolute rating changes. Aggregate stability can conceal offsetting individual shifts.

Participation and item history

Show retained participants, attrition, non-ratings, revised items, new items, and items removed under the protocol. Compare retained participants’ earlier ratings with those of dropouts descriptively where appropriate.

Define stopping rules before reviewing results

Specify the metrics, acceptable changes, minimum valid and paired counts, and maximum rounds. There is no universal stability threshold suitable for every Delphi design. If conditions are not met, report insufficient evidence of stability rather than equating missing data with no change.

An illustrative reporting record

For each item and dimension, retain round pair, wording status, valid counts, paired count, median and IQR by round, agreement percentage by round, percentage-point difference, classification transition, paired movement, and the protocol stopping decision. Use consistent denominators and label descriptive findings clearly.

Plan round comparisons with Surveylet

Surveylet supports snapshots and exports for preserving round results. A snapshot captures a study state; it is separate from the minimum-answer threshold controlling when analytics are shown. Define the round pairs, comparable items, participant matching, and stability measures required by your study protocol.

Discuss analysis and reporting · Persistent disagreement

Define the study and reporting scope

Share your research question, planned rounds, available data, and intended outputs.