Panel recommendations regarding the appropriateness of referral were based on the median panel score and the extent of agreement between the experts, using mathematical rules that are typically applied in RAND/UCLA panel studies.1

Appropriateness category Calculation Recommendation
Appropriateness category Calculation Recommendation
Appropriate Median score between 7-9 without disagreement* Referral is highly recommended
Uncertain Median score between 4-6, or disagreement* Referral is recommended
Inappropriate Median score between 1-3 without disagreement* Referral is not recommended

1Fitch K, et al. The RAND/UCLA Appropriateness Method. User's manual. http://www.rand.org/publications/MR/MR1269/

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