Volume 146, Issue 4, Pages 35S-41S (October 2014)

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Volume 146, Issue 4, Pages 35S-41S (October 2014) Methodology Joe Ornelas, MS, Jeffrey R. Dichter, MD, Asha V. Devereaux, MD, MPH, FCCP, Niranjan Kissoon, MBBS, FRCPC, Alicia Livinski, MA, MPH, Michael D. Christian, MD, FRCPC, FCCP CHEST Volume 146, Issue 4, Pages 35S-41S (October 2014) DOI: 10.1378/chest.14-0746 Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 1 GRADE (Grading of Recommendations Assessment, Development, and Evaluation) grid used for voting on a proposed recommendation or suggestion and for achieving panel consensus. This five-point Likert scale allows panelists to express strong or weak support for or against the proposed clinical statement. To achieve consensus, at least 80% of the voters must vote positively, which includes both strong and weak agreement combined. CHEST 2014 146, 35S-41SDOI: (10.1378/chest.14-0746) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 2 Consensus development process. TE = Topic Editor. CHEST 2014 146, 35S-41SDOI: (10.1378/chest.14-0746) Copyright © 2014 The American College of Chest Physicians Terms and Conditions