Abstract

The article by Kgosidialwa O. et al. is a good example of the process of uniformization of research1 . In the absence of unambiguous empirical evidence, a (modified) Delphi consensus procedure is the method of choice to develop agreement on definitions, core outcome sets, and other sets of relevant items. The Delphi procedure taps into the contemporary knowledge and values of individual participants, including layexperts and patient representatives2 . Patient involvement is advocated because they are the primary stakeholders and best informed about what outcomes are most important to them. An example: the perception of the importance of breast feeding as an outcome of obstetric intervention studies may differ between patients and health care providers.

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