Table 5Management Definitions*
| Management options |
Median |
Middle 50% range |
Strength of recommendation |
Preferred management in most circumstance
(Preferred management) |
79 |
79 |
"Must" if perfect consensus
"Should" otherwise |
Acceptable management in many circumstances
(Acceptable management) |
79 |
49 |
"Should" if no preferred management exists
"May" if a preferred management exists |
Acceptable management in certain circumstances
(Certain circumstances) |
46 |
49 |
"May" |
Acceptable management in rare circumstances
(Acceptable rarely) |
23 |
1<4 |
"May" |
Inappropriate management
(Inappropriate) |
1 |
13 |
"Must not" if perfect consensus
"Should not" otherwise |
| Indeterminate |
All other median and range combinations including "no consensus" (Table 4) |
No management recommendation |
*Definitions refer to Likert scale (numbers 1 to 9) for responses. See Table 1.
The abbreviated terminology in parenthesis is used in subsequent management summary tables.
Depending upon the panel recommendations and level of consensus, the guideline uses the words "must," "should," and "may" to identify recommendations that are standards (must), guidelines (should), or options (may) for care. |