A novel method for the translation and cross-cultural adaptation of health-related quality of life patient-reported outcome measurements

Table 4 Two examples of the feedback obtained from the expert panel during Round 4

Round 4—expert panel using the Delphi method PFDI-20 summary results from Round 4
PFDI-20 Items	Round 3 Version ) Few changes have made been made from Round 2	New Alternatives and Suggestions made during Round 3 These alternatives made in Round 3 are voted on in Round 4	Outcome	Consensus^a,b (Median)	Comments
Question 10			Consensus reached in Round 2
Question 20	Alternative 1: Kjenner du ofte smerte eller ubehag i nedre del av magen eller underlivet? Alternative 2: Har du ofte smerte eller ubehag i nedre del av magen eller underlivet?	No new alternatives	Alternative 2	A1 62.5% (4) A2 100% (4)	No comments

^aConsensus is defined as those items rated as median > 4 by at least 75% of the expert panellists with no additional comments. ^bLetters and numbers in bold means that consenus has been reached with no further comments or rounds required

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