Table 1.

Change in median ratings and extent of agreement and disagreement between the initial at-home ratings and final face-to-face meeting ratings by panelists using the RAND/UCLA Appropriateness Method

Item	Cervical Mobilization				Cervical Manipulation
	No other adequate conservative care		Nonmanipulative conservative care has failed		No other adequate conservative care		Nonmanipulative conservative care has failed
	Initial Ratings	Final Ratings	Initial Ratings	Final Ratings	Initial Ratings	Final Ratings	Initial Ratings	Final Ratings
For the clinical scenarios that did not change between rounds (330 for each cervical mobilization and manipulation)
Average Median	4.7	4.4	5.2	4.4	3.9	3.9	4.2	4.2
MAD from Median	1.5	1.2	1.4	1.2	1.5	1.2	1.6	1.2
Number (%) Agreement	22 (13.3%)	61 (37.0%)	44 (26.7%)	72 (43.6%)	38 (23.0%)	55 (33.3%)	44 (26.7%)	64 (38.8%)
Number (%) Uncertain	138 (83.6%)	102 (61.8%)	117 (70.9%)	89 (53.9%)	122 (73.9%)	109 (66.1%)	115 (69.7%)	100 (60.6%)
Number (%) Disagreement	5 (3.0%)	2 (1.2%)	4 (2.4%)	4 (2.4%)	5 (3.0%)	1 (0.6%)	6 (3.6%)	1 (0.6%)
For all clinical scenarios used in the final round (372 for each cervical mobilization and manipulation)
Average Median		4.3		4.7		3.9		4.2
MAD from Median		1.2		1.2		1.3		1.2
Number (%) Agreement		70 (37.6%)		82 (44.1%)		63 (33.9%)		75 (40.3%)
Number (%) Uncertain		114 (61.3%)		100 (53.8%)		122 (65.6%)		110 (59.1%)
Number (%) Disagreement		2 (1.1%)		4 (2.2%)		1 (0.5%)		1 (0.5%)

MAD = mean absolute deviation