The International Olympic Committee has published 27 ‘consensus statements’ since 2004.1 Many of them are heavily downloaded and highly cited. Several have influenced health policy and societal behaviour. Some consensus statements are so well-known they go by just one name in context: ‘Berlin’ means concussion, ‘Doha’ is synonymous with groin pain, and ‘Bern’ evokes return to play guidelines. Despite their eminence, even the most respected consensus statements have limitations: relevant stakeholders are absent from the consensus process; authors inadequately report the method of evidence synthesis; consensus group members may be ‘coerced’ to agree; and the reports often fail to capture the rich discussion that occurs during a panel meeting. We critically examine methods that underpin sport and exercise medicine consensus statements. Specifically, we: (1) question whether consensus statements deserve their prestige; (2) highlight bias in the current methods of developing consensus and (3) propose future steps to improve the quality of consensus statements by using reporting guidelines. Expert opinion sits at the base of the evidence pyramid but when those experts gather, and take recent systematic reviews into account, their output—consensus statements—are given great weight. Consensus statements are some of the most downloaded and cited publications. …

中文翻译：

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现在是就“共识声明”达成共识的时候了

自 2004 年以来，国际奥委会发布了 27 份“共识声明”1。其中许多被大量下载和高度引用。其中一些影响了卫生政策和社会行为。一些共识声明是如此知名，以至于在上下文中只使用了一个名称：“柏林”意味着脑震荡，“多哈”是腹股沟疼痛的代名词，而“伯尔尼”则唤起了重返赛场的指导方针。尽管声名显赫，但即使是最受尊重的共识声明也存在局限性：相关利益相关者没有参与共识过程；作者没有充分报告证据综合的方法；共识小组成员可能被“强迫”同意；并且这些报告往往无法捕捉到小组会议期间发生的丰富讨论。我们批判性地研究了支持运动和运动医学共识声明的方法。具体来说，我们：（1）质疑共识声明是否值得他们的声望；(2) 突出当前达成共识的方法中的偏见，(3) 提出未来通过使用报告指南提高共识声明质量的步骤。专家意见位于证据金字塔的底部，但当这些专家收集并考虑最近的系统评价时，他们的输出——共识声明——被赋予了很大的权重。共识声明是下载和引用最多的出版物之一。… 并考虑到最近的系统评价，它们的输出——共识声明——被赋予了很大的权重。共识声明是下载和引用最多的出版物之一。… 并考虑到最近的系统评价，它们的输出——共识声明——被赋予了很大的权重。共识声明是下载和引用最多的出版物之一。…