Table 1.

Questions and results considered during the consensus meeting.

	Question	Method	Responses*	Votes
1-initial vote	What criteria should be used to decide that a patient has improved and a taper can proceed?	Sticker vote	Physician judgment based on core set (improvement/unacceptable toxicity)	50
			Strength improved or normal	23
1-final vote	What criteria should be used to decide that a patient has improved and a taper can proceed?	Hand vote	Patient improved or unacceptable toxicity (defined as strength improved or normal AND enzymes improved or normal AND rash stable/improved/absent AND additional criteria consistent improvement)	25
			Physician judgment based on core set improvement or unacceptable toxicity	1
2-initial vote	When should first taper of prednisone be attempted (assuming patient has met improvement criteria)?	Sticker vote	4 weeks	60
			When 1st meets improvement criteria	48
2-final vote	When should first taper of prednisone be attempted (assuming patient has met improvement criteria)?	Hand vote	4 weeks	20
			When 1st meets improvement criteria	4
3-initial vote	At what interval should prednisone be tapered?	Sticker vote	Every 2 weeks from 2-0.5mg/kg, then every 4 weeks	43
			Ever 2 – 4 weeks	25
			Every 4 weeks, then when less than 0.2 mg/kg every 8 weeks	24
			Every 2 weeks	20
3-second vote	At what interval should prednisone be tapered?	Sticker vote	Ever 2 weeks at 2-0.5mg/kg, then q4 wks	66
			Every 2 weeks	29
			Every 4 weeks at 2.0-0.2 mg/kg, then every 8 weeks	28
3-final vote	At what interval should prednisone be tapered?	Hand vote	Every 2 weeks at 2-0.5mg/kg, then q4 wks	24
			Disagree	3
4-initial vote	By what dose should prednisone be tapered at each taper step?	Sticker vote	20% of current dose	56
			10% of current dose	38
			0.25mg/kg x4, 0.125mg/kg x4, then 0.05mg/kg x4 to 5mg, then off	15
5	When should children come off corticosteroids?	No voting	4–8 months	n/a
			>12 months	n/a
6	What criteria should be used to decide that a patient is unchanged?	Hand vote	Not improved and not worse (physician judgment	19
			Physician judgment	1
			Physician and parent judgment (combined)	1
7-initial vote	What should be done when a patient meets criteria for being unchanged (assuming patient is not in remission)?	Sticker vote	Hold dose for 4 weeks, then escalate therapy if still unchanged	45
			Physician judgment	38
7-final vote	What should be done when a patient meets criteria for being unchanged (assuming patient is not in remission)?	Hand vote	Hold dose for 4 weeks, then escalate therapy if still unchanged	14
			Physician judgment	3

^*only responses with substantial support