“…The second phase involved 35 highly qualified opinion leaders from the entire territory of Italy who were asked to review a selection of articles published by the members of the P.I.C.A.S.S.O. group [ 6 , 7 , 10 , 12 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ] and answered an initial round of questions in the light of their clinical experience by ranking 4 proposed responses. The questions were answered independently and anonymously using an online portal, and the participants had no access to the answers of the other clinicians.…”