Establishment of a core outcome set for burn care research: development and international consensus

被引:9
作者
Young, Amber [1 ]
Davies, Anna [1 ]
Tsang, Carmen [1 ]
Kirkham, Jamie [2 ]
Potokar, Tom [3 ]
Gibran, Nicole [4 ]
Tyack, Zephanie [5 ]
Meirte, Jill [6 ]
Harada, Teruichi [7 ]
Dheansa, Baljit [8 ]
Dumville, Jo [2 ,9 ]
Metcalfe, Chris [10 ]
Ahuja, Rajeev [11 ]
Wood, Fiona [12 ]
Gaskell, Sarah [13 ]
Brookes, Sara [14 ]
Smailes, Sarah [15 ]
Jeschke, Marc [16 ]
Cinar, Murat Ali [17 ]
Zia, Nukhba [18 ]
Moghazy, Amr [19 ]
Mathers, Jonathan [20 ]
Falder, Sian [21 ]
Edgar, Dale [22 ]
Blazeby, Jane Mary [1 ]
机构
[1] Univ Bristol, Ctr Surg Res, Bristol Biomed Res Ctr, Bristol Med Sch, Bristol, England
[2] Univ Manchester, Div Populat Hlth Hlth Serv Res & Primary Care, Manchester, England
[3] Swansea Univ, Ctr Global Burn injury Policy & Res, Swansea, Wales
[4] Univ Washington, UW Med Reg Burn Ctr, Harborview Med Ctr, Seattle, WA USA
[5] Univ Queensland, Child Hlth Res Ctr, Ctr Childrens Burns & Trauma Res, Brisbane, Qld 4072, Australia
[6] Univ Antwerp, Dept Med & Hlth Sci, Antwerp, Belgium
[7] Teramoto Mem Hosp, Div Internal Med, Osaka, Japan
[8] Queen Victoria Hosp, Dept Burns & Plast Surg, E Grinstead RH19 3DZ, Sussex, England
[9] Univ Manchester, Div Nursing Midwifery & Social Work, Manchester, England
[10] Univ Bristol, Bristol Med Sch, Bristol, Gloucestershire, England
[11] Lok Nayak Hosp & Associated Maulana Azad Med Coll, Dept Burns & Plast Surg, New Delhi 110002, India
[12] Univ Western Australia, Burn Service, Perth, WA, Australia
[13] Royal Manchester Childrens Hosp, Paediat Psychosocial Serv, Manchester, England
[14] Univ Birmingham, Inst Canc & Genom Sci, Birmingham, England
[15] Broomfield Hosp, Mid Essex Hosp, Dept physiontherapy, Chelmsford, England
[16] Univ Toronto, Sunnybrook Res Inst, Dept Surg & Plast Surg, Toronto, ON, Canada
[17] Hasan Kalyoncu Univ, Fac Med, Dept Phys Therapy & Rehabil, Gaziantep, Turkiye
[18] Johns Hopkins Univ, Johns Hopkins Int Injury Res Unit, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA
[19] Suez Canal Univ, Dept Surg, Ismailia, Egypt
[20] Univ Birmingham, Inst Appl Hlth Res, Birmingham, England
[21] Alder Hey Childrens NHS Fdn Trust, Dept Plast Surg, Liverpool L12 2AP, England
[22] Fiona Stanley Hosp, State Adult Burns Unit, Murdoch, WA, Australia
来源
BMJ MEDICINE | 2022年 / 1卷 / 01期
关键词
Qualitative research; Quality of health care; Surgery; plastic; Wounds and injuries; Specialties; surgical; SHARED DECISION-MAKING; ASSOCIATION/SHRINERS HOSPITALS; CLINICAL-TRIALS; PATIENT; INJURY;
D O I
10.1136/bmjmed-2022-000183
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To develop a core outcome set for international burn research.Design Development and international consensus, from April 2017 to November 2019.Methods Candidate outcomes were identified from systematic reviews and stakeholder interviews. Through a Delphi survey, international clinicians, researchers, and UK patients prioritised outcomes. Anonymised feedback aimed to achieve consensus. Pre-defined criteria for retaining outcomes were agreed. A consensus meeting with voting was held to finalise the core outcome set.Results Data source examination identified 1021 unique outcomes grouped into 88 candidate outcomes. Stakeholders in round 1 of the survey, included 668 health professionals from 77 countries (18% from low or low middle income countries) and 126 UK patients or carers. After round 1, one outcome was discarded, and 13 new outcomes added. After round 2, 69 items were discarded, leaving 31 outcomes for the consensus meeting. Outcome merging and voting, in two rounds, with prespecified thresholds agreed seven core outcomes: death, specified complications, ability to do daily tasks, wound healing, neuropathic pain and itch, psychological wellbeing, and return to school or work.Conclusions This core outcome set caters for global burn research, and future trials are recommended to include measures of these outcomes.
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页数:11
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