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

被引：8

作者：

Young, Amber ^{[1
]}

Davies, Anna ^{[1
]}

Tsang, Carmen ^{[1
]}

Kirkham, Jamie ^{[2
,3
]}

Potokar, Tom ^{[4
]}

Gibran, Nicole ^{[5
]}

Tyack, Zephanie ^{[6
]}

Meirte, Jill ^{[7
]}

Harada, Teruichi ^{[8
]}

Dheansa, Baljit ^{[9
]}

Dumville, Jo ^{[10
]}

Metcalfe, Chris ^{[11
]}

Ahuja, Rajeev ^{[12
,13
]}

Wood, Fiona ^{[14
]}

Gaskell, Sarah ^{[15
]}

Brookes, Sara

Smailes, Sarah ^{[16
]}

Jeschke, Marc

Cinar, Murat Ali ^{[17
,18
]}

Zia, Nukhba ^{[19
]}

Moghazy, Amr ^{[20
]}

Mathers, Jonathan ^{[21
]}

Falder, Sian ^{[22
]}

Edgar, Dale ^{[23
]}

Blazeby, Jane Mary ^{[1
]}

机构：

[1] Univ Bristol, Ctr Surg Res Populat Hlth Sci, Bristol Biomed Res Ctr, Bristol, Avon, England

[2] Univ Manchester, Div Populat Hlth, Hlth Serv Res Primary Care, Manchester, Lancs, England

[3] Swansea Univ, Ctr Global Burn Injury Policy & Res, Swansea, W Glam, Wales

[4] UW Med Reg Burn Ctr, Harborview Med Ctr, UW Dept Surg, Harborview Med Ctr, Seattle, WA USA

[5] Queensland Univ Technol, Ctr Childrens Burns & Trauma Res Queensland, Child Hlth Res Ctr, Fac Med, Brisbane, Qld, Australia

[6] Univ Antwerp, Dept Med & Hlth Sci, Antwerp, Belgium

[7] Seitokai Med & Social Welf Corp, Teramoto Mem Hosp, Kawachi Nagano, Osaka, Japan

[8] Queen Victoria Hosp, Dept plast Surg & Burns, East Grinstead, Kawachinagano, England

[9] Univ Manchester, Div Nursing Midwifery & Social Work, Manchester, Lancs, England

[10] Univ Bristol, Bristol Med Sch, Bristol, Avon, England

[11] Lok Nayak Hosp, Dept Burns & Plast Surg, New Delhi, India

[12] Maulana Azad Med Coll, New Delhi, India

[13] Univ Western Australia, Burn Serv, Perth, WA, Australia

[14] Royal Manchester Childrens Hosp, Paediat Psychosocial Serv, Manchester, Lancs, England

[15] Univ Birmingham, Inst Canc & Genom Sci, Birmingham, W Midlands, England

[16] Broomfield Hosp, Mid Essex Hosp, Dept Physiontherapy, Chelmsford, Essex, England

[17] Univ Toronto, Sunnybrook Res Inst, Dept Surg & Plast Surg, Toronto, ON, Canada

[18] Hasan Kalyoncu Univ, Dept Phys Therapy & Rehabil, Gaziantep, Turkey

[19] Johns Hopkins Univ Bloomberg Sch Publ Hlth, Johns Hopkins Int Injury Res Unit, Baltimore, MD USA

[20] Suez Canal Univ, Dept Plast Surg, Ismailia, Egypt

[21] Univ Birmingham, Inst Appl Hlth Res, Birmingham, W Midlands, England

[22] Alder Hey Childrens NHS Fdn Trust, Dent Past Surg, Liverpool, Merseyside, England

[23] Fiona Stanley Hosp, Adult Burns Unit Fiona Stanley, Murdoch, WA, Australia

来源：

BMJ MEDICINE | 2022年 / 1卷 / 01期

基金：

美国国家卫生研究院;

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.

引用

页数：11

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