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

Qualitative research Quality of health care Specialties, surgical Surgery, plastic Wounds and injuries

Journal

BMJ medicine
ISSN: 2754-0413
Titre abrégé: BMJ Med
Pays: England
ID NLM: 9918487584306676

Informations de publication

Date de publication:
2022
Historique:
received: 26 02 2022
accepted: 24 05 2022
entrez: 20 3 2023
pubmed: 21 3 2023
medline: 21 3 2023
Statut: epublish

Résumé

To develop a core outcome set for international burn research. Development and international consensus, from April 2017 to November 2019. 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. 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. This core outcome set caters for global burn research, and future trials are recommended to include measures of these outcomes.

Identifiants

pubmed: 36936572
doi: 10.1136/bmjmed-2022-000183
pii: bmjmed-2022-000183
pmc: PMC9978679
doi:

Banques de données

Dryad
['10.5061/dryad.79cnp5htr']

Types de publication

Journal Article

Langues

eng

Pagination

e000183

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/disclosure-of-interest/ and declare: support from the NIHR for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

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Auteurs

Amber Young (A)

Centre for Surgical Research, Population Health Sciences, Bristol Biomedical Research Centre, Bristol Medical School, University of Bristol, Bristol, UK.

Anna Davies (A)

Centre for Surgical Research, Population Health Sciences, Bristol Biomedical Research Centre, Bristol Medical School, University of Bristol, Bristol, UK.

Carmen Tsang (C)

Centre for Surgical Research, Population Health Sciences, Bristol Biomedical Research Centre, Bristol Medical School, University of Bristol, Bristol, UK.

Jamie Kirkham (J)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester, UK.

Tom Potokar (T)

Centre for Global Burn Injury Policy and Research, Swansea University, Swansea, UK.

Nicole Gibran (N)

UW Medicine Regional Burn Center, Harborview Medical Center, UW Department of Surgery, University of Washington (UW), Seattle, WA, USA.

Zephanie Tyack (Z)

Child Health Research Centre, Faculty of Medicine, Centre for Children's Burns and Trauma Research, Queensland University of Technology, Brisbane, QLD, Australia.

Jill Meirte (J)

Department of Medicine and Health Sciences, University of Antwerp, Antwerpen, Belgium.

Teruichi Harada (T)

Seitokai Medical and Social Welfare Corporation, Teramoto Memorial Hospital, Kawachinagano, Osaka, Japan.

Baljit Dheansa (B)

Department of plastic surgery and burns, Queen Victoria Hospital, East Grinstead, UK.

Jo Dumville (J)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester, UK.
Division of Nursing, Midwifery, and Social Work, University of Manchester, Manchester, UK.

Chris Metcalfe (C)

Bristol Medical School, University of Bristol, Bristol, UK.

Rajeev Ahuja (R)

Department of Burns & Plastic Surgery, Lok Nayak Hospital and Maulana Azad Medical College, New Delhi, India.

Fiona Wood (F)

Burn service, University of Western Australia, Perth, WA, Australia.

Sarah Gaskell (S)

Paediatric Psychosocial Service, Royal Manchester Children's Hospital, Manchester, UK.

Sara Brookes (S)

Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.

Sarah Smailes (S)

Department of physiontherapy, Broomfield Hospital, Mid Essex Hospitals, Chelmsford, UK.

Marc Jeschke (M)

Department of Surgery and Plastic Surgery, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.

Murat Ali Cinar (MA)

Department of Physical Therapy and Rehabilitation, Hasan Kalyoncu University, Gaziantep, Turkey.

Nukhba Zia (N)

Johns Hopkins International Injury Research Unit, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.

Amr Moghazy (A)

Department of plastic surgery, Suez Canal University, Ismailia, Egypt.

Jonathan Mathers (J)

Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

Sian Falder (S)

Department of plastic surgery, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

Dale Edgar (D)

Adult Burns Unit, Fiona Stanley Hospital, Murdoch, WA, Australia.

Jane Mary Blazeby (JM)

Centre for Surgical Research, Population Health Sciences, Bristol Biomedical Research Centre, Bristol Medical School, University of Bristol, Bristol, UK.

Classifications MeSH