A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery
Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review i...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Stevens, Daniel J. [verfasserIn] |
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| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2015 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 40(2015), 2 vom: 16. Nov., Seite 267-276 |
|---|---|
| Übergeordnetes Werk: |
volume:40 ; year:2015 ; number:2 ; day:16 ; month:11 ; pages:267-276 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-015-3292-1 |
|---|
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| 520 | |a Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. | ||
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10.1007/s00268-015-3292-1 doi (DE-627)SPR003455955 (SPR)s00268-015-3292-1-e DE-627 ger DE-627 rakwb eng Stevens, Daniel J. verfasserin aut A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2015 Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. Appendicitis (dpeaa)DE-He213 Diverticulitis (dpeaa)DE-He213 Reporting Standard (dpeaa)DE-He213 Groyne Hernia (dpeaa)DE-He213 Hospital Episode Statistics (dpeaa)DE-He213 Blencowe, Natalie S. aut McElnay, Philip J. aut Macefield, Rhiannon C. aut Savović, Jelena aut Avery, Kerry N. L. aut Blazeby, Jane M. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 16. Nov., Seite 267-276 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:16 month:11 pages:267-276 https://dx.doi.org/10.1007/s00268-015-3292-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 16 11 267-276 |
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10.1007/s00268-015-3292-1 doi (DE-627)SPR003455955 (SPR)s00268-015-3292-1-e DE-627 ger DE-627 rakwb eng Stevens, Daniel J. verfasserin aut A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2015 Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. Appendicitis (dpeaa)DE-He213 Diverticulitis (dpeaa)DE-He213 Reporting Standard (dpeaa)DE-He213 Groyne Hernia (dpeaa)DE-He213 Hospital Episode Statistics (dpeaa)DE-He213 Blencowe, Natalie S. aut McElnay, Philip J. aut Macefield, Rhiannon C. aut Savović, Jelena aut Avery, Kerry N. L. aut Blazeby, Jane M. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 16. Nov., Seite 267-276 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:16 month:11 pages:267-276 https://dx.doi.org/10.1007/s00268-015-3292-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 16 11 267-276 |
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10.1007/s00268-015-3292-1 doi (DE-627)SPR003455955 (SPR)s00268-015-3292-1-e DE-627 ger DE-627 rakwb eng Stevens, Daniel J. verfasserin aut A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2015 Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. Appendicitis (dpeaa)DE-He213 Diverticulitis (dpeaa)DE-He213 Reporting Standard (dpeaa)DE-He213 Groyne Hernia (dpeaa)DE-He213 Hospital Episode Statistics (dpeaa)DE-He213 Blencowe, Natalie S. aut McElnay, Philip J. aut Macefield, Rhiannon C. aut Savović, Jelena aut Avery, Kerry N. L. aut Blazeby, Jane M. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 16. Nov., Seite 267-276 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:16 month:11 pages:267-276 https://dx.doi.org/10.1007/s00268-015-3292-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 16 11 267-276 |
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10.1007/s00268-015-3292-1 doi (DE-627)SPR003455955 (SPR)s00268-015-3292-1-e DE-627 ger DE-627 rakwb eng Stevens, Daniel J. verfasserin aut A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2015 Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. Appendicitis (dpeaa)DE-He213 Diverticulitis (dpeaa)DE-He213 Reporting Standard (dpeaa)DE-He213 Groyne Hernia (dpeaa)DE-He213 Hospital Episode Statistics (dpeaa)DE-He213 Blencowe, Natalie S. aut McElnay, Philip J. aut Macefield, Rhiannon C. aut Savović, Jelena aut Avery, Kerry N. L. aut Blazeby, Jane M. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 16. Nov., Seite 267-276 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:16 month:11 pages:267-276 https://dx.doi.org/10.1007/s00268-015-3292-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 16 11 267-276 |
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A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery |
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Stevens, Daniel J. |
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World Journal of Surgery |
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World Journal of Surgery |
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2015 |
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Stevens, Daniel J. Blencowe, Natalie S. McElnay, Philip J. Macefield, Rhiannon C. Savović, Jelena Avery, Kerry N. L. Blazeby, Jane M. |
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40 |
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Elektronische Aufsätze |
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Stevens, Daniel J. |
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10.1007/s00268-015-3292-1 |
| title_sort |
systematic review of patient-reported outcomes in randomized controlled trials of unplanned general surgery |
| title_auth |
A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery |
| abstract |
Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. © The Author(s) 2015 |
| abstractGer |
Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. © The Author(s) 2015 |
| abstract_unstemmed |
Abstract Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes (PROs) in randomized clinical trials (RCTs) in unplanned general surgery. A systematic review identified RCTs reporting PROs in the commonest six areas of unplanned general surgery. Details of the PRO measures were examined using the CONSORT extension for PRO reporting in RCTs. Extracted information about each PRO domain included the reporting of baseline PROs, rationale for PRO selection and whether PRO findings were used in conjunction with clinical outcomes to inform treatment recommendations. The internal validity of included studies was assessed using the Cochrane risk of bias tool. 12,519 abstracts were screened and 20 RCTs containing data from 2037 patients included. Included studies used 14 separate PRO measures covering 35 different health domains. A visual analogue assessment of pain was most frequently reported (n = 13). Reporting of baseline PRO data was uncommon (11/35 PRO domains). The rationale for PRO data collection and a PRO-specific hypothesis were provided for 9 (25.7 %) and 5 (14.3 %) domains, respectively. Seventeen RCTs (85.0 %) used the PRO data alongside clinical outcomes to inform treatment recommendations. Of the 116 risk of bias assessments, 77 (66.0 %) were judged as high or unclear. There is a lack of well designed, and conducted RCTs in unplanned general surgery that include PROs. Future work to define relevant PROs and methods for optimal assessment are needed to inform health care decision-making. © The Author(s) 2015 |
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A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery |
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Blencowe, Natalie S. McElnay, Philip J. Macefield, Rhiannon C. Savović, Jelena Avery, Kerry N. L. Blazeby, Jane M. |
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