Mellor, K., Hind, D. orcid.org/0000-0002-6409-4793 and Lee, M.J. (2018) A systematic review of outcomes reported in small bowel obstruction research. Journal of Surgical Research, 229. pp. 41-50. ISSN 0022-4804
Abstract
Background Small bowel obstruction (SBO) is a condition which is commonly treated by general surgeons. The evidence base for treatment of this condition is limited in part by variable reporting of outcomes in the literature. The aim of this study was to identify commonly used outcomes in research on SBO.
Methods This review was reported in line with PRISMA guidelines and registered with PROSPERO (CRD42017065538). Searches were performed of MEDLINE, EMBASE and CENTRAL databases to identify prospective cohort or randomised trials reporting outcomes of interventions in SBO. Studies addressing diagnostics, paediatric populations, and SBO due to malignancy were excluded. Studies were screened for inclusion. Study and outcome characteristics were extracted into a predesigned proforma and mapped onto the OMERACT framework.
Results A total of 1,222 studies were screened for eligibility, 74 full text articles retrieved and 51 studies included for synthesis. A total of 50 different outcomes were used. Duration of hospital stay was the most frequently reported outcome (n=21 studies). Resolution of SBO was reported in 12 studies, but only defined in 8 studies which used 6 different definitions. Patient reported outcomes were reported in only four studies.
Discussion There is a high degree of variation in the outcomes reported in SBO research. There is a clear need for a core outcome set. Development of a patient reported outcome measure for this condition should also be explored.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Elsevier. This is an author produced version of a paper subsequently published in Journal of Surgical Research. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Outcomes; Small bowel obstruction; Systematic review |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 19 Mar 2018 16:26 |
Last Modified: | 16 Apr 2019 00:43 |
Published Version: | https://doi.org/10.1016/j.jss.2018.03.044 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jss.2018.03.044 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:128688 |
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