Tripartite Gastrointestinal Recovery SBO Group, (The) (2022) A core outcome set for clinical studies of adhesive small bowel obstruction. Colorectal Disease, 24 (10). pp. 1204-1210. ISSN 1462-8910
Abstract
Background
Adhesive Small bowel obstruction (ASBO) is a common surgical emergency condition. Research in the field is plentiful, however inconsistency in outcome reporting makes comparisons challenging. The aim of this study was to define a core outcome set (COS) for studies of ASBO.
Methods
The long list of outcomes was identified through systematic review, focus groups across different geographical regions. A modified Delphi consensus exercise of 3 rounds was undertaken with stakeholder groups (patients and clinicians). Items were rated on a 9-point Likert scale. Items exceeding 70% rating at 7-9 were passed to the consensus meeting. New item proposals were invited in Round 1. Individualized feedback on prior voting compared to other participants was provided. An international consensus meeting was convened to ratify the final COS.
Results
In round one, 56 items were rated by 118 respondents. 18 items reached consensus, and respondents proposed an additional 10 items. Round two was completed by 90 respondents, and 9 items achieved consensus. In round three, 80 surveys were completed; one item achieved consensus, and five borderline items were identified. The final COS included 26 outcomes, mapped to the following domains: Interventions, need for stoma, septic complications, return of gut function, patient reported outcomes, and recurrence of obstruction, as well as mortality, failure to rescue, and time to resolution.
Conclusion
This COS should be used in future studies in the treatment of adhesive SBO. Further work to define a core measurement set is needed to identify the optimum tools to measure each outcome.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited (http://creativecommons.org/licenses/by/4.0/). |
Keywords: | adhesions; Core outcome set; gastrointestinal recovery; perioperative care.; small bowel obstruction |
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: | 04 May 2022 08:07 |
Last Modified: | 02 Dec 2022 12:30 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/codi.16158 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:186381 |