间歇性跛行研究中的报告结果--迈向核心结果集的第一步:系统综述。

IF 3.5 3区 医学 Q1 SURGERY BJS Open Pub Date : 2024-10-29 DOI:10.1093/bjsopen/zrae126
Akam Shwan, Segun Lamidi, Calvin Chan, Elizabeth Daniels, Charlie Song-Smith, Lydia Hanna, Viknesh Sounderajah, John S M Houghton, Rob D Sayers
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引用次数: 0

摘要

导言:本综述旨在汇编一份所有结果测量的详尽清单,并确定间歇性跛行研究中报告的结果的不同特征,作为制定间歇性跛行核心结果集的第一步:方法:在 Medline 和 Embase 中检索了 2015 年 1 月至 2024 年 8 月期间所有包含间歇性跛行患者且报告结果≥1 项的研究。摘要、全文筛选和数据提取由两名研究人员独立完成。所有报告的结果指标均被逐字提取,并按多德领域(有效性试验中的核心结果指标注册:COMIC研究,1590;https://www.comet-initiative.org/Studies/Details/1590)。结果:结果:共筛选出 4985 项研究,其中 408 项被纳入。结果:共筛选出 4985 项研究,纳入 408 项研究,共确定了 25 个多德领域的 541 项独特结果。踝肱压力指数是最常报告的结果。在这 541 项独特结果中,有 386 项结果只报告过一次。只有 38.9% 的研究专门纳入了间歇性跛行患者。36.2%的研究报告了患者报告的结果。不同研究对常用结果指标(如肢体主要不良事件和主要通畅率)的定义存在很大差异:结论:间歇性跛行研究中报告的结果存在很大的异质性。大多数报告的结果以临床/生理学为导向,而不是以患者为中心。制定间歇性跛行的核心结果集对于改善和规范未来研究的报告至关重要。
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Reported outcomes in studies of intermittent claudication - first step toward a core outcome set: systematic review.

Introduction: This review aimed to compile an exhaustive list of all outcome measures and identify different characteristics of the outcomes reported in studies of intermittent claudication as the first step in developing a core outcome set for intermittent claudication.

Method: Medline and Embase were searched for all studies including individuals with intermittent claudication and reporting ≥1 outcome from January 2015 to August 2024. Abstract, full text screening and data extraction were performed by two investigators independently. All reported outcome measures were extracted verbatim and categorized by Dodd's domains (Core Outcome Measures in Effectiveness Trials registration: COMIC Study, 1590; https://www.comet-initiative.org/Studies/Details/1590).

Results: 4985 studies were screened and 408 were included. A total of 541 unique outcomes across 25 Dodd's domains were identified. Ankle-brachial pressure index was the most frequently reported outcome. Among the 541 unique outcomes, 386 outcomes were only reported once. Only 38.9% of the studies exclusively included patients with intermittent claudication. Patient-reported outcomes were reported in 36.2% of studies. There were wide variations in the definition of commonly used outcome measures (for example, major adverse limb event and primary patency) across different studies.

Conclusion: There is substantial heterogeneity in reported outcomes in studies of intermittent claudication. Most reported outcomes are clinical/physiology oriented rather than patient centred. Development of a core outcome set for intermittent claudication is vital to improve and standardize reporting in future research.

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来源期刊
BJS Open
BJS Open SURGERY-
CiteScore
6.00
自引率
3.20%
发文量
144
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