دورية أكاديمية

A core outcome set for damage control laparotomy via modified Delphi method

التفاصيل البيبلوغرافية
العنوان: A core outcome set for damage control laparotomy via modified Delphi method
المؤلفون: Byerly, Saskya, Nahmias, Jeffry, Stein, Deborah M, Haut, Elliott R, Smith, Jason W, Gelbard, Rondi, Ziesmann, Markus, Boltz, Melissa, Zarzaur, Ben L, Bala, Miklosh, Bernard, Andrew, Brakenridge, Scott, Brohi, Karim, Collier, Bryan, Burlew, Clay Cothren, Cripps, Michael, Crookes, Bruce, Diaz, Jose J, Duchesne, Juan, Harvin, John A, Inaba, Kenji, Ivatury, Rao, Kasten, Kevin, Kerby, Jeffrey D., Lauerman, Margaret, Loftus, Tyler, Miller, Preston R., Scalea, Thomas, Yeh, D Dante
المصدر: Trauma Surgery & Acute Care Open ; volume 7, issue 1, page e000821 ; ISSN 2397-5776
بيانات النشر: BMJ
سنة النشر: 2022
مصطلحات موضوعية: Critical Care and Intensive Care Medicine, Surgery
الوصف: Objectives Damage control laparotomy (DCL) remains an important tool in the trauma surgeon’s armamentarium. Inconsistency in reporting standards have hindered careful scrutiny of DCL outcomes. We sought to develop a core outcome set (COS) for DCL clinical studies to facilitate future pooling of data via meta-analysis and Bayesian statistics while minimizing reporting bias. Methods A modified Delphi study was performed using DCL content experts identified through Eastern Association for the Surgery of Trauma (EAST) ‘landmark’ DCL papers and EAST ad hoc COS task force consensus. Results Of 28 content experts identified, 20 (71%) participated in round 1, 20/20 (100%) in round 2, and 19/20 (95%) in round 3. Round 1 identified 36 potential COS. Round 2 achieved consensus on 10 core outcomes: mortality, 30-day mortality, fascial closure, days to fascial closure, abdominal complications, major complications requiring reoperation or unplanned re-exploration following closure, gastrointestinal anastomotic leak, secondary intra-abdominal sepsis (including anastomotic leak), enterocutaneous fistula, and 12-month functional outcome. Despite feedback provided between rounds, round 3 achieved no further consensus. Conclusions Through an electronic survey-based consensus method, content experts agreed on a core outcome set for damage control laparotomy, which is recommended for future trials in DCL clinical research. Further work is necessary to delineate specific tools and methods for measuring specific outcomes. Level of evidence V, criteria
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1136/tsaco-2021-000821
الإتاحة: https://doi.org/10.1136/tsaco-2021-000821Test
حقوق: http://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.A8DD4273
قاعدة البيانات: BASE