A core outcome set for clinical studies of adhesive small bowel obstruction. (3rd June 2022)

• Record Type: Journal Article
• Other Names: Lee Matthew J. investigator.; Chapman Stephen J. investigator.; Blackwell Sue investigator.; Arnott Robert investigator.; ten Broek Richard P. G. investigator.; Delaney Conor P. investigator.; Dudi‐Venkata Nagendra N. investigator.; Fish Rebecca investigator.; Hind Daniel investigator.; Jayne David G. investigator.; Mellor Katie investigator.; Mishra Anurag investigator.; O'Grady Greg investigator.; Sammour Tarik investigator.; Thorpe Gabrielle investigator.; Wells Cameron I. investigator.; Wolthuis Albert M. investigator.; Fearnhead Nicola S. investigator.; Adegbola Samuel investigator.; Ananth Sachin investigator.; Bagaglini Giulia investigator.; Beamish Andrew investigator.; Bibby Neil investigator.; Blencowe Natalie S. investigator.; Brown Leo R. investigator.; Bulte Joris P. investigator.; Carver Julie investigator.; Challand Christopher P. investigator.; Chan Shirley investigator.; Chisholm Lindsey investigator.; Clerc Daniel investigator.; Coe Peter O. investigator.; Cox Daniel investigator.; Culkin Alison investigator.; Daniels Sarah investigator.; Dawidziuk Aleksander investigator.; Dawson Amanda investigator.; Drake Thomas M. investigator.; Drayton Daniel J. investigator.; Duff Sarah investigator.; Espin‐Basany Eloy investigator.; Evans Martin D. investigator.; Fakhrul‐Aldeen Mohammed investigator.; Fisher Nigel investigator.; Fleetwood‐Beresford Sahara investigator.; Forshaw Suzannah investigator.; Gani Jon investigator.; Haddon Sandra investigator.; Han Jennie investigator.; Helliwell Jack investigator.; Herrod Philip investigator.; Hollyman Marianne investigator.; Hopkins James investigator.; Juloski Jovan investigator.; Keane Celia investigator.; Lam Yick Ho investigator.; Love Lisa investigator.; Lynch Aoife investigator.; Major Giles investigator.; Maw Andrew investigator.; McDermott Frank investigator.; McVeigh Jamie investigator.; Mehraj Asif investigator.; Millan Monica investigator.; Mohan Helen investigator.; Moug Susan investigator.; Naylor Maureen investigator.; Parnell Richard investigator.; Pata Francesco investigator.; Peckham‐Cooper Adam investigator.; Pellino Gianluca investigator.; Pockney Peter investigator.; Proctor Victoria K. investigator.; Rajagopalan Arjun investigator.; Robinson Jonathan investigator.; Rutegård Martin investigator.; Saha Arin investigator.; Sahnan Kapil investigator.; Sayers Adele E. investigator.; Siragusa Leandro investigator.; Smart Neil J. investigator.; Swain David investigator.; Thompson Julie investigator.; Tutty Linda investigator.; Vaughan‐Shaw Peter G. investigator.; Vinci Danilo investigator.; Vissapragada Ravi investigator.; Wheelband Katharine R. investigator.; Williams Annabelle investigator.; Younis Mohammed U. investigator.;
• Is Part Of: Colorectal disease. Volume 24:Number 10(2022)
• Page Start: 1204
• Page End: 1210
• Publication Date: 2022-06-03
• Subjects: adhesions -- core outcome set -- gastrointestinal recovery -- perioperative care -- small bowel obstruction; Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.16158
• Languages: English
• ISSNs: 1462-8910

Abstract

Abstract: Aim: 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, and focus groups across different geographical regions. A modified Delphi consensus exercise of three 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. Individualised feedback on prior voting compared to other participants was provided. An international consensus meeting was convened to ratify the final COS. Results: In round 1, 56 items were rated by 118 respondents. A total of 18 items reached consensus, and respondents proposed an additional 10 items. Round 2 was completed by 90 respondents, and nine items achieved consensus. In round 3, 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 studies to define a core measurement set are needed to identify the optimum tools to measure each outcome.