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Core outcome set for uncomplicated acute appendicitis in children and young people
F C Sherratt1, B S R Allin2, J J Kirkham3
1Institute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Insights
A new core outcome set was developed for pediatric appendicitis research. This set includes 14 key outcomes to standardize reporting in studies of uncomplicated acute appendicitis in children and young people.
Area of Science:
- Pediatric Surgery
- Clinical Trial Methodology
- Health Outcomes Research
Background:
- Inconsistent outcome reporting in pediatric appendicitis studies hinders clinical practice and policy development.
- A core outcome set is crucial for standardizing research in uncomplicated acute appendicitis among children and young people.
Framework:
- A comprehensive list of outcomes was generated through systematic literature reviews and qualitative interviews.
- Stakeholder consensus was achieved via a three-round Delphi process and face-to-face meetings involving patients, parents, and surgeons.
Implementation:
- 147 stakeholders participated in the Delphi process, with 90 completing all rounds.
- The final core outcome set includes 14 outcomes across five domains, such as intra-abdominal abscess, reoperation, and quality of life.
Implications:
- The developed core outcome set provides a standardized framework for reporting research on uncomplicated acute appendicitis in pediatric populations.
- Further research is needed to establish standardized methods for measuring these core outcomes.
Background:
Research studies to inform clinical practice and policy in children and young people with appendicitis are hampered by inconsistent selection and reporting of outcomes. The aim of this study was to develop a core outcome set for reporting all studies of uncomplicated acute appendicitis in children and young people.
Methods:
Systematic literature reviews, qualitative interviews with parents and patients treated for uncomplicated acute appendicitis, and a Study-Specific Advisory Group informed a long list of outcomes. Outcomes were then prioritized by stakeholders based in the UK (patients, parents, and paediatric and general surgeons) in an online three-round Delphi consensus process, followed by face-to-face consensus meetings.
Results:
A long list of 40 items was scored by 147 key stakeholders in the first Delphi round, of whom 90 completed the two subsequent Delphi rounds. The final core outcome set comprises 14 outcomes: intra-abdominal abscess, reoperation (including interventional radiology procedure), readmission to hospital, bowel obstruction, wound infection, antibiotic failure, wound complication, negative appendicectomy, recurrent appendicitis, death, patient stress/psychological distress, length of hospital stay, time away from full activity and child's quality of life.
Conclusion:
A core outcome set comprising 14 outcomes across five key domains has been developed for reporting studies in children and young people with uncomplicated acute appendicitis. Further work is required to determine how and when to measure these outcomes.
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