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先天性黑素细胞痣核心结局集在临床实践和研究中的领域和结局(OCOMEN 项目):第 2 部分。

Domains and outcomes of the core outcome set of congenital melanocytic naevi for clinical practice and research (the OCOMEN project): part 2.

机构信息

Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, Amsterdam, 1105AZ, the Netherlands.

Department of Dermatology, Amsterdam Public Health, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, Amsterdam, 1105AZ, the Netherlands.

出版信息

Br J Dermatol. 2021 Nov;185(5):970-977. doi: 10.1111/bjd.20437. Epub 2021 Jul 14.

Abstract

BACKGROUND

Congenital melanocytic naevi (CMN) can have a great impact on patients' lives owing to perceived stigmatization, and the risk of melanoma development and neurological complications. Development of a core outcome set (COS) for care and research in CMN will allow standard reporting of outcomes. This will enable comparison of outcomes, allowing professionals to offer advice about the best management options. In previous research, stakeholders (patients, parents and professionals) reached consensus on the core domains of the COS. To select the appropriate measurement instruments, the domains should be specified by outcomes.

OBJECTIVES

To reach consensus on the specific core outcomes describing the core domains pertaining to clinical care and research in CMN.

METHODS

A list of provisional outcomes (obtained earlier) was critically reviewed by the Outcomes for COngenital MElanocytic Naevi (OCOMEN) research team and by relevant stakeholders through an online questionnaire, to refine this list and provide clear definitions for every outcome. When needed, discussion with individual participants was undertaken over the telephone or by email. During an online consensus meeting, stakeholders discussed the inclusion of potential outcomes. After the meeting, participants voted in two rounds for the inclusion of outcomes.

RESULTS

Forty-four stakeholders from 19 countries participated. Nine core outcomes were included in the COS relative to clinical care and 10 core outcomes for research.

CONCLUSIONS

These core outcomes will enable standard reporting in future care and research of CMN. This study facilitates the next step of COS development: selecting the appropriate measurement instruments for every outcome.

摘要

背景

先天性黑素细胞痣(CMN)可能会对患者的生活产生重大影响,这是由于感知到的污名化,以及黑色素瘤发展和神经并发症的风险。制定 CMN 护理和研究的核心结局集(COS)将允许对结果进行标准报告。这将能够比较结果,使专业人员能够就最佳管理选项提供建议。在之前的研究中,利益相关者(患者、父母和专业人员)就 COS 的核心领域达成了共识。为了选择适当的测量工具,应该通过结果来指定领域。

目的

就描述 CMN 临床护理和研究核心领域的具体核心结局达成共识。

方法

通过在线问卷,由 Outcomes for COngenital MElanocytic Naevi(OCOMEN)研究团队和相关利益相关者对临时结果清单进行了严格审查,以完善该清单并为每个结果提供明确的定义。如有必要,通过电话或电子邮件与个别参与者进行讨论。在一次在线共识会议上,利益相关者讨论了纳入潜在结果的问题。会议结束后,参与者对纳入结果进行了两轮投票。

结果

来自 19 个国家的 44 名利益相关者参与了研究。与临床护理相关的 COS 纳入了 9 项核心结果,研究的 COS 纳入了 10 项核心结果。

结论

这些核心结果将使未来 CMN 的护理和研究能够进行标准报告。本研究促进了 COS 发展的下一步:为每个结果选择适当的测量工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5d/9290785/4d97c520d431/BJD-185-970-g001.jpg

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