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在胆道闭锁研究中需要测量什么:制定核心结局集的研究方案。

What to measure in biliary atresia research: study protocol for developing a core outcome set.

机构信息

General Surgery, Queensland Health, Brisbane, Queensland, Australia

Centre for Children's Burns and Trauma Research, University of Queensland, South Brisbane, Queensland, Australia.

出版信息

BMJ Open. 2021 Aug 12;11(8):e047224. doi: 10.1136/bmjopen-2020-047224.

Abstract

AIM

Extrahepatic biliary atresia is a rare disorder. This creates challenges in the quality and quantity of research conducted. This issue is exacerbated by the potential heterogeneity in the reported outcomes in research examining the management of biliary atresia. A core outcome set is required to standardise reporting on the management of biliary atresia in research, facilitate systematic reviews that include outcomes of greatest importance to patients and clinicians, and to evaluate the quality of the existing evidence base on the management of biliary atresia.

METHODS

A list of all potential outcomes will be developed through a systematic review of the literature. This list will be refined through a three-stage Delphi approach, involving key stakeholders in the management of biliary atresia. This will include patients and their parents, clinicians, nurses and allied health professionals. In this way, outcomes will be prioritised into a set of consensus core outcomes.

CONCLUSION

The development of a core outcome set in biliary atresia management is needed to guide future research and assist in evaluating the quality of existing research.

ETHICS AND DISSEMINATION

Ethical approval has been granted by the Children's Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC), Ref: HREC/20/QCHQ/62448. Results of the study will be published in an open access format.

摘要

目的

肝外胆管闭锁是一种罕见疾病。这给研究的质量和数量带来了挑战。在研究胆管闭锁治疗时,报告结果的潜在异质性加剧了这一问题。需要制定一个核心结局集,以规范胆管闭锁治疗研究的报告,促进包括对患者和临床医生最重要的结局的系统评价,并评估胆管闭锁治疗现有证据基础的质量。

方法

通过对文献的系统回顾,制定一份所有潜在结局的清单。通过三阶段德尔菲法对清单进行精炼,该方法涉及胆管闭锁治疗的主要利益相关者,包括患者及其父母、临床医生、护士和相关卫生专业人员。通过这种方式,将对结局进行优先排序,确定一组共识核心结局。

结论

需要制定胆管闭锁管理的核心结局集,以指导未来的研究并帮助评估现有研究的质量。

伦理与传播

昆士兰儿童健康医院和卫生服务机构人类研究伦理委员会(HREC)已批准该研究,参考号为 HREC/20/QCHQ/62448。该研究的结果将以开放获取的形式发表。

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