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描述、测量和报告新型有创性操作研究中学习曲线的核心数据集制定:研究方案。

Development of a core data set for describing, measuring and reporting the learning curve in studies of novel invasive procedures: study protocol.

机构信息

National Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK

North Bristol NHS Trust, Bristol, UK.

出版信息

BMJ Open. 2024 Jul 25;14(7):e084252. doi: 10.1136/bmjopen-2024-084252.

Abstract

INTRODUCTION

The introduction of novel surgical techniques and procedures remains poorly regulated and standardised. Although the learning curve associated with invasive procedures is a critical part of innovation, it is currently inconsistently defined, measured and reported. This study aims to develop a core data set that can be applied in all studies describing or measuring the learning curve in novel invasive procedures.

METHODS

A core data set will be developed using methods adapted from the Core Outcome Measures in Effectiveness Trials initiative. The study will involve three phases: (1) Identification of a comprehensive list of data items through (a) an umbrella review of existing systematic reviews on the learning curve in surgery and (b) qualitative interviews with key stakeholders. (2) Key stakeholders (eg, clinical innovators, clinicians, patients, methodologists, statisticians, journal editors and governance representatives) will complete a Delphi survey to score the importance of each data item, generating a shortened list. (3) Consensus meeting(s) with stakeholders to discuss and agree on the final core data set.

ETHICS AND DISSEMINATION

The study is approved by an Institutional Ethics Committee at the University of Bristol (ref: 111362). Participants will complete written informed consent to participate. Dissemination strategies include scientific meeting presentations, peer-reviewed journal publications, patient engagement events, use of social media platforms, workshops and other events.

摘要

简介

新手术技术和程序的引入仍然缺乏规范和标准化。虽然与侵入性手术相关的学习曲线是创新的关键部分,但目前该曲线的定义、衡量和报告方式并不一致。本研究旨在开发一个核心数据集,可应用于所有描述或衡量新型侵入性手术学习曲线的研究中。

方法

将采用源自有效性试验核心结局测量倡议的方法来开发核心数据集。该研究将包括三个阶段:(1)通过(a)对手术学习曲线的现有系统评价进行伞式审查,以及(b)对关键利益相关者进行定性访谈,确定全面的数据项目清单。(2)关键利益相关者(如临床创新者、临床医生、患者、方法学家、统计学家、期刊编辑和治理代表)将完成一项 Delphi 调查,对每个数据项的重要性进行评分,生成一个简化清单。(3)利益相关者共识会议,讨论并商定最终核心数据集。

伦理与传播

本研究已获得布里斯托大学机构伦理委员会的批准(编号:111362)。参与者将完成书面知情同意书以参与研究。传播策略包括科学会议演讲、同行评议期刊发表、患者参与活动、利用社交媒体平台、研讨会和其他活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2a/11284869/5d82d9fccfcf/bmjopen-14-7-g001.jpg

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