Evidence map›Paper›PMID 24512505›Full record

ReviewAmerican journal of respiratory and critical care medicine2014

How outcomes are defined in clinical trials of mechanically ventilated adults and children.

Bronagh Blackwood, Mike Clarke, Danny F McAuley, Peter J McGuigan, John C Marshall, Louise Rose

Abstract readReview
PubMed Publisher
In one paragraph

Review in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Diaries for recovery from critical illness.The Cochrane database of systematic reviews · 2014
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  18. Is critical care ready for an economic surrogate endpoint?Critical care (London, England) · 2015
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Bronagh Blackwood1 Centre for Infection and Immunity and.
Mike Clarke
Danny F McAuley
Peter J McGuigan
John C Marshall
Louise Rose

Funding

Medical Research Council G0901530Medical Research Council MC_G1002460
6 · The paper itself

Abstract

Systematic reviews have considerable potential to provide evidence-based data to aid clinical decision-making. However, there is growing recognition that trials involving mechanical ventilation lack consistency in the definition and measurement of ventilation outcomes, creating difficulties in combining data for meta-analyses. To address the inconsistency in outcome definitions, international standards for trial registration and clinical trial protocols published recommendations, effectively setting the "gold standard" for reporting trial outcomes. In this Critical Care Perspective, we review the problems resulting from inconsistent outcome definitions and inconsistent reporting of outcomes (outcome sets). We present data highlighting the variability of the most commonly reported ventilation outcome definitions. Ventilation outcomes reported in trials over the last 6 years typically fall into four domains: measures of ventilator dependence; adverse outcomes; mortality; and resource use. We highlight the need, first, for agreement on outcome definitions and, second, for a minimum core outcome set for trials involving mechanical ventilation. A minimum core outcome set would not restrict trialists from measuring additional outcomes, but would overcome problems of variability in outcome selection, measurement, and reporting, thereby enhancing comparisons across trials.

Indexed as

Critical CareOutcome Assessment, Health CareRespiration, ArtificialAdultChildEvidence-Based MedicineHumansPractice Guidelines as TopicRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.