Evidence map›Paper›PMID 28288055›Full record

ArticleAnnals of surgery2018

Development of a Core Outcome Set for Clinical Effectiveness Trials in Esophageal Cancer Resection Surgery.

Kerry N L Avery, Katy A Chalmers, Sara T Brookes, Natalie S Blencowe, Karen Coulman, Katie Whale, Chris Metcalfe, Jane M Blazeby, ROMIO Study Group, CONSENSUS Esophageal Cancer Working Group

Abstract read
In one paragraph

Article in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 7 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

33 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Health-related quality of life in esophageal cancer: a state-of-the-art review of patient-reported outcomes and an evidence and gap map.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kerry N L AveryCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Katy A ChalmersCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Sara T BrookesCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Natalie S BlencoweCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Karen CoulmanCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Katie WhaleCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Chris MetcalfeCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
Jane M BlazebyCentre for Surgical Research, School of Social and Community Medicine, University of Bristol, United Kingdom.
ROMIO Study Group
CONSENSUS Esophageal Cancer Working Group

Funding

Department of Health 10/50/65Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

objectiveDevelopment of a core outcome set (COS) for clinical effectiveness trials in esophageal cancer resection surgery.

backgroundInconsistency and heterogeneity in outcome reporting after esophageal cancer resection surgery hampers comparison of trial results and undermines evidence synthesis. COSs provide an evidence-based approach to these challenges.

methodsA long list of clinical and patient-reported outcomes was identified and categorized into outcome domains. Domains were operationalized into a questionnaire and patients and health professionals rated the importance of items from 1 (not important) to 9 (extremely important) in 2 Delphi survey rounds. Retained items were discussed at a consensus meeting and a final COS proposed. Professionals were surveyed to request endorsement of the COS.

resultsA total of 68 outcome domains were identified and operationalized into a questionnaire; 116 (91%) of consenting patients and 72 (77%) of health professionals completed round 1. Round 2 response rates remained high (87% patients, 93% professionals). Rounds 1 and 2 prioritized 43 and 19 items, respectively. Retained items were discussed at a patient consensus meeting and a final 10-item COS proposed, endorsed by 61/67 (91%) professionals and including: overall survival; in-hospital mortality; inoperability; need for another operation; respiratory complications; conduit necrosis and anastomotic leak; severe nutritional problems; ability to eat/drink; problems with acid indigestion or heartburn; and overall quality of life.

conclusionsThe COS is recommended for all pragmatic clinical effectiveness trials in esophageal cancer resection surgery. Further work is needed to delineate the definitions and parameters and explore best methods for measuring the individual outcomes.

Indexed as

Patient Outcome AssessmentPragmatic Clinical Trials as TopicEsophageal NeoplasmsHumansResearch DesignSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID28288055
PMCPMC5865486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.