Evidence map›Paper›PMID 29095881›Full record

ArticlePloS one2017

A core outcome set for adult cardiac surgery trials: A consensus study.

Carina Benstoem, Ajay Moza, Patrick Meybohm, Christian Stoppe, Rüdiger Autschbach, Declan Devane, Andreas Goetzenich

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
10.4field-weighted citation impact, top 2% of its field
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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Carina BenstoemDepartment of Thoracic and Cardiovascular Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0002-4604-6771
Ajay MozaDepartment of Thoracic and Cardiovascular Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Christian StoppeDepartment of Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Rüdiger AutschbachDepartment of Thoracic and Cardiovascular Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Declan DevaneDepartment of Nursing and Midwifery, National University of Ireland Galway, School of Nursing and Midwifery, Galway, Ireland.
Andreas GoetzenichDepartment of Thoracic and Cardiovascular Surgery, University Hospital RWTH Aachen, Aachen, Germany.
RWTH Aachen University · DEGoethe University Frankfurt · DEOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive off- or on-pump cardiac surgery (elective and emergency procedures, excluding transplants are routinely performed to treat complications of ischaemic heart disease. Randomised controlled trials (RCT) evaluate the effectiveness of treatments in the setting of cardiac surgery. However, the impact of RCTs is weakened by heterogeneity in outcome measuring and reporting, which hinders comparison across trials. Core outcome sets (COS, a set of outcomes that should be measured and reported, as a minimum, in clinical trials for a specific clinical field) help reduce this problem. In light of the above, we developed a COS for cardiac surgery effectiveness trials.

methodsPotential core outcomes were identified a priori by analysing data on 371 RCTs of 58,253 patients. We reached consensus on core outcomes in an international three-round eDelphi exercise. Outcomes for which at least 60% of the participants chose the response option "no" and less than 20% chose the response option "yes" were excluded.

resultsEighty-six participants from 23 different countries involving adult cardiac patients, cardiac surgeons, anaesthesiologists, nursing staff and researchers contributed to this eDelphi. The panel reached consensus on four core outcomes: 1) Measure of mortality, 2) Measure of quality of life, 3) Measure of hospitalisation and 4) Measure of cerebrovascular complication to be included in adult cardiac surgery trials.

conclusionThis study used robust research methodology to develop a minimum core outcome set for clinical trials evaluating the effectiveness of treatments in the setting of cardiac surgery. As a next step, appropriate outcome measurement instruments have to be selected.

Indexed as

Cardiac Surgical ProceduresTreatment OutcomeAdultDelphi TechniqueHumansMyocardial IschemiaRandomized Controlled Trials as Topic

Identifiers

PMID29095881
PMCPMC5667757
OpenAlexW2765928105

What OpenQuestion holds

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Registered trials

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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.