Evidence map›Paper›PMID 29180591›Full record

ArticleBMJ open2017

Developing outcome measures assessing wound management and patient experience: a mixed methods study.

Daisy Elliott, Bluebelle Study Group

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04601532 (Randomized Controlled Trial Assessing a Novel Glycopolymer Compound in the Treatment of Superficial Partial-thickness Burns), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

NCT04601532 phase4terminatednot on this mapstarted 2021, after this paper: background citation

Randomized Controlled Trial Assessing a Novel Glycopolymer Compound in the Treatment of Superficial Partial-thickness Burns

TypeinterventionalSponsorJ. Peter Rubin, MDRan2021 to 2022Enrolled26ConditionsSuperficial Partial Thickness BurnArmsCatasyn™ Advanced Technology Hydrogel and SynePure™ Wound Cleanser, Silver Sulfadiazine
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  6. Review
  7. Review
  8. Wound drainage measurements: a narrative review.Archives of dermatological research · 2023
    Review
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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

2 authors.

Daisy ElliottPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS.
Bluebelle Study Group

Funding

Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

objectivesTo develop outcome measures to assess practical management of primary surgical wounds and patient experience.

designMixed methods, including qualitative interviews and data extraction from published randomised controlled trials (RCTs).

settingTwo university-teaching NHS hospitals and three district NHS hospitals in the South West and Midlands regions of England.

participantsSixty-four patients and 15 healthcare professionals from abdominal general surgical specialities and obstetrics (caesarean section).

methodsMeasures were developed according to standard guidelines to identify issues relevant to patients' experiences of surgical wounds and dressings, including analysis of existing RCT outcomes and semi-structured interviews. These were written into provisional questionnaire items for a single outcome measure. Cognitive interviews with patients and healthcare professionals assessed face validity, acceptability and relevance. Findings from interviews were regularly shared with the study team who suggested amendments to modify and reword items to improve understanding before further iterative testing with patients and healthcare professionals.

resultsAnalyses of existing RCT outcomes and interviews produced a total of 69 issues. Pretesting and iterative revision established the need for two separate measures. One measure addresses healthcare professionals' experience of wound management in two key areas: exudate and its impact, and allergic reactions to the dressing. The other measure addresses patients' experience of wounds in seven key areas: wound comfort, dressing removal, dressings to protect the wound, impact on daily activities, ease of movement, anxiety about the wound and satisfaction with dressing. Each measure took less than five min to complete and both were understood and acceptable to patients and healthcare professionals.

conclusionThis in-depth study has developed two measures to assess practical management of primary surgical wounds and patient experience. Further work to test their validity, reliability and application to other settings is now required. TRIAL REGISTRATION NUMBER: HTA - 12/200/04; Pre-results.

Indexed as

Patient Reported Outcome MeasuresWound HealingAdultAgedAged, 80 and overAttitude of Health PersonnelBandagesEnglandFemaleHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionPostoperative PeriodQualitative Researchdressingsqualitative researchquestionnaire developmentwounds

Identifiers

PMID29180591
PMCPMC5719294

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.