Evidence map›Paper›PMID 29927054›Full record

SynthesisInternational wound journal2018

Barriers and enablers to patient recruitment for randomised controlled trials on treatment of chronic wounds: A systematic review.

Lyndal Bugeja, Jac Kee Low, Rosemary A McGinnes, Victoria Team, Sankar Sinha, Carolina Weller

Abstract readSystematic Review
In one paragraph

Synthesis in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. The Role of Communication in Managing Chronic Lower Limb Wounds.Journal of multidisciplinary healthcare · 2025
    Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

6 authors.

Lyndal BugejaMonash Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-0547-710X
Jac Kee LowMonash Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.
Rosemary A McGinnesMonash Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.
Victoria TeamMonash Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0001-6615-6874
Sankar SinhaDiscipline of Surgery, School of Medicine, Faculty of Health, Clinical School, University of Tasmania, Hobart, Tasmania, Australia.
Carolina WellerMonash Nursing and Midwifery, Monash University, Clayton, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Randomised controlled trials represent the gold standard in intervention efficacy evaluation. However, suboptimal recruitment affects completion and the power of a therapeutic trial in detecting treatment differences. We conducted a systematic review to examine the barriers and enablers to patient recruitment for randomised controlled trials on chronic wound treatment. Review registration was under PROSPERO 2017:CRD42017062438. We conducted a systematic search of Ovid MEDLINE, EBSCOhost CINAHL, Ovid Cochrane Library, Ovid EMBASE, and Ovid PsycINFO databases in June 2017 for chronic wound treatment randomised controlled trials. Twenty-seven randomised controlled trials or qualitative studies met the inclusion criteria. Among the 24 randomised controlled trials, 21 were assessed as low quality in relation to recruitment, and 3 were assessed as high quality. All 27 studies reported barriers to recruitment in chronic wound randomised controlled trials. The reported barriers to recruitment were: study-related, patient-related, clinician-related, health system-related, and/or operational-related. No study reported recruitment enablers. To enhance randomised controlled trial recruitment, we propose the need for improved integration of research and clinical practice. To alleviate the problems arising from inadequate reporting of randomised controlled trials, the Consolidated Standards of Reporting Trials Statement could include an additional item on recruitment barriers. This approach will allow for increased awareness of the potential barriers to recruitment for Randomised controlled trials (RCTs) in both wound management and other health care research.

Indexed as

Patient SelectionAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicWounds and Injuriesbarrierschronic woundsenablersparticipant recruitmentrandomised controlled trials

Identifiers

PMID29927054
PMCPMC7949724

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.