Evidence map›Paper›PMID 31053093›Full record

ArticleHealth and quality of life outcomes2019

Clostridium difficile Infection-Daily Symptoms (CDI-DaySyms™) questionnaire: psychometric characteristics and responder thresholds.

George H Talbot, Leah Kleinman, Evan Davies, Elke Hunsche, Dennis Revicki, Laurie Roberts, Daniel Rosenberg, Carl Erik Nord

2 registry-linked trialsOpen access · goldAbstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% 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.

NCT01983683 phase3completednot on this map

A Multi-center, Randomized, Double-blind Study to Compare the Efficacy and Safety of Cadazolid Versus Vancomycin in Subjects With Clostridium Difficile-associated Diarrhea (CDAD).

TypeinterventionalSponsorActelionRan2013 to 2017Enrolled631ConditionsClostridium Difficile InfectionArmsCadazolid, Vancomycin, Cadazolid-matching placebo, Vancomycin-matching placebo
NCT01987895 phase3completednot on this map

A Multi-center, Randomized, Double-blind Study to Compare the Efficacy and Safety of Cadazolid Versus Vancomycin in Subjects With Clostridium Difficile-associated Diarrhea (CDAD)

TypeinterventionalSponsorActelionRan2014 to 2017Enrolled632ConditionsClostridium Difficile InfectionArmsCadazolid, Vancomycin, Cadazolid-matching placebo, Vancomycin-matching placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

8 authors at 4 institutions in 3 countries.

George H TalbotTalbot Advisors LLC, PO Box 2121, Anna Maria, FL, 34217, USA. ghtalbot@gmail.com.
Leah KleinmanEvidera, Bethesda, MD, USA.
Evan DaviesActelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Elke HunscheActelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Dennis RevickiEvidera, Bethesda, MD, USA.
Laurie RobertsEvidera, Bethesda, MD, USA.
Daniel RosenbergActelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Carl Erik NordDepartment of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Actelion (Switzerland) · CHIthaka Harbors · USHealthcentric Advisors · USKarolinska Institutet · SE

Funding

Actelion Pharmaceuticals N.A.
6 · The paper itself

Abstract

backgroundThe purpose of the current study was to determine the final content validation, psychometric characteristics, clinically meaningful improvement, and responder thresholds of the Clostridium difficile infection (CDI)-Daily Symptoms (CDI-DaySyms™) patient-reported outcome (PRO) questionnaire.

methodsThis validation study was part of two phase III studies (NCT01987895 and NCT01983683) conducted in patients with mild-to-moderate or severe CDI who completed the CDI-DaySyms™ daily throughout the treatment period. The questionnaire was evaluated in three stages: final PRO item content validation (Stage I); psychometric evaluation of reliability and construct validity (Stage II); and determination of clinically meaningful improvement and responder thresholds using distribution-based methods (Stage III).

resultsThe analysis included 168 patients. Most patients were female and Caucasian with mild-to-moderate CDI. The mean age was 57.1 years. Initial item analysis supported by confirmatory factor analysis demonstrated the relevance of 10 items grouped into three distinct domains (Diarrhea Symptoms, Abdominal Symptoms, and Systemic/Other Symptoms). Domain scores demonstrated acceptable internal consistency and test-retest reliability, were sensitive to change, and correlated in expected directions with other relevant symptom and disease-severity measures. Responder thresholds were defined as score changes of - 1.00, - 0.80, and - 0.70 in the Diarrhea Symptoms, Abdominal Symptoms, and Systemic/Other Symptoms domains, respectively.

conclusionsThe CDI-DaySyms™ is a valid measure of patient-reported CDI symptoms, with good measurement properties, which supports its utility as an endpoint in clinical studies. Further studies confirming responder thresholds based on anchor-based methods are required.

trial registrationNCT01987895 , registered November 20, 2013; NCT01983683 , registered November 14, 2013.

Indexed as

Patient Reported Outcome MeasuresAdultAgedClostridium InfectionsDiarrheaFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsQuality of LifeReproducibility of ResultsClostridium difficile–associated diarrheaClostridium difficile infectionPatient-reported outcomesPsychometric validationSymptoms

Identifiers

PMID31053093
PMCPMC6499966
OpenAlexW2943397880

What OpenQuestion holds

Textmetadata
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.