Evidence map›Paper›PMID 32595168›Full record

ArticleBMJ open2020

Development of a core outcome set to use in the research and assessment of malignant bowel obstruction: protocol for the RAMBO study.

Elin Baddeley, Alison Bravington, Miriam Johnson, David C Currow, Fliss Em Murtagh, Elaine Boland, George Obita, Annmarie Nelson, Kathy Seddon, Alfred Oliver and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. High-quality phase 3 studies do not support the use of somatostatin analogues to reduce vomiting in malignant bowel obstruction.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. Challenges to delivering evidence-based palliative medicine.Clinical medicine (London, England) · 2023
    Review
  8. Article
  9. 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

12 authors.

Elin BaddeleyMarie Curie Palliative Care Research Centre, Cardiff University School of Medicine, Cardiff, UK baddeleye1@cardiff.ac.uk.ORCID 0000-0002-7571-4820
Alison BravingtonWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.
Miriam JohnsonWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.
David C CurrowWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.
Fliss Em MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.
Elaine BolandQueen's Centre for Oncology and Haematology, Hull, UK.
George ObitaDove House Hospice, Hull, UK.
Annmarie NelsonMarie Curie Palliative Care Research Centre, Cardiff University School of Medicine, Cardiff, UK.
Kathy SeddonMarie Curie Palliative Care Research Centre, Cardiff University School of Medicine, Cardiff, UK.
Alfred OliverConsumer Liaison Group, National Cancer Research Institute, London, UK.
Simon NobleMarie Curie Palliative Care Research Centre, Cardiff University School of Medicine, Cardiff, UK.
Jason BolandWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.ORCID 0000-0001-5272-3057

Funding

Marie Curie MCCC-FCO-11-CMarie Curie MCRGS-20171220-8020
6 · The paper itself

Abstract

introductionStudies regarding the management of malignant bowel obstruction (MBO) report conflicting findings. This is partly due to different outcome measures being used to evaluate severity of MBO and the response to treatments. Furthermore, current outcome measures focus mainly on measurable physiological parameters which may not correlate strongly with patient-defined quality of life. The development of core outcome sets allows a consistent approach to evaluating clinical conditions taking into consideration patient, healthcare professional and researcher viewpoints. It follows an internationally recognised standard methodology. We present a protocol for the development of a core outcome set for Research and Assessment of MBO (RAMBO).

methodsRAMBO is a multicentre study, comprising of four phases: a systematic review to examine current scope of outcome measures associated with MBO (phase I). Interviews with patients, companions and healthcare professionals will explore priorities and preferences for care and outcomes (phase II). An expert panel meeting will collate the findings into a set of outcomes (phase III), refined by consensus through a Delphi survey with key stakeholders (phase IV). The final set of outcomes will be ratified at a consensus meeting. Each step will actively include patient partners. Thematic analysis and descriptive statistics will be used to analyse qualitative and quantitative data, respectively. ETHICS AND DISSEMINATION: Ethical approval was obtained (Wales REC 5, REF: 19/LO/1876). Study participants and relevant stakeholders will be updated with newsletters and a lay summary at the end of the study. Abstracts will be submitted to national and international conferences, result papers will be submitted to peer-reviewed, open access journals. TRIAL AND PROSPERO REGISTRATION NUMBERS: Core Outcome Measures in Effectiveness Trials (1402); Systematic Literature Review (CRD42019150648); Rapid Review (CRD42020176393).

Indexed as

Delphi TechniqueHumansIntestinal NeoplasmsIntestinal ObstructionMulticenter Studies as TopicOutcome Assessment, Health CareQuality of LifeResearch DesignStakeholder ParticipationSystematic Reviews as TopicUnited Kingdomadult palliative caregastroenterologyoncologyqualitative research

Identifiers

PMID32595168
PMCPMC7322279

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.