Evidence map›Paper›PMID 32895272›Full record

ReviewBMJ open2020

Assessing the relevance and uptake of core outcome sets (an agreed minimum collection of outcomes to measure in research studies) in Cochrane systematic reviews: a review.

Paula R Williamson, Ricardo de Ávila Oliveira, Mike Clarke, Sarah L Gorst, Karen Hughes, Jamie J Kirkham, Tianjing Li, Ian J Saldanha, Jochen Schmitt

Abstract readReview
In one paragraph

Review in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

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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

9 authors.

Paula R WilliamsonMRC North West Hub for Trials Methodology Research, University of Liverpool and member of Liverpool Health Partners, Liverpool, UK prw@liv.ac.uk.
Ricardo de Ávila OliveiraDECIR Faculdade de Medicina, Universidade Federal de Uberlândia, Uberlândia, Brazil.
Mike ClarkeNorthern Ireland Methodology Hub, Centre for Public Health, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-2926-7257
Sarah L GorstMRC North West Hub for Trials Methodology Research, University of Liverpool and member of Liverpool Health Partners, Liverpool, UK.ORCID 0000-0002-7818-9646
Karen HughesMRC North West Hub for Trials Methodology Research, University of Liverpool and member of Liverpool Health Partners, Liverpool, UK.
Jamie J KirkhamCentre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID 0000-0003-2579-9325
Tianjing LiDepartment of Ophthalmology, University of Colorado Denver, Denver, Colorado, USA.
Ian J SaldanhaCenter for Evidence Synthesis in Health, Brown University School of Public Health, Providence, Rhode Island, USA.
Jochen SchmittCenter for Evidence-based Healthcare, Medizinische Fakultät, Technische Universität Dresden, Dresden, Germany.

Funding

Medical Research Council G0901530Medical Research Council MR/L004933/1-Q30Medical Research Council MR/S014357/1
6 · The paper itself

Abstract

objectivesA core outcome set (COS) is an agreed standardised minimum collection of outcomes that should be measured and reported in research in a specific area of health. Cochrane systematic reviews ('reviews') are rigorous reviews on health-related topics conducted under the auspices of Cochrane. This study examines the use of existing COS to inform the choice of outcomes in Cochrane systematic reviews ('reviews') and investigates the views of the coordinating editors of Cochrane Review Groups (CRGs) on this topic.

methodsA cohort of 100 recently published or updated Cochrane reviews were assessed for reference to a COS being used to inform the choice of outcomes for the review. Existing COS, published 2 or more years before the review publication, were then identified to assess how often a reviewer could have used a relevant COS if it was available. We asked 52 CRG coordinating editors about their involvement in COS development, how outcomes are selected for reviews in their CRG and their views of the advantages and challenges surrounding the standardisation of outcomes within their CRG.

resultsIn the cohort of reviews from 2019, 40% (40/100) of reviewers noted problems due to outcome inconsistency across the included studies. In 7% (7/100) of reviews, a COS was referenced in relation to the choice of outcomes for the review. Relevant existing COS could be considered for a review update in 35% of the others (33/93). Most editors who responded (31/36, 86%) thought that COS should definitely or possibly be used to inform the choice of outcomes in a review.

conclusionsSystematic reviewers are continuing to note outcome heterogeneity but are starting to use COS to inform their reviews. There is potential for greater uptake of COS in Cochrane reviews.

Indexed as

Outcome Assessment, Health CareHumansclinical trialsgeneral medicine (see internal medicine)statistics & research methods

Identifiers

PMID32895272
PMCPMC7476465

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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.