Evidence map›Paper›PMID 32922778›Full record

ArticleBritish journal of pain2020

Successful and unsuccessful recruitment and retainment strategies in a UK multicentre drug trial for a rare chronic pain condition which performed above target.

Jatinder Bisla, Gareth Ambler, Bernhard Frank, Sumit Gulati, Poppy Hocken, Mairi James, Joanna Kelly, Jocelyn Keshet-Price, Candy McCabe, Deborah McGylnn and 13 more

Abstract read
In one paragraph

Article in British journal of pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Strategies to improve retention in randomised trials.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Review
  4. Review
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

23 authors.

Jatinder BislaKing's Clinical Trials Unit, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0001-7247-5804
Gareth AmblerDepartment of Statistical Science, University College London, London, UK.
Bernhard FrankThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Sumit GulatiThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Poppy HockenRoyal National Hospital for Rheumatic Diseases, Bath, UK.
Mairi JamesGlasgow Clinical Research Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Joanna KellyKing's Clinical Trials Unit, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Jocelyn Keshet-PriceNorfolk and Norwich University NHS Trust, Norwich, UK.
Candy McCabeRoyal National Hospital for Rheumatic Diseases, Bath, UK.
Deborah McGylnnGlasgow Clinical Research Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Nick PadfieldPain Management & Neuromodulation Centre, Guys & St Thomas' Hospital, London, UK.
David PangPain Management & Neuromodulation Centre, Guys & St Thomas' Hospital, London, UK.
Gill PoutNorfolk and Norwich University NHS Trust, Norwich, UK.
Mark SandersNorfolk and Norwich University NHS Trust, Norwich, UK.
Mick SerpellGlasgow Clinical Research Facility, Queen Elizabeth University Hospital, Glasgow, UK.
Nicholas ShenkerDepartment of Rheumatology, Cambridge University Hospitals, Cambridge, UK.
Karim ShoukreyUniversity Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK.
Samuel WesleyPain Management & Neuromodulation Centre, Guys & St Thomas' Hospital, London, UK.
Margaret WestonUniversity Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK.
Beverly White-AlaoKing's Clinical Trials Unit, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Lynne WyattThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Caroline MurphyKing's Clinical Trials Unit, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Andreas GoebelUniversity of Liverpool and The Walton Centre NHS Foundation Trust, Liverpool, UK.

Funding

Medical Research Council MC_PC_12041
6 · The paper itself

Abstract

introductionRecruitment into trials in rare chronic pain conditions can be challenging, so such trials consequently are underpowered or fail.

methodsDrawing from our experience in conducting, to date, the largest academic trial in a rare chronic pain condition, complex regional pain syndrome, we have identified recruitment and retention strategies for successful trial conduct.

resultsWe present 13 strategies grouped across the categories of 'setting the recruitment rate', 'networking', 'patient information', 'trial management' and 'patient retention'. Moreover, six recruitment risks are also discussed. A conservative recruitment estimate, based on audits of newly referred patients to the trial centres without taking into account availability of 'old' patients or recruitment from outside centres, and assuming a 55% patient refusal rate yielded accurate numbers.

conclusionAppreciation of these identified recruitment challenges and opportunities may contribute to supporting prospective investigators when they design clinical trials for chronic pain patient population groups where it has been historically difficult to conduct high-quality and robust clinical trials.

Indexed as

Chronic paincomplex regional pain syndromesintractablemusculoskeletal painpainpain clinicspain managementpain perceptionpain thresholdpostoperative

Identifiers

PMID32922778
PMCPMC7453479

What OpenQuestion holds

Textmetadata
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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.