Evidence map›Paper›PMID 34823584›Full record

ArticleTrials2021

A core outcome set for clinical trials of first- and second-degree perineal tears prevention and treatment: a study protocol for a systematic review and a Delphi survey.

Lin Xiao, Lei Shi, Suting Liu, Yuanyuan Luo, Jinhui Tian, Lili Zhang

Open access · goldAbstract read
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 11% 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.

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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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 at 2 institutions in 1 country.

Lin XiaoEvidence-Based Nursing and Midwifery Practice Center, School of Nursing, Southern Medical University, Guangzhou, 510515, China.
Lei ShiEvidence-Based Nursing and Midwifery Practice Center, School of Nursing, Southern Medical University, Guangzhou, 510515, China.
Suting LiuEvidence-Based Nursing and Midwifery Practice Center, School of Nursing, Southern Medical University, Guangzhou, 510515, China.
Yuanyuan LuoEvidence-Based Nursing and Midwifery Practice Center, School of Nursing, Southern Medical University, Guangzhou, 510515, China.
Jinhui TianEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, China. tjh996@163.com.ORCID http://orcid.org/0000-0002-0054-2454
Lili ZhangEvidence-Based Nursing and Midwifery Practice Center, School of Nursing, Southern Medical University, Guangzhou, 510515, China. zhanglili_gz@126.com.
Southern Medical University · CNLanzhou University · CN

Funding

department of education of guangdong province 2018180
6 · The paper itself

Abstract

backgroundPerineal tear is a common consequence of vaginal births affecting females globally. Even mild perineal tears could cause short- and long-term complications for females. Though many studies of interventions to prevent or treat perineal tears to minimize the consequences have been conducted, there is a significant heterogeneity in the outcomes measured and reported in existing studies, which makes meaningful comparison difficult and makes the generalizability to clinical practice challenging. Developing a core outcome set (COS) could solve these methodological concerns. In this paper, we report a protocol to develop a COS for clinical trials of mild perineal tears, which shall assist in establishing the evidence base and implementation of effective measures to reduce the incidence and minimize the consequences of mild perineal tears. METHODS/

designThe development of this COS will be guided by a study advisory group composed of obstetricians, midwives, nursing managers, service users, and methodologists. This study will include four stages: (1) a systematic research of the literature to identify outcomes reported in prior studies, (2) a semi-structured interview with key stakeholders to collect their opinions on important outcomes, (3) a panel of experts will be invited to conduct a three-round Delphi survey to prioritize these outcomes, and (4) a consensus meeting with key stakeholders to determine the list of outcomes included in the final COS. DISCUSSION: The development of this COS will provide international standards for the outcomes to be collected and reported in all clinical trials and audits of practice, which involve prevention and treatment of first- and second-degree perineal tears for women with vaginal delivery. This will facilitate comparing and contrasting of studies and allow for combining of appropriate studies with the ultimate goal of improved perineal care for women choosing vaginal delivery.

trial registrationThis study was registered in the database of Core Outcome Measures in Effectiveness Trials (COMET) on June11th, 2021 ( https://comet-initiative.org/Studies/Details/1884 ).

Indexed as

Outcome Assessment, Health CareResearch DesignConsensusDelivery, ObstetricDelphi TechniqueFemaleHumansPregnancyTreatment OutcomeConsensusCore outcome setDelphiFirst-degree perineal tearSecond-degree perineal tear

Identifiers

PMID34823584
PMCPMC8614027
OpenAlexW3174370444

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.