Evidence map›Paper›PMID 36669810›Full record

SynthesisThe Lancet. Global health2023

A global core outcome measurement set for snakebite clinical trials.

Michael Abouyannis, Hanif Esmail, Mainga Hamaluba, Mwanajuma Ngama, Hope Mwangudzah, Noni Mumba, Betty K Yeri, Salim Mwalukore, Hassan J Alphan, Dinesh Aggarwal and 17 more

Abstract readSystematic Review
In one paragraph

Synthesis in The Lancet. Global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Core outcome set for intervention research on snakebite envenomation in South Asia.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
    Pooled it
  2. Snakebite-Associated Infections: A Systematic Review and Meta-Analysis.The American journal of tropical medicine and hygiene · 2024
    Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Global emergency medicine: A scoping review of the literature from 2023.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. ImprovingF1000Research · 2024
    Article
  19. Review
  20. 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

27 authors.

Michael AbouyannisCentre for Snakebite Research and Interventions, Liverpool School of Tropical Medicine, Liverpool, UK; KEMRI-Wellcome Research Programme, Kilifi, Kenya. Electronic address: michael.abouyannis@lstmed.ac.uk.
Hanif EsmailMRC Clinical Trials Unit at UCL, London, UK; Institute for Global Health, University College London, London, UK.
Mainga HamalubaKEMRI-Wellcome Research Programme, Kilifi, Kenya; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, Oxford, UK.
Mwanajuma NgamaKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Hope MwangudzahKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Noni MumbaKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Betty K YeriKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Salim MwalukoreKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Hassan J AlphanKEMRI-Wellcome Research Programme, Kilifi, Kenya.
Dinesh AggarwalDepartment of Medicine, University of Cambridge, UK.
Gabriel AlcobaMedical Department, Médecins Sans Frontières/Doctors Without Borders, Geneva, Switzerland; Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland.
Nick CammackWellcome Trust, London, UK.
Jean-Philippe ChippauxUniversity of Paris Cité, French National Reseach Institute For Sustainable Development, Monther and child in the tropics: pathogens, health system, and epidemiological transformation unit, Paris, France.
Matthew E ColdironEpicentre, Paris, France.
José M GutiérrezInstituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica.
Abdulrazaq G HabibBayero University Department of Infectious and Tropical Diseases, Kano, Nigeria.
Robert A HarrisonCentre for Snakebite Research and Interventions, Liverpool School of Tropical Medicine, Liverpool, UK.
Geoffrey K IsbisterClinical Toxicology Research Group, University of Newcastle, Newcastle, NSW, Australia.
Eric J LavonasDepartment of Emergency Medicine, Denver Health and Hospital Authority, Denver, Colorado, USA and Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Diogo MartinsWellcome Trust, London, UK.
Isabela RibeiroDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
James A WatsonCentre for Tropical Medicine & Global Health, Nuffield Department of Medicine, Oxford, UK; Mahidol Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
David J WilliamsRegulation and Prequalification Department, Access to Medicines and Health Products Division, World Health Organization, Geneva, Switzerland.
Nicholas R CasewellCentre for Snakebite Research and Interventions, Liverpool School of Tropical Medicine, Liverpool, UK.
Sarah A WalkerMRC Clinical Trials Unit at UCL, London, UK.
David G LallooCentre for Snakebite Research and Interventions, Liverpool School of Tropical Medicine, Liverpool, UK.
Snakebite Global Core Outcome Set Study Group

Funding

Medical Research Council MC_UU_00004/05World Health Organization 001
6 · The paper itself

Abstract

Snakebite clinical trials have often used heterogeneous outcome measures and there is an urgent need for standardisation. A globally representative group of key stakeholders came together to reach consensus on a globally relevant set of core outcome measurements. Outcome domains and outcome measurement instruments were identified through searching the literature and a systematic review of snakebite clinical trials. Outcome domains were shortlisted by use of a questionnaire and consensus was reached among stakeholders and the patient group through facilitated discussions and voting. Five universal core outcome measures should be included in all future snakebite clinical trials-mortality, WHO disability assessment scale, patient-specific functional scale, acute allergic reaction by Brown criteria, and serum sickness by formal criteria. Additional syndrome-specific core outcome measures should be used depending on the biting species. This core outcome measurement set provides global standardisation, supports the priorities of patients and clinicians, enables meta-analysis, and is appropriate for use in low-income and middle-income settings.

Indexed as

Global HealthSnake BitesClinical Trials as TopicConsensusHumansOutcome Assessment, Health CareSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID36669810
PMCPMC7617674

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.