Evidence map›Paper›PMID 39208389›Full record

ArticlePLoS neglected tropical diseases2024

Development of a Core Outcome Measure Instrument; "LeishCOM_LCL", for Localised Cutaneous Leishmaniasis.

Shalindra Ranasinghe, Sujai Senarathne, Vijani Somaratne, Charles J N Lacey, Surangi Jayakody, Amila Wickramasinghe, Indira Kahawita, Hiro Goto, Mitali Chatterjee, José A L Lindoso and 6 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

16 authors.

Shalindra RanasingheDepartment of Parasitology, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.ORCID 0000-0002-8173-334X
Sujai SenarathneDepartment of Parasitology, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.
Vijani SomaratneDermatology Unit, District General Hospital, Embilipitiya, Sri Lanka.
Charles J N LaceyYork Biomedical Research Institute, Hull York Medical School, University of York, Heslington, York, United Kingdom.
Surangi JayakodyDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom.
Amila WickramasingheHarrogate and NHS District Foundation Trust, Harrogate, United Kingdom.
Indira KahawitaLeprosy clinic, National Hospital, Colombo, Sri Lanka.
Hiro GotoDepartment of Preventive Medicine, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazil.
Mitali ChatterjeeDepartment of Pharmacology, Instt of PG Med Education & Research 244B, Kolkata, India.
José A L LindosoInstitute of Infectology Emilio Ribas and Laboratory of Protozoology, Institute of Tropical Medicine (LIM 49 HC-FMUSP), Faculdade de Madicina, Universidade de São Paulo, Sao Paulo, Brazil.
Vivak ParkashYork Biomedical Research Institute, Hull York Medical School, University of York, Heslington, York, United Kingdom.
Surya J ChaudhuriDept. of Microbiology, Sarat Chandra Chattopadhyay Govt. Medical College & Hospital Uluberia, Howrah, West Bengal, India.
Renu WickremasingheDepartment of Parasitology, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.
Nilay K DasDepartment of Dermatology, College of Medicine and Sagore Dutta Hospital, Kamarhati, Kolkata, India.
Paul M KayeYork Biomedical Research Institute, Hull York Medical School, University of York, Heslington, York, United Kingdom.
Alison M LaytonYork Biomedical Research Institute, Hull York Medical School, University of York, Heslington, York, United Kingdom.

Funding

Medical Research Council MR/P024661/1
6 · The paper itself

Abstract

backgroundLocalized cutaneous leishmaniasis (LCL) is a chronic ulcerating disease. A literature review identified inconsistencies in clinical trials. The aims of this study were to reach a consensus on the most important domains to measure when assessing LCL, agree on parameters to measure the domains, and develop a tool representing a Core Outcome Set (COS), for use in clinical assessment of LCL. METHODOLOGY & PRINCIPAL

findingsA literature review was conducted to identify any existing COS for LCL embracing agreed Outcome Domains, i.e. what to measure and any Outcome Measurement Instruments (OMIs). As no COS was available, potential outcome domains for assessment of LCL were identified through an international collaborative approach using e-consultations and virtual discussions with expert stakeholders (n = 20) from geographically different LCL endemic countries. Subsequent judgmental validation process included a face-to-face multidisciplinary stakeholders' meeting adopting the Nominal Group Technique. A final consensual agreement on outcome domains and items required to measure these domains was established. "Clinical Cure" was defined as the ideal overall "General Concept". The five Core Outcome Domains included Signs capturing clinical morphology, diameter, and induration of an index lesion with the aid of a palpability score, Treatment Efficacy assessing percentage change in size of the lesion and re-epithelialization compared to baseline, Treatment Impact which included an investigator and patient visual analogue score, and Clinical Sequelae rating pigment change, atrophic and hypertrophic/keloid scars. It was agreed that two open-ended questions should be included to capture some aspects of Health-Related Quality of Life as a means of capturing a patient-focused approach.

conclusionLeishCOM_LCL was generated to reflect a COS for LCL. This captured demographic details, agreed outcome domains and measures to assess these domains. Validation of LeishCOM_LCL will be reported in a separate paper. Development of a Patient Reported Outcome Measure will be considered in the future.

Indexed as

Leishmaniasis, CutaneousHumansOutcome Assessment, Health CareTreatment Outcome

Identifiers

PMID39208389
PMCPMC11407661

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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.