Development of a core outcome set for traumatic brachial plexus injury

Author:

Miller Caroline12ORCID,Cross Jane1,Power Dominic M.3,Jerosch-Herold Christina1,Moore Amy,Shaarani Andrea,Källströmer Anna,Alexander Anne,Hill Bridget,Farrell Carolyne,Wee Catherine,Dy Christopher,Larsen Dorthe Juul,Ng Chye Yew,Romer-Prieto Fernando Xavier,Reilly Fiona,Ivaldo Flavio Caesar,Bourke Grainne,Brown Hazel,Millkvist Helena,Kissow Helen,Holly Janet,Cullen Jaslyn,Sullivan Joel O,Groen Justus,Johnson Kathryn,Stihl Kerstin,Evertsson Linda,Kahn Lorna,Warner Lynsey,Harris Matthew,Zaccariotto Monise,Cardoso Mairciomarcio Mendonca,Madsen Monica Damholt,Pinner Paula Pino,Dekker Paul,Jordaan Pieter,Burke Philip,Bhardwaj Praveen,Wahlstrom Per,Payne Rebecca,Hurley Rhian,Wade Rickie,Hess Sally Anne,Rao Saood Ahmad,Brito Sara,Ewald Sarah,Taplin Sarah,Tan Simon,Dobbs Sophie,Sjerén Stina,Beale Suzanne,Oxley Suzanne,Cole Tanya,Hems Tim,Madura Tomas,Quick Tom,Pondaag Willem,

Affiliation:

1. School of Health Sciences, University of East Anglia, Norwich, UK

2. Therapy Services, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham Foundation Trust, Birmingham, UK

3. The Peripheral Nerve Injury Service, University Hospitals Birmingham Foundation Trust, Birmingham, UK

Abstract

The aim of the present study was to reach international consensus on the minimum set of outcomes to measure and report in adult traumatic brachial plexus injury care and research. This would facilitate comparison of outcomes from different centres and meta-analysis in research. A list of outcomes was developed from a systematic review ( n = 54) and patient interviews ( n = 12). The outcomes were rated in a three-round online Delphi survey completed by international surgeons, patients and therapists. Two online consensus meetings with patients and clinicians ratified the final core outcome set. A total of 72 people (20 surgeons, 21 patients, 31 therapists) from 19 countries completed all survey rounds. Thirty-eight people from nine countries attended separate patient ( n = 13) and clinician consensus ( n = 25) meetings. Outcomes were included if recommended by more than 85% of contributors. Pain, voluntary movement and carrying out a daily routine are the core outcome domains that should be assessed and reported when treating and researching adults with a traumatic brachial plexus injury. Level of evidence V

Publisher

SAGE Publications

Subject

Surgery

Reference25 articles.

1. Elbow flexion reconstruction with nerve transfer or grafting in patients with brachial plexus injuries: A systematic review and comparison study

2. Core information set for oesophageal cancer surgery

3. COMET. COMET Initiative | COMBINE -Core Outcome Measures in Brachial plexus INjuriEs, 2022a. https://www.comet-initiative.org/studies/details/1199 (accessed 18 April 2023).

4. COMET. COMET DelphiManager, 2022b. https://www.comet-initiative.org/delphimanager/ (accessed 18 April 2023).

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