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A systematic review of outcome and outcome-measure reporting in randomised trials evaluating surgical interventions for anterior-compartment vaginal prolapse: a call to action to develop a core outcome set
Authors:Constantin M. Durnea  Vasilios Pergialiotis  James M. N. Duffy  Lina Bergstrom  Abdullatif Elfituri  Stergios K. Doumouchtsis  CHORUS   an International Collaboration for Harmonising Outcomes  Research  Standards in Urogynaecology  Women’s Health
Affiliation:1.Department of Obstetrics and Gynaecology,Epsom and St Helier University Hospitals NHS Trust,London,UK;2.Nortwick Park Hospital,London North West University Healthcare NHS Trust,London,UK;3.Laboratory of Experimental Surgery and Surgical Research N.S. Christeas,Athens University Medical School,Athens,Greece;4.Nuffield Department of Primary Care Health Sciences,University of Oxford,Oxford,UK;5.Balliol College,University of Oxford,Oxford,UK;6.St George’s University of London,London,UK
Abstract:

Introduction

We assessed outcome and outcome-measure reporting in randomised controlled trials evaluating surgical interventions for anterior-compartment vaginal prolapse and explored the relationships between outcome reporting quality with journal impact factor, year of publication, and methodological quality.

Methods

We searched the bibliographical databases from inception to October 2017. Two researchers independently selected studies and assessed study characteristics, methodological quality (Jadad criteria; range 1–5), and outcome reporting quality Management of Otitis Media with Effusion in Cleft Palate (MOMENT) criteria; range 1–6], and extracted relevant data. We used a multivariate linear regression to assess associations between outcome reporting quality and other variables.

Results

Eighty publications reporting data from 10,924 participants were included. Seventeen different surgical interventions were evaluated. One hundred different outcomes and 112 outcome measures were reported. Outcomes were inconsistently reported across trials; for example, 43 trials reported anatomical treatment success rates (12 outcome measures), 25 trials reported quality of life (15 outcome measures) and eight trials reported postoperative pain (seven outcome measures). Multivariate linear regression demonstrated a relationship between outcome reporting quality with methodological quality (β?=?0.412; P?=?0.018). No relationship was demonstrated between outcome reporting quality with impact factor (β?=?0.078; P?=?0.306), year of publication (β?=?0.149; P?=?0.295), study size (β?=?0.008; P?=?0.961) and commercial funding (β?=??0.013; P?=?0.918).

Conclusions

Anterior-compartment vaginal prolapse trials report many different outcomes and outcome measures and often neglect to report important safety outcomes. Developing, disseminating and implementing a core outcome set will help address these issues.
Keywords:
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