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A systematic review finds core outcome set uptake varies widely across different areas of health.

Authors
  • Hughes, Karen L1
  • Clarke, Mike2
  • Williamson, Paula R3
  • 1 MRC North West Hub for Trials Methodology Research, Department of Health Data Science, University of Liverpool, Block F Waterhouse Building, 1-5 Brownlow Street, Liverpool L69 3GL, United Kingdom. Electronic address: [email protected] , (United Kingdom)
  • 2 Centre for Public Health, Institute of Clinical Sciences, Block B, Queen's University Belfast, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, United Kingdom. , (United Kingdom)
  • 3 MRC North West Hub for Trials Methodology Research, Department of Health Data Science, University of Liverpool, Block F Waterhouse Building, 1-5 Brownlow Street, Liverpool L69 3GL, United Kingdom. , (United Kingdom)
Type
Published Article
Journal
Journal of clinical epidemiology
Publication Date
Sep 26, 2020
Volume
129
Pages
114–123
Identifiers
DOI: 10.1016/j.jclinepi.2020.09.029
PMID: 32987162
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of our review was to bring together studies that had assessed the uptake of core outcome sets (COS) to explore the level of uptake across different COS and areas of health. We examined the citations of 337 COS reports to identify studies that had assessed the uptake of a particular COS in randomized controlled trials (RCTs) or systematic reviews (SRs). We identified 24 studies that had assessed uptake in RCTs and two studies that had assessed uptake in SRs. The studies covered a total of 17/337 (5%) COS. Uptake rates reported for RCTs varied from 0% of RCTs (gout) to 82% RCTs (rheumatoid arthritis) measuring the full COS. Studies that assessed uptake of individual core outcomes showed a wide variation in uptake between the outcomes. Suggested barriers to uptake included lack of validated measures, lack of patient and other key stakeholder involvement in COS development, and lack of awareness of the COS. Few studies have been undertaken to assess the uptake of COS in RCTs and SRs. Further studies are needed to assess whether COS have been implemented across a wider range of disease categories and to explore the barriers and facilitators to COS uptake. Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

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