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Development of an international Delphi survey to establish core outcome domains for trials in adults with glomerular disease

Authors :
Carter, Simon A.
Logeman, Charlotte
Howell, Martin
Cattran, Dan
Lightstone, Liz
Bagga, Arvind
Barbour, Sean J.
Barratt, Jonathan
Boletis, John
Caster, Dawn J.
Coppo, Rosanna
Fervenza, Fernando C.
Floege, Jürgen
Hladunewich, Michelle A.
Hogan, Jonathan J.
Kitching, A. Richard
Lafayette, Richard A.
Malvar, Ana
Radhakrishnan, Jai
Rovin, Brad H.
Scholes-Robertson, Nicole
Trimarchi, Hérnan
Zhang, Hong
Cho, Yeoungjee
Dunn, Louese
Gipson, Debbie S.
Liew, Adrian
Sautenet, Benedicte
Viecelli, Andrea K.
Harris, David
Johnson, David W.
Wang, Angela Yee-Moon
Teixeira-Pinto, Armando
Alexander, Stephen I.
Martin, Adam
Tong, Allison
Craig, Jonathan C.
Source :
Kidney International; 20210101, Issue: Preprints
Publication Year :
2021

Abstract

Outcomes relevant to treatment decision-making are inconsistently reported in trials involving glomerular disease. Here, we sought to establish a consensus-derived set of critically important outcomes designed to be reported in all future trials by using an online, international two-round Delphi survey in English. To develop this, patients with glomerular disease, caregivers and health professionals aged 18 years and older rated the importance of outcomes using a Likert scale and a Best-Worst scale. The absolute and relative importance was assessed and comments were analyzed thematically. Of 1198 participants who completed Round 1, 734 were patients/caregivers while 464 were health care professionals from 59 countries. Of 700 participants that completed Round 2, 412 were patients/caregivers and 288 were health care professionals. Need for dialysis or transplant, kidney function, death, cardiovascular disease, remission-relapse and life participation were the most important outcomes to patients/caregivers and health professionals. Patients/caregivers rated patient-reported outcomes higher while health care professionals rated hospitalization, death and remission/relapse higher. Four themes explained the reasons for their priorities: confronting death and compounded suffering, focusing on specific targets in glomerular disease, preserving meaning in life, and fostering self-management. Thus, consistent reporting of these critically important outcomes in all trials involving glomerular disease is hoped to improve patient-centered decision-making.

Details

Language :
English
ISSN :
00852538 and 15231755
Issue :
Preprints
Database :
Supplemental Index
Journal :
Kidney International
Publication Type :
Periodical
Accession number :
ejs56139744
Full Text :
https://doi.org/10.1016/j.kint.2021.04.027