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Title: | Development of a core outcome set for physiotherapy trials in adults with bronchiectasis (the COS-PHyBE study): A Delphi study and consensus meeting | Authors: | Hamzeh, Hayat Kelly, Carol Lee, Annemarie L. Spinou, Arietta Marques, Alda Herrero-Cortina, Beatriz BURTIN, Chris Hall, Kathleen Spencer, Sally |
Issue Date: | 2024 | Publisher: | CELL PRESS | Source: | Heliyon (Londen), 10 (14) | Abstract: | Background: Physiotherapy is recommended for bronchiectasis management, but there is disparity in evidence supporting its use. This is partly because of inconsistency and poor reporting of outcomes in available studies. A Core Outcome Set (COS) may improve trial consistency and decrease reporting bias. This study aimed to develop a COS for physiotherapy clinical trials in adults with bronchiectasis. Methods: A comprehensive list of outcomes was developed using a systematic review and qualitative semi-structured interviews with patients with bronchiectasis and physiotherapists. An international two-round online Delphi survey was conducted. Outcomes scored 7-9 (crucial) by >= 70 % of participants and 1-3 (not that important) by <= 15 % of participants from each stakeholder in the Likert scale were nominated for inclusion in the COS. Nominated outcomes and those considered crucial by only one of the stakeholders' groups were further discussed and voted in an international consensus meeting. Results: A list of 137 outcomes was generated; 104 from literature and 33 from interviews. A Delphi survey containing 59 outcomes was completed by 171 participants from 20 countries. After the consensus meeting, representatives agreed on seven outcomes: health-related quality of life, respiratory symptoms, physical functioning, emotional and psychological functioning, fatigue, adherence to treatment, and functional exercise capacity. | Notes: | Hamzeh, H (corresponding author), Univ Leeds, Leeds Inst Med Res, Leeds, England. hamzeh.hayat@hotmail.com |
Keywords: | Bronchiectasis;Physiotherapy;Pulmonary rehabilitation;Core outcome set;Outcome assessment;Delphi method | Document URI: | http://hdl.handle.net/1942/44282 | e-ISSN: | 2405-8440 | DOI: | 10.1016/j.heliyon.2024.e34101 | ISI #: | 001298344700001 | Rights: | 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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Development of a core outcome set for physiotherapy .pdf | Published version | 565.59 kB | Adobe PDF | View/Open |
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