Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study
Objective To develop core outcome sets (COS) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage (PPH), and recommendations on how to report the COS. Design A two‐round Delphi survey and face‐to‐face meeting. Population Healthcare professionals and wom...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2019-01, Vol.126 (1), p.83-93 |
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| creator | Meher, S Cuthbert, A Kirkham, JJ Williamson, P Abalos, E Aflaifel, N Bhutta, ZA Bishop, A Blum, J Collins, P Devane, D Ducloy‐Bouthors, A‐S Fawole, B Gülmezoglu, AM Gutteridge, K Gyte, G Homer, CSE Mallaiah, S Smith, JM Weeks, AD Alfirevic, Z |
| description | Objective
To develop core outcome sets (COS) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage (PPH), and recommendations on how to report the COS.
Design
A two‐round Delphi survey and face‐to‐face meeting.
Population
Healthcare professionals and women's representatives.
Methods
Outcomes were identified from systematic reviews of PPH studies and stakeholder consultation. Participants scored each outcome in the Delphi on a Likert scale between 1 (not important) and 9 (critically important). Results were discussed at the face‐to‐face meeting to agree the final COS. Consensus at the meeting was defined as ≥ 70% of participants scoring the outcome as critically important (7–9). Lectures, discussion and voting were used to agree how to report COS outcomes.
Main outcome measures
Outcomes from systematic reviews and consultations.
Results
Both Delphi rounds were completed by 152/205 (74%) participants for prevention and 143/197 (73%) for treatment. For prevention of PPH, nine core outcomes were selected: blood loss, shock, maternal death, use of additional uterotonics, blood transfusion, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. For treatment of PPH, 12 core outcomes were selected: blood loss, shock, coagulopathy, hysterectomy, organ dysfunction, maternal death, blood transfusion, use of additional haemostatic intervention, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. Recommendations were developed on how to report these outcomes where possible.
Conclusions
These COS will help standardise outcome reporting in PPH trials.
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Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.
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Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment. |
| doi_str_mv | 10.1111/1471-0528.15335 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2057443979</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2057443979</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4125-b3ec5b1284ef89e45f8304a9203d3338f70ffefa80b052d8533dc1b6b0c0939d3</originalsourceid><addsrcrecordid>eNqFkTlPxDAQhS0EYmGhpkOWaGgCPlmHDpZbSDRQW04yZrNK4mA7oP33eA8oaJjGo9E3T35vEDqi5IymOqdiQjMimTqjknO5hfZ-J9urnmSEMzVC-yHMCaEXjPBdNGJ5zkhO2R76mDoP2A2xdC3gADFg6zzuPXxCF2vXYdNVOHowsU0D7CzuXYi98XFo8cxA67yfmXe4TCCuuwi-M8s90-AbaPpZjUvXBejCEHCIQ7U4QDvWNAEON-8Yvd3dvk4fsueX-8fp1XNWCspkVnAoZUGZEmBVDkJaxYkw6d-84pwrOyHWgjWKFMltpZL9qqTFRUFKkvO84mN0utbtvfsYIETd1qGEpjEduCFoRuRECJ5P8oSe_EHnbkg-mkRRKYQShKtEna-p0rsQPFjd-7o1fqEp0ctr6GX2epm9Xl0jbRxvdIeiheqX_4k_AXINfNUNLP7T09dPL2vhb9zHlO4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2154484038</pqid></control><display><type>article</type><title>Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Meher, S ; Cuthbert, A ; Kirkham, JJ ; Williamson, P ; Abalos, E ; Aflaifel, N ; Bhutta, ZA ; Bishop, A ; Blum, J ; Collins, P ; Devane, D ; Ducloy‐Bouthors, A‐S ; Fawole, B ; Gülmezoglu, AM ; Gutteridge, K ; Gyte, G ; Homer, CSE ; Mallaiah, S ; Smith, JM ; Weeks, AD ; Alfirevic, Z</creator><creatorcontrib>Meher, S ; Cuthbert, A ; Kirkham, JJ ; Williamson, P ; Abalos, E ; Aflaifel, N ; Bhutta, ZA ; Bishop, A ; Blum, J ; Collins, P ; Devane, D ; Ducloy‐Bouthors, A‐S ; Fawole, B ; Gülmezoglu, AM ; Gutteridge, K ; Gyte, G ; Homer, CSE ; Mallaiah, S ; Smith, JM ; Weeks, AD ; Alfirevic, Z</creatorcontrib><description>Objective
To develop core outcome sets (COS) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage (PPH), and recommendations on how to report the COS.
Design
A two‐round Delphi survey and face‐to‐face meeting.
Population
Healthcare professionals and women's representatives.
Methods
Outcomes were identified from systematic reviews of PPH studies and stakeholder consultation. Participants scored each outcome in the Delphi on a Likert scale between 1 (not important) and 9 (critically important). Results were discussed at the face‐to‐face meeting to agree the final COS. Consensus at the meeting was defined as ≥ 70% of participants scoring the outcome as critically important (7–9). Lectures, discussion and voting were used to agree how to report COS outcomes.
Main outcome measures
Outcomes from systematic reviews and consultations.
Results
Both Delphi rounds were completed by 152/205 (74%) participants for prevention and 143/197 (73%) for treatment. For prevention of PPH, nine core outcomes were selected: blood loss, shock, maternal death, use of additional uterotonics, blood transfusion, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. For treatment of PPH, 12 core outcomes were selected: blood loss, shock, coagulopathy, hysterectomy, organ dysfunction, maternal death, blood transfusion, use of additional haemostatic intervention, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. Recommendations were developed on how to report these outcomes where possible.
Conclusions
These COS will help standardise outcome reporting in PPH trials.
Tweetable
Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.
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Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.15335</identifier><identifier>PMID: 29920912</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Blood transfusion ; Blood transfusions ; Breast feeding ; Breastfeeding & lactation ; Consensus ; Core outcomes ; Delphi ; Delphi Technique ; Female ; Hemorrhage ; Humans ; Hysterectomy ; International Cooperation ; Intervention ; Maternal mortality ; Outcome Assessment, Health Care ; Patient Satisfaction ; Postpartum ; postpartum haemorrhage ; Postpartum Hemorrhage - prevention & control ; Postpartum Hemorrhage - therapy ; Pregnancy ; Prevention ; Side effects ; Women</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2019-01, Vol.126 (1), p.83-93</ispartof><rights>2018 Royal College of Obstetricians and Gynaecologists</rights><rights>2018 Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2019 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4125-b3ec5b1284ef89e45f8304a9203d3338f70ffefa80b052d8533dc1b6b0c0939d3</citedby><cites>FETCH-LOGICAL-c4125-b3ec5b1284ef89e45f8304a9203d3338f70ffefa80b052d8533dc1b6b0c0939d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.15335$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.15335$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29920912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meher, S</creatorcontrib><creatorcontrib>Cuthbert, A</creatorcontrib><creatorcontrib>Kirkham, JJ</creatorcontrib><creatorcontrib>Williamson, P</creatorcontrib><creatorcontrib>Abalos, E</creatorcontrib><creatorcontrib>Aflaifel, N</creatorcontrib><creatorcontrib>Bhutta, ZA</creatorcontrib><creatorcontrib>Bishop, A</creatorcontrib><creatorcontrib>Blum, J</creatorcontrib><creatorcontrib>Collins, P</creatorcontrib><creatorcontrib>Devane, D</creatorcontrib><creatorcontrib>Ducloy‐Bouthors, A‐S</creatorcontrib><creatorcontrib>Fawole, B</creatorcontrib><creatorcontrib>Gülmezoglu, AM</creatorcontrib><creatorcontrib>Gutteridge, K</creatorcontrib><creatorcontrib>Gyte, G</creatorcontrib><creatorcontrib>Homer, CSE</creatorcontrib><creatorcontrib>Mallaiah, S</creatorcontrib><creatorcontrib>Smith, JM</creatorcontrib><creatorcontrib>Weeks, AD</creatorcontrib><creatorcontrib>Alfirevic, Z</creatorcontrib><title>Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To develop core outcome sets (COS) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage (PPH), and recommendations on how to report the COS.
Design
A two‐round Delphi survey and face‐to‐face meeting.
Population
Healthcare professionals and women's representatives.
Methods
Outcomes were identified from systematic reviews of PPH studies and stakeholder consultation. Participants scored each outcome in the Delphi on a Likert scale between 1 (not important) and 9 (critically important). Results were discussed at the face‐to‐face meeting to agree the final COS. Consensus at the meeting was defined as ≥ 70% of participants scoring the outcome as critically important (7–9). Lectures, discussion and voting were used to agree how to report COS outcomes.
Main outcome measures
Outcomes from systematic reviews and consultations.
Results
Both Delphi rounds were completed by 152/205 (74%) participants for prevention and 143/197 (73%) for treatment. For prevention of PPH, nine core outcomes were selected: blood loss, shock, maternal death, use of additional uterotonics, blood transfusion, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. For treatment of PPH, 12 core outcomes were selected: blood loss, shock, coagulopathy, hysterectomy, organ dysfunction, maternal death, blood transfusion, use of additional haemostatic intervention, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. Recommendations were developed on how to report these outcomes where possible.
Conclusions
These COS will help standardise outcome reporting in PPH trials.
Tweetable
Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.
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Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.</description><subject>Blood transfusion</subject><subject>Blood transfusions</subject><subject>Breast feeding</subject><subject>Breastfeeding & lactation</subject><subject>Consensus</subject><subject>Core outcomes</subject><subject>Delphi</subject><subject>Delphi Technique</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>International Cooperation</subject><subject>Intervention</subject><subject>Maternal mortality</subject><subject>Outcome Assessment, Health Care</subject><subject>Patient Satisfaction</subject><subject>Postpartum</subject><subject>postpartum haemorrhage</subject><subject>Postpartum Hemorrhage - prevention & control</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Side effects</subject><subject>Women</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTlPxDAQhS0EYmGhpkOWaGgCPlmHDpZbSDRQW04yZrNK4mA7oP33eA8oaJjGo9E3T35vEDqi5IymOqdiQjMimTqjknO5hfZ-J9urnmSEMzVC-yHMCaEXjPBdNGJ5zkhO2R76mDoP2A2xdC3gADFg6zzuPXxCF2vXYdNVOHowsU0D7CzuXYi98XFo8cxA67yfmXe4TCCuuwi-M8s90-AbaPpZjUvXBejCEHCIQ7U4QDvWNAEON-8Yvd3dvk4fsueX-8fp1XNWCspkVnAoZUGZEmBVDkJaxYkw6d-84pwrOyHWgjWKFMltpZL9qqTFRUFKkvO84mN0utbtvfsYIETd1qGEpjEduCFoRuRECJ5P8oSe_EHnbkg-mkRRKYQShKtEna-p0rsQPFjd-7o1fqEp0ctr6GX2epm9Xl0jbRxvdIeiheqX_4k_AXINfNUNLP7T09dPL2vhb9zHlO4</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Meher, S</creator><creator>Cuthbert, A</creator><creator>Kirkham, JJ</creator><creator>Williamson, P</creator><creator>Abalos, E</creator><creator>Aflaifel, N</creator><creator>Bhutta, ZA</creator><creator>Bishop, A</creator><creator>Blum, J</creator><creator>Collins, P</creator><creator>Devane, D</creator><creator>Ducloy‐Bouthors, A‐S</creator><creator>Fawole, B</creator><creator>Gülmezoglu, AM</creator><creator>Gutteridge, K</creator><creator>Gyte, G</creator><creator>Homer, CSE</creator><creator>Mallaiah, S</creator><creator>Smith, JM</creator><creator>Weeks, AD</creator><creator>Alfirevic, Z</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study</title><author>Meher, S ; Cuthbert, A ; Kirkham, JJ ; Williamson, P ; Abalos, E ; Aflaifel, N ; Bhutta, ZA ; Bishop, A ; Blum, J ; Collins, P ; Devane, D ; Ducloy‐Bouthors, A‐S ; Fawole, B ; Gülmezoglu, AM ; Gutteridge, K ; Gyte, G ; Homer, CSE ; Mallaiah, S ; Smith, JM ; Weeks, AD ; Alfirevic, Z</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4125-b3ec5b1284ef89e45f8304a9203d3338f70ffefa80b052d8533dc1b6b0c0939d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Blood transfusion</topic><topic>Blood transfusions</topic><topic>Breast feeding</topic><topic>Breastfeeding & lactation</topic><topic>Consensus</topic><topic>Core outcomes</topic><topic>Delphi</topic><topic>Delphi Technique</topic><topic>Female</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>International Cooperation</topic><topic>Intervention</topic><topic>Maternal mortality</topic><topic>Outcome Assessment, Health Care</topic><topic>Patient Satisfaction</topic><topic>Postpartum</topic><topic>postpartum haemorrhage</topic><topic>Postpartum Hemorrhage - prevention & control</topic><topic>Postpartum Hemorrhage - therapy</topic><topic>Pregnancy</topic><topic>Prevention</topic><topic>Side effects</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meher, S</creatorcontrib><creatorcontrib>Cuthbert, A</creatorcontrib><creatorcontrib>Kirkham, JJ</creatorcontrib><creatorcontrib>Williamson, P</creatorcontrib><creatorcontrib>Abalos, E</creatorcontrib><creatorcontrib>Aflaifel, N</creatorcontrib><creatorcontrib>Bhutta, ZA</creatorcontrib><creatorcontrib>Bishop, A</creatorcontrib><creatorcontrib>Blum, J</creatorcontrib><creatorcontrib>Collins, P</creatorcontrib><creatorcontrib>Devane, D</creatorcontrib><creatorcontrib>Ducloy‐Bouthors, A‐S</creatorcontrib><creatorcontrib>Fawole, B</creatorcontrib><creatorcontrib>Gülmezoglu, AM</creatorcontrib><creatorcontrib>Gutteridge, K</creatorcontrib><creatorcontrib>Gyte, G</creatorcontrib><creatorcontrib>Homer, CSE</creatorcontrib><creatorcontrib>Mallaiah, S</creatorcontrib><creatorcontrib>Smith, JM</creatorcontrib><creatorcontrib>Weeks, AD</creatorcontrib><creatorcontrib>Alfirevic, Z</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meher, S</au><au>Cuthbert, A</au><au>Kirkham, JJ</au><au>Williamson, P</au><au>Abalos, E</au><au>Aflaifel, N</au><au>Bhutta, ZA</au><au>Bishop, A</au><au>Blum, J</au><au>Collins, P</au><au>Devane, D</au><au>Ducloy‐Bouthors, A‐S</au><au>Fawole, B</au><au>Gülmezoglu, AM</au><au>Gutteridge, K</au><au>Gyte, G</au><au>Homer, CSE</au><au>Mallaiah, S</au><au>Smith, JM</au><au>Weeks, AD</au><au>Alfirevic, Z</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2019-01</date><risdate>2019</risdate><volume>126</volume><issue>1</issue><spage>83</spage><epage>93</epage><pages>83-93</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
To develop core outcome sets (COS) for studies evaluating interventions for (1) prevention and (2) treatment of postpartum haemorrhage (PPH), and recommendations on how to report the COS.
Design
A two‐round Delphi survey and face‐to‐face meeting.
Population
Healthcare professionals and women's representatives.
Methods
Outcomes were identified from systematic reviews of PPH studies and stakeholder consultation. Participants scored each outcome in the Delphi on a Likert scale between 1 (not important) and 9 (critically important). Results were discussed at the face‐to‐face meeting to agree the final COS. Consensus at the meeting was defined as ≥ 70% of participants scoring the outcome as critically important (7–9). Lectures, discussion and voting were used to agree how to report COS outcomes.
Main outcome measures
Outcomes from systematic reviews and consultations.
Results
Both Delphi rounds were completed by 152/205 (74%) participants for prevention and 143/197 (73%) for treatment. For prevention of PPH, nine core outcomes were selected: blood loss, shock, maternal death, use of additional uterotonics, blood transfusion, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. For treatment of PPH, 12 core outcomes were selected: blood loss, shock, coagulopathy, hysterectomy, organ dysfunction, maternal death, blood transfusion, use of additional haemostatic intervention, transfer for higher level of care, women's sense of wellbeing, acceptability and satisfaction with the intervention, breastfeeding, and adverse effects. Recommendations were developed on how to report these outcomes where possible.
Conclusions
These COS will help standardise outcome reporting in PPH trials.
Tweetable
Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.
Tweetable
Core outcome sets for PPH: nine core outcomes for PPH prevention and 12 core outcomes for PPH treatment.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29920912</pmid><doi>10.1111/1471-0528.15335</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2019-01, Vol.126 (1), p.83-93 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2057443979 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Blood transfusion Blood transfusions Breast feeding Breastfeeding & lactation Consensus Core outcomes Delphi Delphi Technique Female Hemorrhage Humans Hysterectomy International Cooperation Intervention Maternal mortality Outcome Assessment, Health Care Patient Satisfaction Postpartum postpartum haemorrhage Postpartum Hemorrhage - prevention & control Postpartum Hemorrhage - therapy Pregnancy Prevention Side effects Women |
| title | Core outcome sets for prevention and treatment of postpartum haemorrhage: an international Delphi consensus study |
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