Identifying a core set of outcome domains to measure in clinical trials for shoulder disorders:a modified Delphi study

Objective: To achieve consensus on the most important outcome domains to measure across all clinical trials for shoulder disorders. Methods: We performed an online modified Delphi study with an international, multidisciplinary and multistakeholder panel. A literature review and the OMERACT Filter 2.0 framework was used to generate a list of potential core domains, which were presented to patients, clinicians and researchers in two Delphi rounds. Participants were asked to judge the importance of each potential core domain and provide a rationale for their response. A core domain was defined a priori as a domain that at least 67% of participants considered core. Results: In both rounds, 335 individuals were invited to participate (268 clinicians/researchers and 67 patients); response rates were 27% (n=91) and 29% (n=96), respectively. From a list of 41 potential core domains, four domains met our criteria for inclusion: 'pain', 'physical functioning', 'global assessment of treatment success' and 'health-related quality of life'. Two additional domains, 'sleep functioning' and 'psychological functioning', met the criteria for inclusion by some, but not all stakeholder groups. There was consensus that 'number of deaths' was not a core domain, but insufficient agreement on whether or not several other domains, including 'range of motion' and 'muscle strength', were core domains. Conclusions: Based on international consensus from patients, clinicians and researchers, 'pain', 'physical functioning', 'global assessment of treatment success' and 'health-related quality of life' were considered core outcome domains for shoulder disorder trials. The value of several other domains needs further consideration

Outcome Reporting in Randomized Trials for Shoulder Disorders: Literature Review to Inform the Development of a Core Outcome Set

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141827/1/acr23254_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141827/2/acr23254.pd

Measures of Adult Shoulder Function

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163413/2/acr24230.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163413/1/acr24230_am.pd

Patients' experience of shoulder disorders

Objectives: To describe the experiences (including symptoms and perceived impacts on daily living) of people with a shoulder disorder. Methods: Systematic review of qualitative studies. We searched for eligible qualitative studies indexed in Ovid MEDLINE, Ovid Embase, CINAHL (EBSCO), SportDiscus (EBSCO) and Ovid PsycINFO up until November 2017. Two authors independently screened studies for inclusion, appraised their methodological quality using the Critical Appraisal Skills Programme checklist, used thematic synthesis methods to generate themes describing the experiences reported by participants and assessed the confidence in the findings using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence fro

Potentials for Mutually Beneficial Collaboration Between FIA Specialists and IEG-40 Pathologists and Geneticists Working on Fusiform Rust

The purpose of this article is to encourage development of an enduring mutually beneficial collaboration between data and information analysts in the US Forest Service’s “Enhanced Forest Inventory and Analysis (FIA) Program” and forest pathologists and geneticists in the information exchange group (IEG) titled “Genetics and Breeding of Southern Forest Trees.” The goal of this collaborative partnership is to take full advantage of the Forest Health Monitoring capabilities within the Enhanced FIA Program to provide up-to-date information on the incidence of fusiform rust on loblolly and slash pine stands in the Southern United States and to periodically report the status of the rust epidemic in this region. Our initial analysis of 2000–2011 FIA data demonstrates that careful analysis and interpretation of results from continuing FIA observations can provide valuable guidance for optimizing the performance of forest tree improvement programs in this region

Additional file 1: of Creation of a core outcome set for clinical trials of people with shoulder pain: a study protocol

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents. (DOC 121 kb

El artículo 18, inciso 3, del Código Procesal Penal: riesgos y posibilidades

<p>Más de quince años después, al producirse la paulatina aplicación del Código Procesal Penal a los distritos judiciales donde las rondas campesinas y las comunidades nativas y campesinas desarrollan sus prácticas de administración de justicia, se registran los primeros conflictos, debido a que, más bien, numerosos magistrados y fiscales se están rehusando a intervenir frente a delitos ocurridos en las comunidades, pese a las denuncias presentadas por la propia población.</p> <p>Análisis en detalle del artículo 149 de la Constitución para saber cuáles pueden ser las consecuencias concretas del nuevo Código Procesal Penal</p

Patients' experience of shoulder disorders: A systematic review of qualitative studies for the OMERACT Shoulder Core Domain Set

Objectives: To describe the experiences (including symptoms and perceived impacts on daily living) of people with a shoulder disorder. Methods: Systematic review of qualitative studies. We searched for eligible qualitative studies indexed in Ovid MEDLINE, Ovid Embase, CINAHL (EBSCO), SportDiscus (EBSCO) and Ovid PsycINFO up until November 2017. Two authors independently screened studies for inclusion, appraised their methodological quality using the Critical Appraisal Skills Programme checklist, used thematic synthesis methods to generate themes describing the experiences reported by participants and assessed the confidence in the findings using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative research (GRADE-CERQual) approach. Results: The inclusion criteria were met by eight studies, which included 133 participants (49 females and 84 males) with either rotator cuff disease, adhesive capsulitis, proximal humeral fracture, shoulder instability or unspecified shoulder pain. We generated seven themes to describe what people in the included studies reported experiencing: pain; physical function/activity limitations; participation restriction; sleep disruption; cognitive dysfunction; emotional distress; and other pathophysiological manifestations (other than pain). There were interactions between the themes, with particular experiences impacting on others (e.g. pain leading to reduced activities and sleep disruption). Following grading of the evidence, we considered it likely that most of the review findings were a reasonable representation of the experiences of people with shoulder disorders. Conclusion: Patients with shoulder disorders contend with considerable disruption to their life. The experiences described should be considered by researchers seeking to select the most appropriate outcomes to measure in clinical trials and other research studies in people with shoulder disorders

The OMERACT core domain set for clinical trials of shoulder disorders

Objective. To reach consensus on the core domains to be included in a core domain set for clinical trials of shoulder disorders using the Outcome Measures in Rheumatology (OMERACT) Filter 2.1 Core Domain Set process. Methods. At OMERACT 2018, the OMERACT Shoulder Working Group conducted a workshop that presented the OMERACT 2016 preliminary core domain set and its rationale based upon a systematic review of domains measured in shoulder trials and international Delphi sessions involving patients, clinicians, and researchers, as well as a new systematic review of qualitative studies on the experiences of people with shoulder disorders. After discussions in breakout groups, the OMERACT core domain set for clinical trials of shoulder disorders was presented for endorsement by OMERACT 2018 participants. Results. The qualitative review (n = 8) identified all domains included in the preliminary core set. An additional domain, cognitive dysfunction, was also identified, but confidence that this represents a core domain was very low. The core domain set that was endorsed by the OMERACT participants, with 71% agreement, includes 4 “mandatory” trial domains: pain, function, patient global — shoulder, and adverse events including death; and 4 “important but optional” domains: participation (recreation/work), sleep, emotional well-being, and condition-specific pathophysiological manifestations. Cognitive dysfunction was voted out of the core domain set. Conclusion. OMERACT 2018 delegates endorsed a core domain set for clinical trials of shoulder disorders. The next step includes identification of a core outcome measurement set that passes the OMERACT 2.1 Filter for measuring each domain