Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma

BJOG : an International Journal of Obstetrics and Gynaecology
V PergialiotisInternational Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women's Health (CHORUS)

Abstract

Selecting appropriate outcomes to reflect both beneficial and harmful effects is a critical step in designing childbirth trauma trials. To evaluate the outcomes and outcome measures reported in randomised controlled trials evaluating interventions for childbirth trauma. Randomised trials were identified by searching bibliographical databases including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and EMBASE. Randomised trials evaluating the efficacy and safety of different techniques in the management of perineal lacerations. Two researchers independently assessed studies for inclusion, evaluated methodological quality, and extracted the relevant data. Spearman's ρ correlation and multivariate linear regression analysis using the backward stepwise model were used for analysis. Forty-eight randomised trials, reporting data from 20 308 women, were included. Seventeen different interventions were evaluated. Included trials reported 77 different outcomes and 50 different outcome measures. Commonly reported outcomes included pain (34 trials; 70%), wound healing (20 trials; 42%), and anorectal dysfunction (16 trials, 33%). In the multivariate analysis, no relationship was demonstrated between the quality of o...Continue Reading

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Citations

Jan 18, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·Jmn DuffyUNKNOWN International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE) Qualitative Research Group
Aug 8, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F G SileoA Khalil
Jul 30, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·S K DoumouchtsisUNKNOWN CHORUS, An International Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women's Healt
Jul 31, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·Jmn DuffyUNKNOWN International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE)
Apr 14, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R TownsendA Khalil
Dec 10, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Thais R M LourençoUNKNOWN CHORUS: An International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women's Health
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Oct 24, 2018·International Urogynecology Journal·Constantin M DurneaUNKNOWN CHORUS, an International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women’s Health
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Apr 25, 2021·Women and Birth : Journal of the Australian College of Midwives·Karen Matvienko-Sikar, Caroline Homer
Jun 19, 2021·International Urogynecology Journal·Stergios K DoumouchtsisUNKNOWN CHORUS: An International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women’s Health
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Feb 4, 2022·International Urogynecology Journal·Jason G BunnK Joseph Hurt

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