Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence

Jonathan Mathers; Naiem Moiemen; Amy Bamford; Fay Gardiner; Joanne Tarver

doi:10.1093/burnst/tkaa030

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Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence

更新时间：2022-06-09

- Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence
- Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence
- Burns & Trauma 2020年8卷第1期
- 作者机构：
  
  1. Institute of Applied Health Research, University of Birmingham
  2. The Scar Free Foundation Centre for Burns Research
  3. University Hospitals Birmingham NHS Foundation Trust
  4. School of Life & Health Sciences, Aston University
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkaa030
  中图分类号：
- 纸质出版日期：2020，
  
  网络出版日期：2020-11-1，
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Jonathan Mathers, Naiem Moiemen, Amy Bamford, 等. Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence[J]. Burns & Trauma, 2020,8(1).

Jonathan Mathers, Naiem Moiemen, Amy Bamford, Fay Gardiner, Joanne Tarver, Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence, Burns & Trauma, Volume 8, 2020, tkaa030, https://doi.org/10.1093/burnst/tkaa030
Jonathan Mathers, Naiem Moiemen, Amy Bamford, 等. Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence[J]. Burns & Trauma, 2020,8(1). DOI： 10.1093/burnst/tkaa030.

Jonathan Mathers, Naiem Moiemen, Amy Bamford, Fay Gardiner, Joanne Tarver, Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence, Burns & Trauma, Volume 8, 2020, tkaa030, https://doi.org/10.1093/burnst/tkaa030 DOI：

摘要

Abstract

BackgroundThere have been several attempts to define core outcome domains for use in research focused on adult burns. Some have been based in expert opinion

whilst others have used primary qualitative research to understand patients’ perspectives on outcomes. To date there has not been a systematic review of qualitative research in burns to identify a comprehensive list of patient-centred outcome domains. We therefore conducted a systematic review of qualitative research studies in adult burns.MethodsWe searched multiple databases for English-language

peer-reviewed

qualitative research papers. We used search strategies devised using the SPIDER tool for qualitative synthesis. Our review utilized an iterative three-step approach: (1) outcome-focused coding; (2) development of descriptive accounts of outcome-relevant issues; and (3) revisiting studies and the broader theoretical literature in order to frame the review findings.ResultsForty-one articles were included. We categorized papers according to their primary focus. The category with the most papers was adaptation to life following burn injury (n = 13). We defined 19 outcome domains across the 41 articles: (1) sense of self; (2) emotional and psychological morbidity; (3) sensory; (4) scarring and scar characteristics; (5) impact on relationships; (6) mobility and range of joint motion; (7) work; (8) activities of daily living and self-care; (9) treatment burden; (10) engagement in activities; (11) wound healing and infection; (12) other physical manifestations; (13) financial impact; (14) impact on spouses and family members; (15) analgesia and side effects; (16) cognitive skills; (17) length of hospital stay; (18) access to healthcare; and (19) speech and communication. We suggest that sense of self is a core concern for patients that

to date

has not been clearly conceptualized in the burns outcome domain literature.ConclusionsThis outcome domain framework identifies domains that are not covered in previous attempts to outline core outcome domains for adult burn research. It does so with reference to existing theoretical perspectives from the sociology and psychology of medicine. We propose that this framework can be used as a basis to ensure that outcome assessment is patient-centred. Sense of self requires further consideration as a core outcome domain.

关键词

Keywords

Outcome domainsAdult burnsQualitative researchSystematic review

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