학술논문

Development of ‘Core Outcome Sets’ for Meningioma in Clinical Studies (The COSMIC Project): protocol for two systematic literature reviews, eDelphi surveys and online consensus meetings
Document Type
article
Author
Millward, Christopher PArmstrong, Terri SBarrington, HeatherBell, SabrinaBrodbelt, Andrew RBulbeck, HelenCrofton, AnnaDirven, LindaGeorgious, TheoGrundy, Paul LIslim, Abdurrahman IJavadpour, MohsenKeshwara, Sumirat MKoszdin, Shelli DMarson, Anthony GMcDermott, Michael WMeling, Torstein ROliver, KathyPlaha, PuneetPreusser, MatthiasSantarius, ThomasSrikandarajah, NisaharanTaphoorn, Martin JBTurner, CaroleWatts, ColinWeller, MichaelWilliamson, Paula RZadeh, GelarehNajafabadi, Amir H ZamanipoorJenkinson, Michael DAldape, KennethAu, KarolynBarnhartz-Sloan, JillBi, Wenya LindaBehling, FelixBrastianos, Priscilla KBrodie, ChayaButowski, NicholasCarlotti, CarlosCastro, AnaCohen-Gadol, AaronCouce, MartaCusimano, Michael DDiMeco, FrancescoDrummond, KatharineDunn, Ian FErker, CraigFelicella, MichelleFountain, Daniel MGalanis, EvanthiaGalldiks, NorbertGiannini, CaterinaGoldbrunner, RolandGriffith, BrentHashizume, RintaroHanemann, C OliverHerold-Mende, ChristelHnenny, LukeHorbinski, CraigHuang, Raymond YJames, DavidJungk, ChristineJungwirth, GerhardKaufmann, Timothy JKrischek, BorisKurz, SylviaLachance, DanielLafougère, ChristianLamszus, KatrinLee, IanLiu, Jeff CMakarenko, SergeMalta, TathianaMamatjan, YasinMansouri, AlirezaMawrin, ChristianMcDermott, MichaelMoliterno-Gunel, JenniferMorokoff, AndrewMunoz, DavidNassiri, FarshadNoushmehr, HoutanNg, Ho-KeungPerry, AriePirouzmand, FarhadPoisson, Laila MPollo, BiancaRagunathan, AdityaRaleigh, DavidRenovanz, MirjamRicklefs, FranzSahm, FelixSaladino, AndreaSantacroce, AntonioSchittenhelm, JensSchichor, Christian
Source
BMJ Open. 12(5)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Neurosciences
Brain Disorders
Clinical Research
Clinical Trials and Supportive Activities
Cancer
Consensus
Delphi Technique
Humans
Meningeal Neoplasms
Meningioma
Research Design
Systematic Reviews as Topic
Treatment Outcome
EORTC BTG
ICOM
EANO
SNO
RANO-PRO
BNOS
SBNS
BIMS
TBTC
International Brain Tumour Alliance
Brainstrust
and Brain Tumour Foundation of Canada
clinical trial
core outcome set
meningioma
Public Health and Health Services
Other Medical and Health Sciences
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
IntroductionMeningioma is the most common primary intracranial tumour in adults. The majority are non-malignant, but a proportion behave more aggressively. Incidental/minimally symptomatic meningioma are often managed by serial imaging. Symptomatic meningioma, those that threaten neurovascular structures, or demonstrate radiological growth, are usually resected as first-line management strategy. For patients in poor clinical condition, or with inoperable, residual or recurrent disease, radiotherapy is often used as primary or adjuvant treatment. Effective pharmacotherapy treatments do not currently exist. There is heterogeneity in the outcomes measured and reported in meningioma clinical studies. Two 'Core Outcome Sets' (COS) will be developed: (COSMIC: Intervention) for use in meningioma clinical effectiveness trials and (COSMIC: Observation) for use in clinical studies of incidental/untreated meningioma.Methods and analysisTwo systematic literature reviews and trial registry searches will identify outcomes measured and reported in published and ongoing (1) meningioma clinical effectiveness trials, and (2) clinical studies of incidental/untreated meningioma. Outcomes include those that are clinician reported, patient reported, caregiver reported and based on objective tests (eg, neurocognitive tests), as well as measures of progression and survival. Outcomes will be deduplicated and categorised to generate two long lists. The two long lists will be prioritised through two, two-round, international, modified eDelphi surveys including patients with meningioma, healthcare professionals, researchers and those in caring/supporting roles. The two final COS will be ratified through two 1-day online consensus meetings, with representation from all stakeholder groups.Ethics and disseminationInstitutional review board (University of Liverpool) approval was obtained for the conduct of this study. Participant eConsent will be obtained prior to participation in the eDelphi surveys and consensus meetings. The two systematic literature reviews and two final COS will be published and freely available.Trial registration numberCOMET study ID 1508.