Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity.
Identifieur interne : 004C07 ( Ncbi/Merge ); précédent : 004C06; suivant : 004C08Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity.
Auteurs : T. Schaap [Pays-Bas] ; K. Bloemenkamp [Pays-Bas] ; C. Deneux-Tharaux [France] ; M. Knight [Royaume-Uni] ; J. Langhoff-Roos [Danemark] ; E. Sullivan [Australie] ; T. Van Den Akker [Royaume-Uni]Source :
- BJOG : an international journal of obstetrics and gynaecology [ 1471-0528 ] ; 2017.
Abstract
Develop a core outcome set of international consensus definitions for severe maternal morbidities.
DOI: 10.1111/1471-0528.14833
PubMed: 28755459
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Bloemenkamp</name><affiliation wicri:level="3"><nlm:affiliation>Department of Obstetrics, University Medical Centre Utrecht, Utrecht, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Obstetrics, University Medical Centre Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Deneux Tharaux, C" sort="Deneux Tharaux, C" uniqKey="Deneux Tharaux C" first="C" last="Deneux-Tharaux">C. Deneux-Tharaux</name><affiliation wicri:level="3"><nlm:affiliation>Obstetrical, Perinatal and Paediatric Epidemiology Research Team, Centre for Epidemiology and Statistics Sorbonne Paris Cité, Paris Descartes University, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Obstetrical, Perinatal and Paediatric Epidemiology Research Team, Centre for Epidemiology and Statistics Sorbonne Paris Cité, Paris Descartes University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Knight, M" sort="Knight, M" uniqKey="Knight M" first="M" last="Knight">M. Knight</name><affiliation wicri:level="4"><nlm:affiliation>National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Perinatal Epidemiology Unit, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Langhoff Roos, J" sort="Langhoff Roos, J" uniqKey="Langhoff Roos J" first="J" last="Langhoff-Roos">J. 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Van Den Akker</name><affiliation wicri:level="4"><nlm:affiliation>National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Perinatal Epidemiology Unit, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author></analytic><series><title level="j">BJOG : an international journal of obstetrics and gynaecology</title><idno type="eISSN">1471-0528</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Develop a core outcome set of international consensus definitions for severe maternal morbidities.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28755459</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>29</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1471-0528</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>29</Day></PubDate></JournalIssue><Title>BJOG : an international journal of obstetrics and gynaecology</Title><ISOAbbreviation>BJOG</ISOAbbreviation></Journal><ArticleTitle>Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/1471-0528.14833</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Develop a core outcome set of international consensus definitions for severe maternal morbidities.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Electronic Delphi study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">International.</AbstractText><AbstractText Label="POPULATION" NlmCategory="METHODS">Eight expert panels.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All 13 high-income countries represented in the International Network of Obstetric Surveillance Systems (INOSS) nominated five experts per condition of morbidity, who submitted possible definitions. From these suggestions, a steering committee distilled critical components: eclampsia: 23, amniotic fluid embolism: 15, pregnancy-related hysterectomy: 11, severe primary postpartum haemorrhage: 19, uterine rupture: 20, abnormally invasive placentation: 12, spontaneous haemoperitoneum in pregnancy: 16, and cardiac arrest in pregnancy: 10. These components were assessed by the expert panel using a 5-point Likert scale, following which a framework for an encompassing definition was constructed. Possible definitions were evaluated in rounds until a rate of agreement of more than 70% was reached. Expert commentaries were used in each round to improve definitions.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Definitions with a rate of agreement of more than 70%.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The invitation to participate in one or more of eight Delphi processes was accepted by 103 experts from 13 high-income countries. Consensus definitions were developed for all of the conditions.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Consensus definitions for eight morbidity conditions were successfully developed using the Delphi process. These should be used in national registrations and international studies, and should be taken up by the Core Outcomes in Women's and Newborn Health initiative.</AbstractText><AbstractText Label="TWEETABLE ABSTRACT" NlmCategory="UNASSIGNED">Consensus definitions for eight morbidity conditions were successfully developed using the Delphi process.</AbstractText><CopyrightInformation>© 2017 Royal College of Obstetricians and Gynaecologists.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schaap</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, University Medical Centre Utrecht, Utrecht, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bloemenkamp</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, University Medical Centre Utrecht, Utrecht, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deneux-Tharaux</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Obstetrical, Perinatal and Paediatric Epidemiology Research Team, Centre for Epidemiology and Statistics Sorbonne Paris Cité, Paris Descartes University, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Knight</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Langhoff-Roos</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sullivan</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Australian Centre for Public and Population Health Research Faculty of Health, University of Technology, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van den Akker</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Obstetrics, Leiden University Medical Centre, Leiden, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>INOSS</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BJOG</MedlineTA><NlmUniqueID>100935741</NlmUniqueID><ISSNLinking>1470-0328</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Abnormally invasive placentation</Keyword><Keyword MajorTopicYN="N">Delphi</Keyword><Keyword MajorTopicYN="N">amniotic fluid embolism</Keyword><Keyword MajorTopicYN="N">cardiac arrest in pregnancy</Keyword><Keyword MajorTopicYN="N">eclampsia</Keyword><Keyword MajorTopicYN="N">pregnancy-related hysterectomy</Keyword><Keyword MajorTopicYN="N">severe acute maternal morbidity</Keyword><Keyword MajorTopicYN="N">severe primary postpartum haemorrhage</Keyword><Keyword MajorTopicYN="N">spontaneous hemoperitoneum in pregnancy</Keyword><Keyword MajorTopicYN="N">uterine rupture</Keyword></KeywordList><InvestigatorList><Investigator 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