A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE).

Davies, T W; Kelly, E; van Gassel, R J J; van de Poll, M C G; Gunst, J; Casaer, M P; Christopher, K B; Preiser, J C; Hill, A; Gundogan, K; Reintam-Blaser, A; Rousseau, Anne-Françoise; Hodgson, C; Needham, D M; Schaller, S J; McClelland, T; Pilkington, J J; Sevin, C M; Wischmeyer, P E; Lee, Z Y; Govil, D; Chapple, L; Denehy, L; Montejo-González, J C; Taylor, B; Bear, D E; Pearse, R M; McNelly, A; Prowle, J; Puthucheary, Z A

doi:10.1186/s13054-023-04729-7

Article (Scientific journals)

A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE).

Davies, T W; Kelly, E; van Gassel, R J J et al.

2023 • In Critical Care, 27 (1), p. 450

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/308991

DOI
10.1186/s13054-023-04729-7

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37986015

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Keywords :

(3–5) Clinimetric; Core outcome set; Critical illness; Nutrition; Critical Care and Intensive Care Medicine

Abstract :

[en] [en] BACKGROUND: CONCISE is an internationally agreed minimum set of outcomes for use in nutritional and metabolic clinical research in critically ill adults. Clinicians and researchers need to be aware of the clinimetric properties of these instruments and understand any limitations to ensure valid and reliable research. This systematic review and meta-analysis were undertaken to evaluate the clinimetric properties of the measurement instruments identified in CONCISE. METHODS: Four electronic databases were searched from inception to December 2022 (MEDLINE via Ovid, EMBASE via Ovid, CINAHL via Healthcare Databases Advanced Search, CENTRAL via Cochrane). Studies were included if they examined at least one clinimetric property of a CONCISE measurement instrument or recognised variation in adults ≥ 18 years with critical illness or recovering from critical illness in any language. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for systematic reviews of Patient-Reported Outcome Measures was used. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in line with COSMIN guidance. The COSMIN checklist was used to evaluate the risk of bias and the quality of clinimetric properties. Overall certainty of the evidence was rated using a modified Grading of Recommendations, Assessment, Development and Evaluation approach. Narrative synthesis was performed and where possible, meta-analysis was conducted. RESULTS: A total of 4316 studies were screened. Forty-seven were included in the review, reporting data for 12308 participants. The Short Form-36 Questionnaire (Physical Component Score and Physical Functioning), sit-to-stand test, 6-m walk test and Barthel Index had the strongest clinimetric properties and certainty of evidence. The Short Physical Performance Battery, Katz Index and handgrip strength had less favourable results. There was limited data for Lawson Instrumental Activities of Daily Living and the Global Leadership Initiative on Malnutrition criteria. The risk of bias ranged from inadequate to very good. The certainty of the evidence ranged from very low to high. CONCLUSIONS: Variable evidence exists to support the clinimetric properties of the CONCISE measurement instruments. We suggest using this review alongside CONCISE to guide outcome selection for future trials of nutrition and metabolic interventions in critical illness. TRIAL REGISTRATION: PROSPERO (CRD42023438187). Registered 21/06/2023.

Disciplines :

Anesthesia & intensive care
Human health sciences: Multidisciplinary, general & others

Author, co-author :

Davies, T W; Faculty of Medicine & Dentistry, Queen Mary University of London, London, EC1M 6BQ, UK. thomas.davies6@nhs.net ; Critical Care and Perioperative Medicine Research Group, Adult Critical Care Unit, Royal London Hospital, London, E1 1BB, UK. thomas.davies6@nhs.net

Kelly, E; Faculty of Medicine & Dentistry, Queen Mary University of London, London, EC1M 6BQ, UK ; Critical Care and Perioperative Medicine Research Group, Adult Critical Care Unit, Royal London Hospital, London, E1 1BB, UK

van Gassel, R J J; Department of Intensive Care Medicine, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, The Netherlands ; Department of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, The Netherlands

van de Poll, M C G; Department of Intensive Care Medicine, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, The Netherlands ; Department of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, The Netherlands

Gunst, J; Clinical Department and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, Herestraat 49, 3000, Louvain, Belgium

Casaer, M P; Clinical Department and Laboratory of Intensive Care Medicine, Department of Cellular and Molecular Medicine, KU Leuven, Herestraat 49, 3000, Louvain, Belgium

Christopher, K B; Division of Renal Medicine, Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA

Preiser, J C; Medical Direction, Erasme University Hospital, Universite Libre de Bruxelles, Brussels, Belgium

Hill, A; Department of Intensive Care Medicine, University Hospital RWTH, 52074, Aachen, Germany ; Department of Anesthesiology, University Hospital RWTH, 52074, Aachen, Germany

Gundogan, K; Division of Intensive Care Medicine, Department of Internal Medicine, Erciyes University School of Medicine, Kayseri, Turkey

More authors (20 more)

Language :

English

Title :

Publication date :

20 November 2023

Journal title :

Critical Care

ISSN :

1364-8535

eISSN :

1466-609X

Publisher :

Springer Science and Business Media LLC, England

Volume :

Issue :

Pages :

450

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://link.springer.com/content/pdf/10.1186/s13054-023-04729-7.pdf

Funders :

NIHR - National Institute for Health Research [GB]

Funding text :

This research received no external funding. Thomas Davies receives funding from the National Institute of Health Research (NIHR) Academic Clinical Fellowship Award Programme (Award Number: 2021–19-009). Eileen Kelly received full-time funding from the NIHR Pre-Doctoral Clinical Academic Fellowship Award Programme (Award Number: NIHR302695). National Institute of Health Research (NIHR) Academic Clinical Fellowship Award Programme,2021-19-009,National Institute of Health Research (NIHR) Pre-Doctoral Clinical Academic Fellowship Award Programme,NIHR302695

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