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Why creating standardized core outcome sets for chronic kidney disease will improve clinical practice

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Abstract
Chronic kidney disease (CKD) is common and is associated with increased mortality, morbidity and cost. However, insufficient high-quality trial data are available to answer many relevant clinical questions in this field. In addition, a wide range of variable outcomes are used in studies, and often they are incompletely reported. Furthermore, there is a lack of patient-relevant outcomes, such as mortality, morbidity, quality of life, pain, need for dialysis or costs. Common problems with outcome reporting are as follows: choosing the wrong domains to measure; within domains, choosing the wrong measures (invalid surrogates, composite, non-patient relevant); within measures, choosing the wrong/variablemetrics; and within metrics, choosing variable presentation methods. With this article, we aim to underline why standardized outcome reporting is key to achieving evidence-based guidance and improving clinical care for patients; highlight the frameworks available for achieving core outcome sets; and starting from these frameworks, we propose steps needed to develop a core outcome set in the field of CKD. We hope that standardized core outcome sets for nephrology will lead to the most important outcome of guideline production, improving outcomes for our patients.
Keywords
practice guidelines as topic, evidence-based medicine, RANDOMIZED CONTROLLED-TRIALS, PARATHYROID-HORMONE LEVELS, SECONDARY HYPERPARATHYROIDISM, HEMODIALYSIS, METAANALYSIS, DIALYSIS, NEPHROLOGY, MORTALITY, FAILURE, QUALITY

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Chicago
Nistor, Ionut, Davide Bolignano, Maria C Haller, Evi Nagler, Sabine N van der Veer, Kitty Jager, Adrian Covic, Angela Webster, and Wim Van Biesen. 2017. “Why Creating Standardized Core Outcome Sets for Chronic Kidney Disease Will Improve Clinical Practice.” Nephrology Dialysis Transplantation 32 (8): 1268–1273.
APA
Nistor, I., Bolignano, D., Haller, M. C., Nagler, E., van der Veer, S. N., Jager, K., Covic, A., et al. (2017). Why creating standardized core outcome sets for chronic kidney disease will improve clinical practice. NEPHROLOGY DIALYSIS TRANSPLANTATION, 32(8), 1268–1273.
Vancouver
1.
Nistor I, Bolignano D, Haller MC, Nagler E, van der Veer SN, Jager K, et al. Why creating standardized core outcome sets for chronic kidney disease will improve clinical practice. NEPHROLOGY DIALYSIS TRANSPLANTATION. 2017;32(8):1268–73.
MLA
Nistor, Ionut, Davide Bolignano, Maria C Haller, et al. “Why Creating Standardized Core Outcome Sets for Chronic Kidney Disease Will Improve Clinical Practice.” NEPHROLOGY DIALYSIS TRANSPLANTATION 32.8 (2017): 1268–1273. Print.
@article{7089874,
  abstract     = {Chronic kidney disease (CKD) is common and is associated with increased mortality, morbidity and cost. However, insufficient high-quality trial data are available to answer many relevant clinical questions in this field. In addition, a wide range of variable outcomes are used in studies, and often they are incompletely reported. Furthermore, there is a lack of patient-relevant outcomes, such as mortality, morbidity, quality of life, pain, need for dialysis or costs. Common problems with outcome reporting are as follows: choosing the wrong domains to measure; within domains, choosing the wrong measures (invalid surrogates, composite, non-patient relevant); within measures, choosing the wrong/variablemetrics; and within metrics, choosing variable presentation methods. With this article, we aim to underline why standardized outcome reporting is key to achieving evidence-based guidance and improving clinical care for patients; highlight the frameworks available for achieving core outcome sets; and starting from these frameworks, we propose steps needed to develop a core outcome set in the field of CKD. We hope that standardized core outcome sets for nephrology will lead to the most important outcome of guideline production, improving outcomes for our patients.},
  author       = {Nistor, Ionut and Bolignano, Davide and Haller, Maria C and Nagler, Evi and van der Veer, Sabine N and Jager, Kitty and Covic, Adrian and Webster, Angela and Van Biesen, Wim},
  issn         = {0931-0509},
  journal      = {NEPHROLOGY DIALYSIS TRANSPLANTATION},
  keyword      = {practice guidelines as topic,evidence-based medicine,RANDOMIZED CONTROLLED-TRIALS,PARATHYROID-HORMONE LEVELS,SECONDARY HYPERPARATHYROIDISM,HEMODIALYSIS,METAANALYSIS,DIALYSIS,NEPHROLOGY,MORTALITY,FAILURE,QUALITY},
  language     = {eng},
  number       = {8},
  pages        = {1268--1273},
  title        = {Why creating standardized core outcome sets for chronic kidney disease will improve clinical practice},
  url          = {http://dx.doi.org/10.1093/ndt/gfv365},
  volume       = {32},
  year         = {2017},
}

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