Selecting Core Outcomes for Randomised Effectiveness trials in Type 2 diabetes (SCORE-IT): A patient and healthcare professional consensus on a core outcome set for type 2 diabetes

Objectives Heterogeneity in outcomes measured across trials of glucose-lowering interventions for people with type 2 diabetes impacts on the ability to compare findings and may mean that the results have little importance to healthcare professionals and the patients that they care for. The SCORE-IT study (Selecting Core Outcomes for Randomised Effectiveness trials In Type 2 diabetes) has addressed this issue by establishing consensus on the most important outcomes for non-surgical interventions for hyperglycemia in type 2 diabetes. Research design and methods A comprehensive list of outcomes was developed from registered clinical trials, online patient resources, qualitative literature and long-term studies in the field. This list was then scored in a two-round online Delphi survey completed by healthcare professionals, people with type 2 diabetes, researchers in the field and healthcare policymakers. The results of this online Delphi were discussed and ratified at a face-to-face consensus meeting. Results 173 people completed both rounds of the online survey (116 people with type 2 diabetes, 37 healthcare professionals, 14 researchers and 6 policymakers), 20 of these attended the consensus meeting (13 people with type 2 diabetes and 7 healthcare professionals). Consensus was reached on 18 core outcomes across five domains, which include outcomes related to diabetes care, quality of life and long-term diabetes-related complications. Conclusions Implementation of the core outcome set in future trials will ensure that outcomes of importance to all stakeholders are measured and reported, enhancing the relevance of trial findings and facilitating the comparison of results across trials. © © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.

Contributors

Harman, N. L. Wilding, J. P. H. Curry, D. Harris, J. Logue, J. John Pemberton, R. Perreault, L. Thompson, G. Tunis, S. Williamson, P. R.

Publication

Journal: BMJ Open Diabetes Research and Care
Volume: 7
Issue: 1
Pages: -
Year: 2019
DOI: 10. 1136/ bmjdrc- 2019- 000700

Further Study Information

Current Stage: Not Applicable
Date:
Funding source(s): European Union’s Horizon 2020 research and innovation program (CORBEL, under grant agreement no 654248).


Health Area

Disease Category: Endocrine & metabolic

Disease Name: Diabetes mellitus , Type 2 Diabetes

Target Population

Age Range: 18 - 120

Sex: Either

Nature of Intervention: Nonpharmacological

Stakeholders Involved

- Clinical experts
- Consumers (caregivers)
- Consumers (patients)
- Other
- Policy makers

Study Type

- COS for clinical trials or clinical research

Method(s)

- Consensus meeting
- Delphi process
- Systematic review

A comprehensive list of outcomes was developed from registered clinical trials, online patient resources, qualitative literature and long-term studies in the field. This list was then scored in a two-round online Delphi survey completed by healthcare professionals, people with type 2 diabetes, researchers in the field and healthcare policymakers. The results of this online Delphi were discussed and ratified at a face-to-face consensus meeting.