Skip to main content
Top
Published in: Trials 1/2024

Open Access 01-12-2024 | Lung Cancer | Study protocol

Study protocol: a core outcome set for perioperative exercise clinical effectiveness trials for lung cancer patients

Authors: Wanjun Zhou, Yawen Zhang, Zhiwei Wang, Liang Zhang, Xinqiong Zhang

Published in: Trials | Issue 1/2024

Login to get access

Abstract

Background

Outcome assessment in perioperative exercise trials for lung cancer is heterogeneous, often omitting those that are important and patient-relevant. This heterogeneity hinders the synthesis of evidence. To address this issue, a core outcome set, an agreed-upon standardized set of outcomes to be measured and reported, is required to reduce heterogeneity among outcome measurements. This study protocol describes the methodology, aiming to develop a core outcome set for perioperative exercise intervention trials for lung cancer in clinical practice.

Methods

The project will follow the standard methodology recommended by the Core Outcome Measures in Effectiveness Trials (COMET) initiative, which is divided into four steps. Stage I: Conducting a scoping review of outcomes reported in clinical trials and protocols to develop a list of potential outcome domains. Stage II: Conducting semi-structured interviews to obtain important outcomes for patients. Stage III: Choosing the most important outcomes by conducting two rounds of the Delphi exercise. Stage IV: Achieving a consensus in a face-to-face meeting to discuss the final core outcome set.

Discussion

This is the first project identified for the core outcome set of perioperative exercise trials in lung cancer, which will enhance the quality, comparability, and usability of future trials and positively impact perioperative exercise and the care of patients with lung cancer.

Trials registration

Core Outcome Measurement in Effectiveness Trials (COMET) Initiative database registration: https://​www.​comet-initiative.​org/​Studies/​Details/​2091
Appendix
Available only for authorised users
Literature
1.
go back to reference Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA-Cancer J Clin. 2021;71(3):209–49.CrossRefPubMed Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA-Cancer J Clin. 2021;71(3):209–49.CrossRefPubMed
2.
go back to reference Mazzella A, Olland A, Garelli E, Renaud S, Reeb J, Santelmo N, et al. Video-assisted thoracoscopic surgery is a safe option for benign lung diseases requiring lobectomy. Surge Endosc. 2017;31(3):1250–6.CrossRef Mazzella A, Olland A, Garelli E, Renaud S, Reeb J, Santelmo N, et al. Video-assisted thoracoscopic surgery is a safe option for benign lung diseases requiring lobectomy. Surge Endosc. 2017;31(3):1250–6.CrossRef
3.
go back to reference Granger C, Cavalheri V. Preoperative exercise training for people with non-small cell lung cancer. Cochrane Database Syst. 2022;9(9):CD12020. Granger C, Cavalheri V. Preoperative exercise training for people with non-small cell lung cancer. Cochrane Database Syst. 2022;9(9):CD12020.
4.
go back to reference Zhou W, Woo S, Larson JL. Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews. J Clin Nurs. 2020;29(23–24):4482–504.CrossRefPubMed Zhou W, Woo S, Larson JL. Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews. J Clin Nurs. 2020;29(23–24):4482–504.CrossRefPubMed
5.
go back to reference Rosero ID, Ramírez-Vélez R, Lucia A, Martínez-Velilla N, Santos-Lozano A, Valenzuela PL, et al. Systematic review and meta-analysis of randomized, controlled trials on preoperative physical exercise interventions in patients with non-small-cell lung cancer. Cancers. 2019;11(7):944.CrossRefPubMedPubMedCentral Rosero ID, Ramírez-Vélez R, Lucia A, Martínez-Velilla N, Santos-Lozano A, Valenzuela PL, et al. Systematic review and meta-analysis of randomized, controlled trials on preoperative physical exercise interventions in patients with non-small-cell lung cancer. Cancers. 2019;11(7):944.CrossRefPubMedPubMedCentral
6.
go back to reference Cavalheri V, Burtin C, Formico VR, Nonoyama ML, Jenkins S, Spruit MA, et al. Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer. Cochrane Database Syst Rev. 2019;6(6):CD9955. Cavalheri V, Burtin C, Formico VR, Nonoyama ML, Jenkins S, Spruit MA, et al. Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer. Cochrane Database Syst Rev. 2019;6(6):CD9955.
7.
8.
go back to reference Cavalheri V, Granger CL. Exercise training as part of lung cancer therapy. Respirology. 2020;25(Suppl 2):80–7.CrossRefPubMed Cavalheri V, Granger CL. Exercise training as part of lung cancer therapy. Respirology. 2020;25(Suppl 2):80–7.CrossRefPubMed
9.
go back to reference Collins R, Bowman L, Landray M, Peto R. The Magic of Randomization versus the Myth of Real-World Evidence. N Engl J Med. 2020;382(7):674–8.CrossRefPubMed Collins R, Bowman L, Landray M, Peto R. The Magic of Randomization versus the Myth of Real-World Evidence. N Engl J Med. 2020;382(7):674–8.CrossRefPubMed
10.
go back to reference Mathioudakis AG, Abroug F, Agusti A, Ananth S, Bakke P, Bartziokas K, et al. ERS statement: a core outcome set for clinical trials evaluating the management of COPD exacerbations. Eur Respir J. 2022;59(5):2102006. Mathioudakis AG, Abroug F, Agusti A, Ananth S, Bakke P, Bartziokas K, et al. ERS statement: a core outcome set for clinical trials evaluating the management of COPD exacerbations. Eur Respir J. 2022;59(5):2102006.
11.
go back to reference Gravier FE, Smondack P, Prieur G, Medrinal C, Combret Y, Muir JF, et al. Effects of exercise training in people with non-small cell lung cancer before lung resection: a systematic review and meta-analysis. Thorax. 2022;77(5):486–96.CrossRefPubMed Gravier FE, Smondack P, Prieur G, Medrinal C, Combret Y, Muir JF, et al. Effects of exercise training in people with non-small cell lung cancer before lung resection: a systematic review and meta-analysis. Thorax. 2022;77(5):486–96.CrossRefPubMed
12.
go back to reference Rosano G. Clinical Trial Design, Endpoints, and Regulatory Requirements. Handb Exp Pharmacol. 2017;243:67–78.CrossRefPubMed Rosano G. Clinical Trial Design, Endpoints, and Regulatory Requirements. Handb Exp Pharmacol. 2017;243:67–78.CrossRefPubMed
13.
go back to reference Gargon E, Gorst SL, Matvienko-Sikar K, Williamson PR. Choosing important health outcomes for comparative effectiveness research: 6th annual update to a systematic review of core outcome sets for research. PLoS ONE. 2021;16(1):e244878.CrossRef Gargon E, Gorst SL, Matvienko-Sikar K, Williamson PR. Choosing important health outcomes for comparative effectiveness research: 6th annual update to a systematic review of core outcome sets for research. PLoS ONE. 2021;16(1):e244878.CrossRef
14.
15.
go back to reference Edbrooke L, Granger CL, Francis JJ, John T, Kaadan N, Halloran E, et al. Rehabilitation outcomes for people with lung cancer (UNITE): protocol for the development of a core outcome set. BMJ Open Respir Res. 2023;10(1):e001571. Edbrooke L, Granger CL, Francis JJ, John T, Kaadan N, Halloran E, et al. Rehabilitation outcomes for people with lung cancer (UNITE): protocol for the development of a core outcome set. BMJ Open Respir Res. 2023;10(1):e001571.
16.
go back to reference Kirkham JJ, Gorst S, Altman DG, Blazeby JM, Clarke M, Tunis S, et al. Core Outcome Set-STAndardised Protocol Items: the COS-STAP Statement. Trials. 2019;20(1):116.CrossRefPubMedPubMedCentral Kirkham JJ, Gorst S, Altman DG, Blazeby JM, Clarke M, Tunis S, et al. Core Outcome Set-STAndardised Protocol Items: the COS-STAP Statement. Trials. 2019;20(1):116.CrossRefPubMedPubMedCentral
17.
go back to reference Kirkham JJ, Davis K, Altman DG, Blazeby JM, Clarke M, Tunis S, et al. Core Outcome Set-STAndards for Development: The COS-STAD recommendations. Plos Med. 2017;14(11):e1002447.CrossRefPubMedPubMedCentral Kirkham JJ, Davis K, Altman DG, Blazeby JM, Clarke M, Tunis S, et al. Core Outcome Set-STAndards for Development: The COS-STAD recommendations. Plos Med. 2017;14(11):e1002447.CrossRefPubMedPubMedCentral
18.
go back to reference Kirkham JJ, Gorst S, Altman DG, Blazeby JM, Clarke M, Devane D, et al. Core Outcome Set–STAndards for Reporting: The COS-STAR Statement. Plos Med. 2016;13(10):e1002148.CrossRefPubMedPubMedCentral Kirkham JJ, Gorst S, Altman DG, Blazeby JM, Clarke M, Devane D, et al. Core Outcome Set–STAndards for Reporting: The COS-STAR Statement. Plos Med. 2016;13(10):e1002148.CrossRefPubMedPubMedCentral
19.
go back to reference Munblit D, Nicholson T, Akrami A, Apfelbacher C, Chen J, De Groote W, et al. A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study[J]. Lancet Resp Med. 2022;10(7):715–24.CrossRef Munblit D, Nicholson T, Akrami A, Apfelbacher C, Chen J, De Groote W, et al. A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study[J]. Lancet Resp Med. 2022;10(7):715–24.CrossRef
20.
go back to reference Ma C, Hanzel J, Panaccione R, Sandborn WJ, D’Haens GR, Ahuja V, et al. CORE-IBD: A Multidisciplinary International Consensus Initiative to Develop a Core Outcome Set for Randomized Controlled Trials in Inflammatory Bowel Disease[J]. Gastroenterology. 2022;163(4):950–64.CrossRefPubMed Ma C, Hanzel J, Panaccione R, Sandborn WJ, D’Haens GR, Ahuja V, et al. CORE-IBD: A Multidisciplinary International Consensus Initiative to Develop a Core Outcome Set for Randomized Controlled Trials in Inflammatory Bowel Disease[J]. Gastroenterology. 2022;163(4):950–64.CrossRefPubMed
21.
go back to reference Alkhaffaf B, Blazeby JM, Bruce LA, Morris RL. Patient priorities in relation to surgery for gastric cancer: qualitative interviews with gastric cancer surgery patients to inform the development of a core outcome set. BMJ Open. 2020;10(2):e034782. Alkhaffaf B, Blazeby JM, Bruce LA, Morris RL. Patient priorities in relation to surgery for gastric cancer: qualitative interviews with gastric cancer surgery patients to inform the development of a core outcome set. BMJ Open. 2020;10(2):e034782.
22.
go back to reference Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychology Health. 2010;25(10):1229–45.CrossRefPubMed Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychology Health. 2010;25(10):1229–45.CrossRefPubMed
23.
go back to reference Dodd S, Clarke M, Becker L, Mavergames C, Fish R, Williamson PR. A taxonomy has been developed for outcomes in medical research to help improve knowledge discovery. J Clin Epidemiol. 2018;96:84–92.CrossRefPubMedPubMedCentral Dodd S, Clarke M, Becker L, Mavergames C, Fish R, Williamson PR. A taxonomy has been developed for outcomes in medical research to help improve knowledge discovery. J Clin Epidemiol. 2018;96:84–92.CrossRefPubMedPubMedCentral
24.
go back to reference Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health C. 2007;19(6):349–57.CrossRef Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health C. 2007;19(6):349–57.CrossRef
25.
go back to reference Suehs CM, Menzies-Gow A, Price D, Bleecker ER, Canonica GW, Gurnell M, et al. Expert Consensus on the Tapering of Oral Corticosteroids for the Treatment of Asthma. A Delphi Study. Am J Respir Crit Care Med. 2021;203(7):871–81.CrossRefPubMed Suehs CM, Menzies-Gow A, Price D, Bleecker ER, Canonica GW, Gurnell M, et al. Expert Consensus on the Tapering of Oral Corticosteroids for the Treatment of Asthma. A Delphi Study. Am J Respir Crit Care Med. 2021;203(7):871–81.CrossRefPubMed
26.
go back to reference Fritzsche JA, Fockens P, Barthet M, Bruno MJ, Carr-Locke DL, Costamagna G, et al. Expert consensus on endoscopic papillectomy using a Delphi process. Gastrointest Endose. 2021;94(4):760–73.CrossRef Fritzsche JA, Fockens P, Barthet M, Bruno MJ, Carr-Locke DL, Costamagna G, et al. Expert consensus on endoscopic papillectomy using a Delphi process. Gastrointest Endose. 2021;94(4):760–73.CrossRef
27.
go back to reference Keeley T, Williamson P, Callery P, Jones LL, Mathers J, Jones J, et al. The use of qualitative methods to inform Delphi surveys in core outcome set development. Trials. 2016;17(1):230.CrossRefPubMedPubMedCentral Keeley T, Williamson P, Callery P, Jones LL, Mathers J, Jones J, et al. The use of qualitative methods to inform Delphi surveys in core outcome set development. Trials. 2016;17(1):230.CrossRefPubMedPubMedCentral
29.
go back to reference Zhang Y, Chen Y, Niu M, Li Y, Zhang J, Zhang L, et al. Establishing a core outcome set for neurogenic bladder trials: study protocol for a scoping review and Delphi surveys. Trials. 2022;23(1):485.CrossRefPubMedPubMedCentral Zhang Y, Chen Y, Niu M, Li Y, Zhang J, Zhang L, et al. Establishing a core outcome set for neurogenic bladder trials: study protocol for a scoping review and Delphi surveys. Trials. 2022;23(1):485.CrossRefPubMedPubMedCentral
Metadata
Title
Study protocol: a core outcome set for perioperative exercise clinical effectiveness trials for lung cancer patients
Authors
Wanjun Zhou
Yawen Zhang
Zhiwei Wang
Liang Zhang
Xinqiong Zhang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Trials / Issue 1/2024
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-024-07985-2

Other articles of this Issue 1/2024

Trials 1/2024 Go to the issue