Development of a core outcome set for myocardial infarction in clinical trials of traditional Chinese medicine: a study protocol

Introduction
Myocardial infarction (MI) is the most dangerous complication in patients with coronary heart disease. In China, there is an increasing number of randomised controlled trials (RCTs) of traditional Chinese medicine (TCM) for treating MI. However, the inconsistency of outcome reporting means that a large number of clinical trials cannot be included in systematic reviews to provide the best evidence for clinical practice. The aim of this study is to develop a core outcome set (COS) for future TCM clinical trials of MI, which may improve the consistency of outcome reporting and facilitate the synthesis of data across studies in systematic reviews.

Methods and analysis
We will conduct a systematic review of MI clinical trials with any intervention. Semistructured interviews will be conducted to obtain the perspectives of patients with MI. The outcomes from the systematic review and semistructured interviews will be grouped and used to develop a questionnaire. The questionnaire will be developed as a supplement for the TCM syndromes of MI and will be constructed from the results of a systematic review, existing medical records and a cross-sectional study. Then two rounds of the Delphi survey will be conducted with different stakeholders (TCM experts and Western medicine experts in cardiovascular disease, methodologists, magazine editors and patients) to determine the importance of the outcomes. Only the TCM experts will need to response to the questionnaire for core TCM syndromes. A face-to-face consensus meeting will be conducted to create a final COS and recommend measurement time for each outcome.

Ethics and dissemination
This project has been approved by the Ethics Committee of Dongzhimen Hospital, Beijing University of Chinese Medicine. The final COS will be published and freely available.

Trial registration number
This study is registered with the Core Outcome Measures in Effectiveness Trials database as study 1243 (available at: http://www.comet-initiative.org/studies/details/1243).

Aim

The aim of this study is to develop a core outcome set (COS) for future TCM clinical trials of MI, which may improve the consistency of outcome reporting and facilitate the synthesis of data across studies in systematic reviews.

Contributors

Ruijin Qiu, Changming Zhong, Songjie Han, Tianmai He, Ya Huang, Manke Guan, Jiayuan Hu, Min Li, Yiyi Lin, Jing Chen, Hongcai Shang

Publication

Journal: BMJ Open
Volume: 9
Issue: 12
Pages: -
Year: 2023
DOI: 10.1136/bmjopen-2019-032256

Further Study Information

Current Stage: Completed
Date:
Funding source(s): This work was supported by the National Key R&D Program of China (2017YFC1700400, 2017YFC1700402) and the Fundamental Research Funds for the Central Universities (2019-JYB-JS-033).


Health Area

Disease Category: Heart & circulation

Disease Name: Myocardial infarction

Target Population

Age Range: 18 - 80

Sex: Either

Nature of Intervention: Traditional Chinese Medicine

Stakeholders Involved

- Clinical experts
- Conference participants
- Consumers (caregivers)
- Consumers (patients)
- Journal editors
- Methodologists
- Pharmaceutical industry representatives
- Researchers

Study Type

- COS (Other)

Method(s)

- Consensus meeting
- Delphi process
- Interview
- Systematic review

We will conduct a systematic review of MI clinical trials with any intervention. Semi-structured interviews will be conducted to obtain the perspectives of patients with MI. The outcomes from the systematic review and semi-structured interviews will be grouped and used to develop a questionnaire. The questionnaire will be developed as a supplement for the TCM syndromes of MI and will be constructed from the results of a systematic review, existing medical records and a cross-sectional study. Then two rounds of the Delphi survey will be conducted with different stakeholders (TCM experts and Western medicine experts in cardiovascular disease, methodologists, magazine editors and patients) to determine the importance of the outcomes. Only the TCM experts will need to response to the questionnaire for core TCM syndromes. A face-to-face consensus meeting will be conducted to create a final COS and recommend measurement time for each outcome.