Core Outcome Sets in Miscarriage Trials (COSMisT) study: a study protocol

Paul Smith, Natalie Cooper, Rima Dhillon-smith, Emily O’toole, T Justin Clark, Arri Coomarasamy

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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'Core outcome sets' are an agreed, standardised set of outcomes based on what key stakeholders (clinicians, patients, their partners, researchers, service developers, funding organisations and so on) consider the important outcomes in the management or prevention of a condition. This paper describes the rationale and design for the development of Core Outcome Sets for Miscarriage Trials.

Systematic reviews, interviews and focus groups with patients and their partners will be conducted to identify potential core outcomes that will be introduced into a modified Delphi survey. To ensure all key stakeholders are included, patients, partners, clinicians, charities and researchers will be invited to take part in the modified Delphi survey. There will be three rounds of scoring and rescoring during the Delphi survey to reach consensus regarding outcomes to be included in the core set, which will be subsequently refined through face-to-face consensus discussions.

The use of core outcome sets allows results from different studies to be compared and combined, thereby reducing inconsistency and aiding interpretation of study findings. It also means research is more likely to report relevant outcomes and so can reduce reporting bias. Understanding which outcomes are important to patients has the potential to act as a driver to improve both the quality and cost-effectiveness of miscarriage services.
Original languageEnglish
Article numbere018535
JournalBMJ open
Issue number11
Publication statusPublished - 16 Nov 2017


  • core outcome set
  • delphi
  • early pregnancy loss
  • miscarriage
  • spontaneous abortion


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