{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:49:15Z","timestamp":1780609755903,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T00:00:00Z","timestamp":1522972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004385","name":"Universiteit Gent","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004385","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To report the development of a core set of outcome domains for clinical research involving adults with incontinence\u2010associated dermatitis or at risk, independently from any geographical location or skin colour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The management of incontinence\u2010associated dermatitis is important in caring for incontinent patients. The lack of comparability of clinical trial outcomes is a major challenge in the field of evidence\u2010based incontinence\u2010associated dermatitis prevention and treatment. Core outcome sets may therefore be helpful to improve the value of clinical incontinence\u2010associated dermatitis research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic literature review, patient interviews and consensus study using Delphi procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A list of outcome domains was generated through a systematic literature review (no date restrictions\u2014April 2016), consultation of an international steering committee and three patient interviews. The project team reviewed and refined the outcome domains prior to starting a three\u2010round Delphi procedure conducted between April\u2013September 2017. The panellists, including healthcare providers, researchers and industry were invited to rate the importance of the outcome domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We extracted 1,852 outcomes from 244 articles. Experts proposed 56 and patients 32 outcome domains. After refinement, 57 panellists from 17 countries rated a list of 58 outcome domains. The final list of outcome domains includes erythema, erosion, maceration,<jats:styled-content style=\"fixed-case\">IAD<\/jats:styled-content>\u2010related pain and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Erythema, erosion, maceration, incontinence\u2010associated dermatitis \u2010related pain and patient satisfaction are the most important outcome domains to be measured in incontinence\u2010associated dermatitis trials. Based on this international consensus on what to measure, the question of how to measure these domains now requires consideration.<\/jats:p><jats:p><jats:bold>Registration:<\/jats:bold>This project has been registered in the Core Outcome Measures in Effectiveness Trials (<jats:styled-content style=\"fixed-case\">COMET<\/jats:styled-content>Initiative) database and is part of the Cochrane Skin Group\u2014Core Outcomes Set Initiative (<jats:styled-content style=\"fixed-case\">CSG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">COUSIN<\/jats:styled-content>).<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13562","type":"journal-article","created":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T05:42:39Z","timestamp":1520574159000},"page":"1605-1617","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Core outcome domains in incontinence\u2010associated dermatitis 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