Recruitment strategies for sarcopenia trials: lessons from the LACE randomized controlled trial

Miles D. Witham, Marcus Achison, Terry J. Aspray, Alison Avenell, Margaret M. Band, Peter T. Donnan, Jacob George, Adrian Hapca, Cheryl Hume, Paul Kemp, Kristina Pilvinyte, Avan A. Sayer, Karen T. Smith, Allan D. Struthers, Deepa Sumukadas
{"title":"Recruitment strategies for sarcopenia trials: lessons from the LACE randomized controlled trial","authors":"Miles D. Witham, Marcus Achison, Terry J. Aspray, Alison Avenell, Margaret M. Band, Peter T. Donnan, Jacob George, Adrian Hapca, Cheryl Hume, Paul Kemp, Kristina Pilvinyte, Avan A. Sayer, Karen T. Smith, Allan D. Struthers, Deepa Sumukadas","doi":"10.1002/rco2.38","DOIUrl":null,"url":null,"abstract":"Sarcopenia is rarely diagnosed and is not recorded electronically in routine clinical care, posing challenges to trial recruitment. We describe the performance of four components of a strategy to efficiently recruit participants with sarcopenia to a trial of perindopril and/or leucine for sarcopenia: primary care vs. hospital recruitment, a comparison of central vs. local telephone pre‐screening, performance of a questionnaire on physical function conducted as part of the pre‐screening telephone call, and performance of bioimpedance measurement to identify low muscle mass.","PeriodicalId":73544,"journal":{"name":"JCSM rapid communications","volume":"4 2","pages":"93-102"},"PeriodicalIF":0.0000,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/rco2.38","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JCSM rapid communications","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rco2.38","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7

Abstract

Sarcopenia is rarely diagnosed and is not recorded electronically in routine clinical care, posing challenges to trial recruitment. We describe the performance of four components of a strategy to efficiently recruit participants with sarcopenia to a trial of perindopril and/or leucine for sarcopenia: primary care vs. hospital recruitment, a comparison of central vs. local telephone pre‐screening, performance of a questionnaire on physical function conducted as part of the pre‐screening telephone call, and performance of bioimpedance measurement to identify low muscle mass.

Abstract Image

肌肉减少症试验的招募策略:来自LACE随机对照试验的经验教训
骨骼肌减少症很少被诊断出来,在常规临床护理中也没有电子记录,这给试验招募带来了挑战。我们描述了有效招募肌肉减少症患者参加培哚普利和/或亮氨酸治疗肌肉减少症试验的策略的四个组成部分的表现:初级保健与医院招聘,中央电话与本地电话预筛查的比较,作为预筛查电话呼叫的一部分进行的身体功能问卷调查的表现,以及识别低肌肉量的生物阻抗测量的表现。方法通过住院和门诊老年医学服务进行以医院为基础的招募。当地的研究护士审查了医疗记录,并接触了可能符合条件的患者。初级保健招募人员从合作实践中审查初级保健清单,向70岁及以上未服用血管紧张素转换酶抑制剂的患者发送邮件。电话预筛选由每个站点的研究护士或泰赛德临床试验中心进行。采用10分式SARC-F问卷进行预筛选。去识别的招聘信息保存在一个中央电子跟踪系统上,并使用SPSS进行分析。使用Akern BIA 101系统测量生物阻抗,使用Sergi方程估计瘦体重。结果14个英国站点被纳入试验。在这些地点审查了1202套医院护理记录;7名参与者(占筛选总记录的0.6%)被随机化。来自初级保健,发出了13 808份邀请;138例(占受邀总人数的1.0%)随机抽取。633/2987名初级保健应答者集中预筛选;每位受访者的平均电话次数为2.3次。对于10个可以比较中央和本地预筛选的站点,集中式呼叫的预筛选到随机化的转化率为18/588(3.1%),而本地预筛选呼叫的转化率为73/1814 (4.0%)(P = 0.29)。筛查时较高(较差)的SARC-F评分与较低进展到随机化的可能性之间存在弱相关性(r = - 0.08, P = 0.03)。使用Sergi方程产生的肌肉质量估计值被系统地偏置,并导出了生物阻抗估计肌肉质量的重新校准方程。结论初级保健招募的应答率和随机总人数高于医院招募。集中预筛查节省了当地研究护士的时间,但没有提高随机化的转化率。SARC-F在肌少症试验中没有帮助靶向筛选活性,通过生物阻抗测量来估计肌肉质量的方程的重新校准可能会提高筛选过程的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信