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Background: The ASSIST tool is a graphical tool to represent and evaluate the applicability of a surgery trial to improve the translation of research to practice.
Objective: To evaluate the impact of the ASSIST tool on the interpretation of the applicability of randomized controlled trials (RCTs) in the field of digestive cancer surgery.
Design: This study is a randomized controlled trial with two parallel arms. Participants: Surgeons who contribute to the assessment of manuscripts as experts (peer-reviewer) for international scientific journals of surgery (Annals of Surgery, Archives of Surgery, Gastrointestinal Surgery World Journal of International Journal of Surgical Oncology).
Intervention: Surgeons will be randomized into 2 groups. A group that will evaluate a case vignette (synopsis) of a randomized trial in surgery, and the other group that will evaluate the same case vignette with the representation of the external validity of the trial with ASSIST tool.
Outcome measures: Participants will indicate on a numeric scale range from 1 to 10 if they feel able to judge the applicability of the trial for 1) patients, 2) centers, 3) surgeons and 4) intervention.
Sample Size: 28 case vignettes with randomized trials and their ASSIST tool have been developed and evaluated. The inclusion of 130 participants (65 per arm) is required.
The study will be conducted in 2 steps:
In a first step, investigators will develop cases vignettes of published RCTs evaluating surgical interventions in the field of digestive cancer with its representations of external validity according to ASSIST.
In a second step, investigators will invite a panel of peer reviewers to appraise the external validity (applicability) of selected RCTs without and with the graphical tool (ASSIST), on a security web site.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ASSIST tool group | Experimental | Surgeons will assess the applicability of a trial using the ASSIST |
|
| Synopsis Group | Active Comparator | Surgeons will assess the applicability of a trial using the synopsis presented in a case vignette |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Applicability Assessment | Behavioral | assess the applicability of a trial using the ASSIST tool or the synopsis |
|
| Measure | Description | Time Frame |
|---|---|---|
| feeling able to judge the applicability of the trial | Participants will indicate on a numeric scale range from 1 to 10 if they feel able to judge the applicability of the trial for patients | 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Boutron Isabelle | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
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| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
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| D005767 |
| Gastrointestinal Diseases |