@article{3031591, title = "Development of an international Delphi survey to establish core outcome domains for trials in adults with glomerular disease", author = "Carter, Simon A. and Logeman, Charlotte and Howell, Martin and Cattran, and Dan and Lightstone, Liz and Bagga, Arvind and Barbour, Sean J. and and Barratt, Jonathan and Boletis, John and Caster, Dawn J. and Coppo, and Rosanna and Fervenza, Fernando C. and Floege, Jurgen and Hladunewich, and Michelle A. and Hogan, Jonathan J. and Kitching, A. Richard and and Lafayette, Richard A. and Malvar, Ana and Radhakrishnan, Jai and Rovin, and Brad H. and Scholes-Robertson, Nicole and Trimarchi, Hernan and Zhang, and Hong and Cho, Yeoungjee and Dunn, Louese and Gipson, Debbie S. and Liew, and Adrian and Sautenet, Benedicte and Viecelli, Andrea K. and Harris, David and and Johnson, David W. and Wang, Angela Yee-Moon and Teixeira-Pinto, and Armando and Alexander, Stephen I. and Martin, Adam and Tong, Allison and and Craig, Jonathan C.", journal = "Kidney International", year = "2021", volume = "100", number = "4", pages = "881-893", publisher = "EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC", issn = "0085-2538, 1523-1755", doi = "10.1016/j.kint.2021.04.027", keywords = "consensus; glomerulonephritis; patient outcome assessment; treatment outcome; trials", abstract = "Outcomes relevant to treatment decision-making are inconsistently reported in trials involving glomerular disease. Here, we sought to establish a consensus-derived set of critically important outcomes designed to be reported in all future trials by using an online, international two-round Delphi survey in English. To develop this, patients with glomerular disease, caregivers and health professionals aged 18 years and older rated the importance of outcomes using a Likert scale and a Best-Worst scale. The absolute and relative importance was assessed and comments were analyzed thematically. Of 1198 participants who completed Round 1, 734 were patients/ caregivers while 464 were health care professionals from 59 countries. Of 700 participants that completed Round 2, 412 were patients/caregivers and 288 were health care professionals. Need for dialysis or transplant, kidney function, death, cardiovascular disease, remission-relapse and life participation were the most important outcomes to patients/caregivers and health professionals. Patients/ caregivers rated patient-reported outcomes higher while health care professionals rated hospitalization, death and remission/relapse higher. Four themes explained the reasons for their priorities: confronting death and compounded suffering, focusing on specific targets in glomerular disease, preserving meaning in life, and fostering self-management. Thus, consistent reporting of these critically important outcomes in all trials involving glomerular disease is hoped to improve patient-centered decision-making." }