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Table 6 Notes on domains relevant to the implementation of MIO based upon the CICI checklist

From: A mixed methods case study investigating how randomised controlled trials (RCTs) are reported, understood and interpreted in practice

Domain

Notes

Setting

Report describes types of hospital, total number of centres and countries participating in the study.

Geographical

Participating countries identified, but no discussion of access to healthcare system in each.

Epidemiological

No discussion of incidence and prevalence of the condition, usual morbidity and mortality rates.

Socio-economic

No discussion of burden of disease or access to the healthcare system.

Socio-cultural

Uncertain relevance of this domain for this study, intervention and the intended audience for the trial.

Political

No discussion of the type of healthcare system, its resources and access.

Legal

No discussion of guidelines outlining the existing role of the intervention.

Ethical

Statement declaring no conflict of interests included.

Provider

Details of the skills, experience and training of participating surgeons was included. No discussion of attitudes towards the intervention or motivation for participating in the trial.

Organisation and structure

No discussion of the size, structure and culture of the participating organisations. However, as a multicentre study, natural variation in these variables will have occurred, improving external validity.

Finance

Funding for the trial was acknowledged. However, there was no discussion of financial incentives, costs or future funding for adoption of the intervention.

Policy

No discussion of the role of evidence-based medicine in determining policy.