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. |