Purpose: It is challenging to generate and subsequently implement high-quality evidence in surgical practice. A first step would be to grade the strengths and weaknesses of surgical evidence and... Show morePurpose: It is challenging to generate and subsequently implement high-quality evidence in surgical practice. A first step would be to grade the strengths and weaknesses of surgical evidence and appraise risk of bias and applicability. Here, we described items that are common to different risk-of-bias tools. We explained how these could be used to assess comparative operative intervention studies in orthopedic trauma surgery, and how these relate to applicability of results. Methods: We extracted information from the Cochrane risk-of-bias-2 (RoB-2) tool, Risk Of Bias In Non-randomised Studies-of Interventions tool (ROBINS-I), and Methodological Index for Non-Randomized Studies (MINORS) criteria and derived a concisely formulated set of items with signaling questions tailored to operative interventions in orthopedic trauma surgery. Results: The established set contained nine items: population, intervention, comparator, outcome, confounding, missing data and selection bias, intervention status, outcome assessment, and pre-specification of analysis. Each item can be assessed using signaling questions and was explained using good practice examples of operative intervention studies in orthopedic trauma surgery. Conclusion: The set of items will be useful to form a first judgment on studies, for example when including them in a systematic review. Existing risk of bias tools can be used for further evaluation of methodological quality. Additionally, the proposed set of items and signaling questions might be a helpful starting point for peer reviewers and clinical readers. Show less
The Multi-Stakeholder Community Consultation (MSCC) is a participatory research tool that has been developed by the DR Congo team of TRAFIG and that will be applied in other countries in the course... Show moreThe Multi-Stakeholder Community Consultation (MSCC) is a participatory research tool that has been developed by the DR Congo team of TRAFIG and that will be applied in other countries in the course of the project too. By bringing together a mixed group of respondents (displaced, hosts, authorities, civil society), the tool is geared towards collecting additional insights through an interactive dialogue on intergroup relations, validating findings gathered through other methods, and jointly seeking solutions for problems that are identified by the participants. In this note we provide methodological guidance and share our experience of using the tool in the DRC. Other TRAFIG country teams, interested researchers and practitioners can learn from it and adapt it to their own needs. Show less
