Orthopaedics and Trauma Group
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Trauma Outcomes group

The Trauma Outcomes group is committed to advancing the understanding of what are the most important outcomes to measure following an injury. Outcome sets are being developed for childhood injuries, chest injuries and hand fractures.

CORE-Kids: developing a core outcome set for childhood fractures


Project objectives

To develop a core outcome set for all childhood fractures and to test candidate outcome tools using a cohort study of 300 children.

Planned methods

Candidate outcomes that may be measured will be identified through a systematic
review of the literature and interviews of families who have had a child with a fracture.
These candidate outcomes will be narrowed down using an electronic Delphi study and then a core outcome set will be agreed at a stakeholder meeting at the Nottingham Lakeside.

Team members

Ben Marson (PhD Student), Dr Joseph Manning, Prof Marilyn James, Mr Benjamin Ollivere


  1. COMET registration
  2. PROSPERO registration

Visual abstract

Visual abstract of CORE-Kids project



Get involved

We are looking for a range of ‘experts’ to help us decide on the most important outcomes.

You could be a parent or a young person who has experienced a fracture, a surgeon, nurse, physiotherapist or teacher who has had to deal with the impact of a broken bone.

To get involved, email the project contact or ask to be added to the mailing list for the study newsletter.



Outcomes after Chest Trauma Score (OCTS)

OCTS-265Project objectives

To evaluate patient reported outcome measures (PROMs) for rib fracture alongside the NIHR funded ORIF study.

Planned methods

We have completed a systematic review of the available patient reported outcomes that have been used in previously reported rib fracture studies.
The review demonstrated poor evidence for recommending any PROM. No rib fracture specific PROMS were identified.

We will conduct semi structured interviews and focus groups with up to 50 survivors of rib fracture. The participants will develop a new rib fracture specific PROM. A three round Delphi with Rasch analysis will be used to generate consensus as to which items to include in the new score.

The new score will be field tested in 250 new rib fracture patients to calculate reliability, responsiveness and MCID. The PROM will be compared to the SF-12 and EQ-5D-5L. By the end of the study, we will hopefully have developed a new disease specific PROM with good psychometric evidence for clinical use.

Related publications

Surgical stabilisation improves 30-day mortality in patients with traumatic flail chest: A comparative case series at a Major Trauma Centre (2018). Walters S, Craxford S, et al. J orthop trauma [e pub ahead of print]


PROSPERO registration

Team members

Simon Craxford (PhD Student), Mr Ollivere


This project has been kindly funded by a research grant from AOUK&I.




Outcomes in wrist fractures

Project objectives

Despite the clinical relevance and increasing interest in interventions following wrist fracture there has been no work done on the outcome measures to establish the Minimally Clinically Important Difference in wrist fractures for the most commonly used outcome scores.

Team members

Tim Coughlin (PhD Student), Professor Brigitte Scammell, Mr Benjamin Ollivere


This project has been kindly funded by a research grant from AOUK&I.




Orthopaedics and Trauma Group

School of Medicine
The University of Nottingham
C Floor, West Block, Queen's Medical Centre
Nottingham, NG7 2UH

telephone: +44 (0) 115 823 1115