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Core Outcome Set in Incontinence-associated dermatitis (IAD) Research (Consider)


Incontinence-associated dermatitis (IAD)


The management of incontinence-associated dermatitis is important in caring for incontinent patients. The lack of comparability of clinical trial outcomes is a major challenge in the field of evidence-based incontinence-associated dermatitis prevention and treatment. Core outcome sets may therefore be helpful to improve the value of clinical incontinence-associated dermatitis research.

Scope of the intended COS

  • Study types: Intervention studies such as RCTs
  • Global scope


Systematic literature reviews, patient interviews and consensus study using Delphi procedures.

Involvement of stakeholders

During the domain identification patients and industry representatives were involved.

Current status

The following five core outcome domains have been identified: erythema, erosion, maceration, incontinence-associated dermatitis-related pain and patient satisfaction. Currently work is in progress to identify outcome measurement instruments per domain.


The published work was funded by the Skin Integrity Research Group (Belgium) and the Clinical Research Center for Hair and Skin Science (Germany). Work is in progress to secure funding to identify outcome measurement instruments per domain.

Involved Countries

Belgium, Germany and many more during the Delphi study

Date of updates

  • 10/07/2019


  • Prof. Dr. Dimitri Beeckman
  • Dr. Jan Kottner

Project team members

  • nn

Responsible member of Methods group (as assigned by CS-COUSIN)

  • Prof. Dr. Phyllis Spuls


Prof. Dr. Dimitri Beeckman
Skin Integrity Research Group
University Centre for Nursing and Midwifery
GHENT UNIVERSITY, Department of Public Health and Primary Care,
School of Health Sciences,
Örebro University,
Örebro, Sweden.

Dr. Jan Kottner
Charité – Universitätsmedizin Berlin
Department of Dermatology and Allergy
Clinical Research Center for Hair and Skin Science
Berlin, Germany

Published references

1. De Meyer D, Gabriel S, Kottner J, Van Damme N, Van Den Bussche K, Verhaeghe S, Van Hecke A, Beeckman D. Outcome measurement instruments for erythema associated with incontinence-associated dermatitis: systematic review. J Adv Nurs. 2019.
2. De Meyer D, Kottner J, Beele H, Schmitt J, Lange T, Van Hecke A, Verhaeghe S, Beeckman D. Delphi procedure in core outcome set development: rating scale and consensus criteria determined outcome selection. J Clin Epidemiol. 2019;111:23-31.
3. Kottner J, Beeckman D. Core Outcome Sets (COS) for clinical trials in health- and nursing science: the case of Incontinence-Associated Dermatitis (IAD). J Adv Nurs. 2017;73(10):2268-2269.
4. Van den Bussche K, De Meyer D, Van Damme N, Kottner J, Beeckman D. CONSIDER - Core Outcome Set in IAD Research: study protocol for establishing a core set of outcomes and measurements in incontinence-associated dermatitis research. J Adv Nurs. 2017;73(10):2473-2483.
5. Van den Bussche K, Kottner J, Beele H, De Meyer D, Dunk AM, Ersser S, Lange T, Petrovic M, Schoonhoven L, Smet S, Van Damme N, Verhaeghe S, Van Hecke A, Beeckman D. Core outcome domains in incontinence-associated dermatitis research. J Adv Nurs. 2018;74(7):1605-1617.