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tbi-outcomes-consortium

TBI Outcomes Consortium — open infrastructure for harmonizing outcome measurement across TBI research and clinical practice. Aligned with TRACK-TBI, InTBIR, and COMET core outcome set work.

Status

Active reference repository. Harmonization schemas in development.

What's here

  • outcomes/ — Structured definitions for all TBI outcome instruments (GOSE, GOS, RPQ, PCSI, PROMIS-TBI)
  • crosswalks/ — Instrument-to-instrument crosswalk tables (GOSE ↔ GOS ↔ mRS)
  • validation/ — Psychometric validation summaries (COSMIN-standard summaries per instrument)
  • cosmin/ — COSMIN systematic review findings for TBI-relevant outcome measures
  • registry/ — CDE registry aligned to TRACK-TBI General Core + Emerging Core

The harmonization problem

TBI clinical trials use incompatible outcome instruments, follow-up windows, and reporting conventions. The result is that meta-analysis requires arbitrary assumptions, and cross-trial comparison is unreliable. The TBI Outcomes Consortium addresses this by:

  1. Mapping all major TBI outcome instruments to a common CDE schema
  2. Providing validated crosswalk coefficients where psychometric evidence supports them
  3. Flagging where crosswalks are unsupported (the honest answer is often "these instruments are not equivalent")
  4. Supporting the TRACK-TBI General Core + Emerging Core implementation framework

COSMIN alignment

The outcome instrument definitions here are grounded in COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) reviews. This includes:

  • ICC values for GOSE and extended GOSE (remote vs. in-person administration)
  • RPQ test-retest reliability in telehealth contexts
  • PCSI factor structure in pediatric TBI

Contributing

Contributions from neuropsychologists, outcome researchers, and clinical trialists are welcome. All instrument crosswalks must include a psychometric evidence basis. See CONTRIBUTING.md.

License

CC-BY-4.0

Maintainer

EvidenceOS Research Lab — outcomes@evidenceos.com

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