نتائج البحث - "Karat, Isabella"

1

دورية أكاديمية

Current use of drains and management of seroma following mastectomy and axillary surgery: results of a United Kingdom national practice survey

المؤلفون: Fairhurst, K., Roberts, K., Fairbrother, P., Potter, S., Abbott, Nick, Achuthan, Raj, Ahmed, Goran, Ainsworth, Rachel, Arthur, Laura, Bains, Salena, Barber, Zoe, Batt, Jeremy, Bell, Ashleigh, Carter, Jane, Chambers, Alice, Conway, Anna, Courtney, Carol-Ann, Daltrey, Ian, Daoud, Raouf, Dash, Isabella, Dave, Rajiv, Dicks, Julia, Donigiewicz, Urszula, Fatayer, Hiba, Glassman, Daniel, Green, Nikki, Gutteridge, Eleanor, Hamad, Ahmed, Hargreaves, Anita, Harvey, James, Hassan Ali, Shaziya, Helme, Sophie, Henderson, Julia, Hignett, Susan, Hoar, Fiona, Horsnell, Jonathan, Hubbard, Thomas, Humphreys, Alex, Iqbal, Javeria, Johnson, Omotayo, Joshi, Meera, Kallaway, Charlotte, Karat, Isabella, Kim, Baek, Kleidi, Eleftheria, Kothari, Manish, Laban, Chrissie, Lambert, Kelly, Laws, Siobhan, Leeper, Alexander

المساهمون: National Institute for Health and Care Research

المصدر: Breast Cancer Research and Treatment ; volume 203, issue 2, page 187-196 ; ISSN 0167-6806 1573-7217

مصطلحات موضوعية: Cancer Research, Oncology

الوصف: Purpose Up to 40% of the 56,000 women diagnosed with breast cancer each year in the UK undergo mastectomy. Seroma formation following surgery is common, may delay wound healing, and be uncomfortable or delay the start of adjuvant treatment. Multiple strategies to reduce seroma formation include surgical drains, flap fixation and external compression exist but evidence to support best practice is lacking. We aimed to survey UK breast surgeons to determine current practice to inform the feasibility of undertaking a future trial. Methods An online survey was developed and circulated to UK breast surgeons via professional and trainee associations and social media to explore current attitudes to drain use and management of post-operative seroma. Simple descriptive statistics were used to summarise the results. Results The majority of surgeons (82/97, 85%) reported using drains either routinely (38, 39%) or in certain circumstances (44, 45%). Other methods for reducing seroma such as flap fixation were less commonly used. Wide variation was reported in the assessment and management of post-operative seromas. Over half (47/91, 52%) of respondents felt there was some uncertainty about drain use after mastectomy and axillary surgery and two-thirds (59/91, 65%) felt that a trial evaluating the use of drains vs no drains after simple breast cancer surgery was needed. Conclusions There is a need for a large-scale UK-based RCT to determine if, when and in whom drains are necessary following mastectomy and axillary surgery. This work will inform the design and conduct of a future trial.

الإتاحة: https://doi.org/10.1007/s10549-023-07042-7Test

View record in BASE

2

مؤتمر

EP174 : Serratus anterior plane catheter vs Liposomal bupivacaine for post-operative analgesia: Patient satisfaction and quality of recovery

المؤلفون: Maryam, Zakiya, Wou, Franklin, Narayanan, Madan, Karat, Isabella, Osman, Hisham, Harb, Hisham, Cannons, Karin

المصدر: ePoster session 5 – Station 5

الإتاحة: https://doi.org/10.1136/rapm-2023-esra.235Test

View record in BASE

3

دورية أكاديمية

Hospital-level evaluation of the effect of a national quality improvement programme: time-series analysis of registry data

المؤلفون: Stephens, Timothy J, Peden, Carol J, Haines, Ryan, Grocott, Mike P W, Murray, Dave, Cromwell, David, Johnston, Carolyn, Hare, Sarah, Lourtie, Jose, Drake, Sharon, Martin, Graham P, Pearse, Rupert M, On behalf of Enhanced Perioperative Care for High-risk patients (EPOCH) trial group, Pearse, Ruper, Peden, Carol, Stephens, Tim, Bion, Julian, Martin, Graham, Thomson, Ann, Kahan, Brennan, Kerry, Sally, Rivett, Kate, Wells, Duncan, Richardson, Gerry, Brett, Stephen, Ackland, Gareth, Grocott, Mike, Holt, Peter, Robert, Glenn, Ukoumunne, Obioha, Waring, Justin, Everingham, Kirsty, Phull, Mandeep, Evley, Rachel, Lilford, Richard, Kocman, David, Asaria, Miqdad, Tarrant, Carolyn, Yang, Fan, Abraham, Ajit, Bothma, Pieter, Conway, Daniel, Stapleton, Clare, Edwards, Mark, Minto, Gary, Saunders, David, Owen, Tom, Waldmann, Carl, Hayden, Paul, Gillies, Michael, Tighe, Sean, Smith, Neil, Mythen, Monty, Murray, David, Lobo, Dileep, Leuwer, Martin, Kirk-Bayley, Justin, Howell, Simon, Gordon, Anthony, Anderson, Iain, Walker, Simon, Watson, Nick, Szakmany, Tamas, Sutcliffe, Robert, Mahajan, Ravi, Girling, Alan, Forbes, Gordon, Faiz, Omar, Blunt, Mark, Singh, Surjait, Steel, Alistair, Wong, Kate, Cabreros, Leilani, Chitre, Vivek, Obideyi, Ayodele, Ali, Dhiraj, Blenk, Karl, Broad, Dan, Brodbeck, Andreas, Dumpala, Rajesh, Engel, Arnth, Ganepola, Ranjit, Garg, Sudha, Gay, Mike, Karlikowsk, Michael, Lams, Edward, Millican, Dean, Misane, Inga, Mull, Ajaya, Naik, Veena, Pushpa, Nathan, Nutt, Chris, Sagadai, Saravanna, Stuart, Hazel, Noble, Paul, Velde, Niko Van De, Hudson, Liam, Benlloch, Raoul, Singh, Satish, Verma, Karan, Laba, Damian, Carmichael, Jack, Richardson, Peter, Wilson, Graham, Lewis, Ricky, Surendran, Karthik, El-Damatty, Essam, Gurung, Sarada, Raulusaite, Ilona, Gerstina, Nabua, Rochester, Chloe, Kuldip, Rai, Lindner, Andrew, Murray, Therese, Lal, Roshan, Downey, Sarah, Velchuru, Vamsi, Aryal, Kamal, Guruswamy, Raman, Shankar, Kirosh, Porter, Helen, Tutton, Matthew, Agostini, Helen, Fletcher, Simon, Wharton, Richard, Hutchinson, Steve, Maiya, Bala, Howard-Griffin, Richard, Crabtree, Michael, Kushakovsky, Vlad, Abdel Omer, Senthil Nadarajavan, Bell, Stephanie, Patil, Vishal, Jah, Asif, Mahroof, Razeen, Watson, Nicholas, Tansley, John, Moncaster, Gareth, Flint, Neil, Miller, Andrew, Wood, Marcus, Prematie, Andreou, Roth, Sally, Bowery, Sarah, Hales, Dawn, Shah, Tanuja, Tierney, Gill, Morris, Craig, Iftikhar, Syed, Shukla, Amit, O'Dwyer, Grainne, Wolverson, Adam, Adams, Ferdinand, Perrin-Brown, Laura, White, Tim, Beavis, Sarah, Banks, Victoria, Abercrombie, John, Mole, Jonathon, Chana, Avninder, Banerjea, Ayan, Humes, David, Dhingsa, Rajpal, Wells, John, Brown, Stephanie, Adegoke, Kenneth, Tofte, Barclay, Alegria, Ana, Natarajan, Nat, Akhtar, Mansoor, Doughan, Samer, Mackinnon, John, Aravind, Biju, Cook, Esther, Snazelle, Mark, Gardner, Matt, Baldwin, Lee, Bailey, Simon, Lawton, Greg, Divekar, Nandita, Kukreja, Neil, Sange, Mansoor, Watson, Mark, Satisha, Mallikarjunappa, Protopapas, Michael, Belagodu, Zakaulla, Sarfi, Shameem, Raju, Pasupathy, Stacey, Brenda, Campbell-Smith, Tim, Parrington, Simon, Desikan, Somi, Brennan, Andrew, Griffith, John, Fletcher, Steve, Farrow, Catherine, Prestwich, Stewart, Graham, Laura, Northey, Martin, Gokhale, Jay, Mosley, Frances, Alexander, Peter, Sharma, Abhiram, Brady, Will, Hopper, John, Hill, Oliver, Varma, Sandeep, Macklin, Christopher, Rose, Alastair, Narula, Harjeet, Buckley, Sarah, Simeson, Karen, Sim, Kevin, Chadwick, Michael, Kuduvalli, Preeti, Dowling, Susan, McCairn, Amanda, Wilson, Lawrence, Vimalchandran, Dale, Jhamatt, Anita, Robin, Nicole, Monk, David, Bottomley, David, Zuzan, Oliver, Welters, Ingeborg, Ross-Anderson, Davina, Knowles, Charles, Bunker, Nick, Hu, Ying, Januszewska, Marta, Bodger, Phoebe, Niebrzegowska, Edyta, Correia, Carmen, Haslop, Richard, Abbott, Tom, Tanqueray, Tabitha, Wijeykoon, Sanjay, Jain, Susan, Full, Jens, Cuming, Tamzin, Bailey, Flora, Chatzimichail, Stelios, Cunha, Pedro, Rehman, Almas, Mohanty, Manab, Radford, Nicola, Mohr, Otto, Patel, Hitesh, Mateo, Dolores, Raj, Ashok, Machesney, Michael, Abdul, Nazar, Jemmet, Kim, Campbell, Marta, Inglis, David, Parker, Thomas, Medici, Thomas, Chan, Peter, Borgeaud, Nathan, Mukherjee, Dipankar, Odejinmi, Oluremi, Jovaisa, Tomas, Harwood, Elizabeth, Moonesinghe, Ramani, Mccullough, Jonathan, Modha, Jigna, Patel, Sanjiv, Limb, James, Bengeri, Sheshagiri, Rafi, Amir, Hall, Elizabeth, Brown, James, Gibson, Bruce, McNelis, Una, Bradburn, Mike, Lawson, Maria, Pick, Sara, Gaughan, Matthew, Browell, David, Linnett, Vanessa, Ritzema, Jenny, O'Loughlin, Paul, Cope, Sean, Corson, John, Roy, Alistair, Furneval, Julie, Holtham, Anitha, Noblett, Sophie, Dawson, Chris, McMenemie, Fiona, Pulsa, Stefan, Clement, Ian, Calder, Verity, Allen, Katherine, Rimmer, Catherine, Reed, Helen, Boyd, Christine, Monkhouse, Diane, Davies, Peter, Mullenheim, Jost, Cirstea, Emanuel, Cain, Martyn, Baillie, Kirsty, Bhowmick, Arnab, Jovestani, Keiarash, Mcmullan, Sean, Durant, Emma, Williams, Alexandra, Doyle, Donna, Cupitt, Jason, Barker, Jonathon, Harper, Nick, Brennan, Emma, Subar, Daren, Shawcross, Robert, Sebastian, Dominic, Patel, Panna, O'Connell, Gillian, Karvonen, Jyrki, Ishaan, Maitra, Hool, Alison, Burns, Karen, Mcarthur, Carol, Stergios, Tezas, Gursevak, Singh, Sonia, Makvana, Pratt, Heather, Lynne, Kaighan, McAfee, Sean, Lewis, Chris, Khalaf, Wael, Coldwell, Chris, Bronder, Christine, Wilkinson, Mark, Davis, Emma, Arnold, Glenn, Ziprin, Paul, Bartlett, Rachel, Stotz, Martin, D'souza, Rovan, Pemberton, Phillippa, Agarwal, Banwari, Sugavanam, Anita, Tan, Melanie, Varcada, Massimo, Lyness, Craig, Thorniley, Andrew, Prabhudesai, Ash, Griffin, Ruth, Vashisht, Shubha, Harris, James, Wakeford, Julie, Vaganov, Sergei, Mohsen, Yasser, Myers, Alister, Iqbal, Qamar, Harris, Simon, Ijaz, Sami, Burrow, James, Rubulotta, Francesca, El-Masry, Nabil, Stranix, Nicola, Rope, Tamsin, Liasis, Lampros, Husain, Tariq, Watfah, Josef, Griffiths, Megan, Warusavitarne, Janindra, Cartwright, Charles, Baxter, Linden, Visavadia, Rakhee, Sim, Malcolm, Wilson, Chris, Harrison, Paul, Williams, Dewi, Bews-Hair, Maria, Wrathall, Wayne, Jardine, Catherine, Mclaren, Paul, Dreyer, Fanus, Collins, Paddy, Edwards, Jennifer, Moug, Susan, Rooney, Kevin, Mcilveen, Erin, Henderson, Steven, Graham, Linda, Stark, Gail, Taylor, Lynn, Munro, Mark, Stewart, Lynn, Dickinson, Natalie, Rooney, Laura, Bailey, Lindsay, Murray, Diane, Geary, Tim, Gibson, Simon, Pow, Colin, Tan, Kerwei, Stevenson, Richard, Harrison, Ewen, Lamb, Peter, Carey, Kate, Fitton, Laura, Cook, Fabian, Schwarz, Magen, Morrison, Alan, Bryce, Gavin, Razouk, Khaled, Cain, Kathryn, Kunst, Gudrun, Papagrigoriadis, Savvas, Hopkins, Phil, Fawcet, Adrian, O'Carroll-Kuehn, Britta, Girgis, Amira, Janokowski, Stas, Farhat, Sami, Vig, Stella, Hadi, Nada, Parsons, Anthony, Cecconi, Maurizio, Melville, David, Hartopp, Richard, Woods, Justin, Karat, Isabella, Gerrard, David, Curtis, Edward, Somasekar, Krishnamurthy, Morgan-Jones, Tom, Martin, Michael, Henwood, Mark, Milne, Gordon, Sivasankaranand, Ajit, Scott, Alexandra, Escofet, Xavier, Toth-Tarsoly, Piroska, Shama, Majed Al, Hilton, Valerie, Davis, Huw, Williams, Gail, Harvard, Tim, Fitzgerald, Peter, Hurford, Dom, Muthuswamy, Babu, Williams, Gethin, Jones, Jack Parry, Mason, Nick, Rajagopal, Ramesh, Shenoy, Shrisha, Khater, Magdy, Morgan, Richard, Makris, Nikolaos, Hermandes, Anil, White, Andrew, Finch, Guy, Outram, Matt, Wilkinson, Jonny, Spimpolo, Jennifer, Shaw, Debbie, Obichere, Marion, Brescia, Giovanni, Menezes, Flavia, Stafford, Helena, Watters, Malcolm, Thorn, Chris, Stone, Julian, Andrews, Sam, Lythell, Nicola, Langton, Helen, Baxter, Stephen, Fernandes, Roy, Sunthareswaran, Rame, Ankers, Alastair, Panikkar, Kumar, Sleight, Simon, Cornforth, Belinda, Bell, Louise, Dodd, Phil, Welsh, Fenella, Watson, Geoff, Dorman, Frankie, Nash, Guy, Bromilow, James, Haigh, Fran, Pogson, David, Mercer, Stuart, Tucker, Vanessa, Way, Carolyn, Kirby-Bott, James, McLachan, Jenny, Chambers, Rob, Craven, Rachael, Blazeby, Jane, Freshwater-Turner, Dan, Burrows, Lorna, Howes, Helen, Christie, Iain, Coleman, Mark, Waddy, Sam, Sanders, Grant, Patrick, Abigail, Pitman, Catherine, Tyson, Susan, Smith, Hannah, Rousseau, Guy, Cartmell, Mark, Hanousek, Jan, Hollister, Nigel, Kightly, Lynsey, Pulletz, Mark, Talwar, Anjay, Baker, Susie, Thomas, Ruth, Gibbs, Richard, Noble, Hamish, Silsby, Joseph, Black, Helen, Evans, Thomas, DeBrunner, Robert, Cook, Nicola, Hodges, Stacy, Stevens, Amanda, Felipe, Rowena, Paddle, Jonathan, May, Denzil, Pickford, Alison, Riddington, Sid, Tucker, Olga, Smart, Simon, Marwick, Jeremy, Suggett, Nigel, Griffiths, Ewen, Riddington, David, Gill, Kathryn, Cruickshank, Neil, Susarla, Jay, Leno, Emma, Colley, Julie, Burtenshaw, Andrew, Lake, Stephen, Greenwood, Jamie, Bhardwaj, Sian, Thrush, Jessica, Wollaston, Julie, Sonksen, Julian, Patel, Rajan, Jennings, Adrian, Stanley, David, Wright, Jenny, Horner, Chris, Baig, Faisal, Cooke, Katie, Singh, Jagdeep, Claxton, Andrew, Mirza, Nazzia, Hester, Simon, Knight, Georgia, Kumar, Peeyush, Saran, Taj, Marangoni, Gabriele, Townsend, Roger, Thacker, Andy, Scase, Anne, Sharma, Meghna, Hale, Beth

مصطلحات موضوعية: Original research

الوصف: Background and objectives A clinical trial in 93 National Health Service hospitals evaluated a quality improvement programme for emergency abdominal surgery, designed to improve mortality by improving the patient care pathway. Large variation was observed in implementation approaches, and the main trial result showed no mortality reduction. Our objective therefore was to evaluate whether trial participation led to care pathway implementation and to study the relationship between care pathway implementation and use of six recommended implementation strategies. Methods We performed a hospital-level time-series analysis using data from the Enhanced Peri-Operative Care for High-risk patients trial. Care pathway implementation was defined as achievement of >80% median reliability in 10 measured care processes. Mean monthly process performance was plotted on run charts. Process improvement was defined as an observed run chart signal, using probability-based ‘shift’ and ‘runs’ rules. A new median performance level was calculated after an observed signal. Results Of 93 participating hospitals, 80 provided sufficient data for analysis, generating 800 process measure charts from 20 305 patient admissions over 27 months. No hospital reliably implemented all 10 processes. Overall, only 279 of the 800 processes were improved (3 (2–5) per hospital) and 14/80 hospitals improved more than six processes. Mortality risk documented (57/80 (71%)), lactate measurement (42/80 (53%)) and cardiac output guided fluid therapy (32/80 (40%)) were most frequently improved. Consultant-led decision making (14/80 (18%)), consultant review before surgery (17/80 (21%)) and time to surgery (14/80 (18%)) were least frequently improved. In hospitals using ≥5 implementation strategies, 9/30 (30%) hospitals improved ≥6 care processes compared with 0/11 hospitals using ≤2 implementation strategies. Conclusion Only a small number of hospitals improved more than half of the measured care processes, more often when at least five of six implementation ...

وصف الملف: text/html

العلاقة: http://qualitysafety.bmj.com/cgi/content/short/29/8/623Test; http://dx.doi.org/10.1136/bmjqs-2019-009537Test

الإتاحة: https://doi.org/10.1136/bmjqs-2019-009537Test
http://qualitysafety.bmj.com/cgi/content/short/29/8/623Test

View record in BASE