135 results found
Caglic I, Sushentsev N, Shah N, et al., 2021, Comparison of biparametric versus multiparametric prostate MRI for the detection of extracapsular extension and seminal vesicle invasion in biopsy naive patients, EUROPEAN JOURNAL OF RADIOLOGY, Vol: 141, ISSN: 0720-048X
Nathan A, Fricker M, Patel S, et al., 2021, Virtual Interactive Surgical Skills Classroom: Protocol for a Parallel-Group, Noninferiority, Adjudicator-Blinded, Randomized Controlled Trial (VIRTUAL)., JMIR Res Protoc, Vol: 10, ISSN: 1929-0748
BACKGROUND: Traditional face-to-face training (FFT) for basic surgical skills is inaccessible and resource-intensive. Noninteractive computer-based learning is more economical but less educationally beneficial. Virtual classroom training (VCT) is a novel method that permits distanced interactive expert instruction. VCT may optimize resources and increase accessibility. OBJECTIVE: We aim to investigate whether VCT is superior to computer-based learning and noninferior to FFT in improving proficiency in basic surgical skills. METHODS: This is a protocol for a parallel-group, noninferiority, randomized controlled trial. A sample of 72 undergraduates will be recruited from 5 medical schools in London. Participants will be stratified by subjective and objective suturing experience level and allocated to 3 intervention groups at a 1:1:1 ratio. VCT will be delivered using the BARCO weConnect software, and FFT will be provided by expert instructors. Optimal student-to-teacher ratios of 12:1 for VCT and 4:1 for FFT will be maintained. The assessed task will be interrupted suturing with hand-tied knots. RESULTS: The primary outcome will be the postintervention Objective Structured Assessment of Technical Skills score, adjudicated by 2 experts blinded to the study and adjusted for baseline proficiency. The noninferiority margin (δ) will be defined using historical data. CONCLUSIONS: This study will serve as a comprehensive appraisal of the suitability of virtual basic surgical skills classroom training as an alternative to FFT. Our findings will assist the development and implementation of further resource-efficient, accessible, virtual basic surgical skills training programs during the COVID-19 pandemic and in the future. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number ISRCTN12448098; https://www.isrctn.com/ISRCTN12448098. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/28671.
Winters DA, Soukup T, Sevdalis N, et al., 2021, The cancer multidisciplinary team meeting: in need of change? History, challenges and future perspectives, BJU INTERNATIONAL, Vol: 128, Pages: 271-279, ISSN: 1464-4096
Lamb BW, Miah S, Skolarus TA, et al., 2021, Development and Validation of a Short Version of the Metric for the Observation of Decision-Making in Multidisciplinary Tumor Boards: MODe-Lite, ANNALS OF SURGICAL ONCOLOGY, ISSN: 1068-9265
Lamb BW, Miah S, Soukup T, 2021, ASO Author Reflections: The Pursuit of Digitalised Quality Improvement Assessment Tools for Cancer Multidisciplinary Teams, ANNALS OF SURGICAL ONCOLOGY, ISSN: 1068-9265
Soukup T, Murtagh GM, Lamb BW, et al., 2021, Gaps and overlaps in cancer multidisciplinary team communication: analysis of speech, Small Group Research, Vol: 52, Pages: 189-219, ISSN: 1046-4964
Guided by the principles of conversation analysis, we examined the communication practices used to negotiate levels of participation in cancer multidisciplinary team meetings and their implications for patient safety. Three cancer teams participated. Thirty-six weekly meetings were video recorded, encompassing 822 case reviews. A cross-section was transcribed using Jefferson notation. We found a low frequency of gaps between speakers (3%), high frequency of overlaps (24%), and no-gaps-no-overlaps (73%), suggesting fast turn transitions. Securing a turn to speak is challenging due to a systematic reduction in turn-taking opportunities. We contribute to group research with the development of a microlevel methodology for studying multidisciplinary teams.
Tan WS, Arianayagam R, Khetrapal P, et al., 2021, Major Urological Cancer Surgery for Patients is Safe and Surgical Training Should Be Encouraged During the COVID-19 Pandemic: A Multicentre Analysis of 30-day Outcomes, EUROPEAN UROLOGY OPEN SCIENCE, Vol: 25, Pages: 39-43, ISSN: 2666-1691
Nathan A, Shukla S, Sinha A, et al., 2021, Immediate post-operative PDE5i therapy improves early erectile function outcomes after robot assisted radical prostatectomy (RARP), JOURNAL OF ROBOTIC SURGERY, ISSN: 1863-2483
Soukup T, Murtagh G, Lamb BW, et al., 2021, Degrees of Multidisciplinarity Underpinning Care Planning for Patients with Cancer in Weekly Multidisciplinary Team Meetings: Conversation Analysis, JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, Vol: 14, Pages: 411-424, ISSN: 1178-2390
Glasbey JC, Omar O, Nepogodiev D, et al., 2021, Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic, BRITISH JOURNAL OF SURGERY, Vol: 108, Pages: 88-96, ISSN: 0007-1323
Soukup T, Lamb BW, Shah NJ, et al., 2020, Relationships Between Communication, Time Pressure, Workload, Task Complexity, Logistical Issues and Group Composition in Transdisciplinary Teams: A Prospective Observational Study Across 822 Cancer Cases, FRONTIERS IN COMMUNICATION, Vol: 5
Soukup T, Sevdalis N, Green JSA, et al., 2020, Quality improvement for cancer multidisciplinary teams: lessons learned from the Anglian Germ Cell Cancer Collaborative Group, BRITISH JOURNAL OF CANCER, Vol: 124, Pages: 313-314, ISSN: 0007-0920
Soukup T, Lamb BW, Morbi A, et al., 2020, A multicentre cross-sectional observational study of cancer multidisciplinary teams: Analysis of team decision making, Cancer Medicine, Vol: 9, Pages: 7083-7099, ISSN: 2045-7634
BackgroundMultidisciplinary teams (MDT) formulate expert informed treatment recommendations for people with cancer. We set out to examine how the factors proposed by the functional perspective of group decision making (DM), that is, interaction process, internal factors (factors emanating from within the group such as group size), external circumstances (factors coming from the outside of the team), and case‐complexity affect the quality of MDT decision making.MethodsThis was a cross‐sectional observational study. Three cancer MDTs were recruited with 44 members overall and 30 of their weekly meetings filmed. Validated observational instruments were used to measure quality of DM, interactions, and complexity of 822 case discussions.ResultsThe full regression model with the variables proposed by the functional perspective was significant, R2 = 0.52, F(20, 801) = 43.47, P < .001, adjusted R2 = 0.51. Positive predictors of DM quality were asking questions (P = .001), providing answers (P = .001), team size (P = .007), gender balance (P = .003), and clinical complexity (P = .001), while negative socioemotional reactions (P = .007), gender imbalance (P = .003), logistical issues (P = .001), time‐workload pressures (P = .002), and time spent in the meeting (P = .001) were negative predictors. Second half of the meetings also saw significant decrease in the DM quality (P = .001), interactions (P = .001), group size (P = .003), and clinical complexity (P = .001), and an increase in negative socioemotional reactions (P = .001) and time‐workload pressures (P = .001).DiscussionTo the best of our knowledge, this is the first study to attempt to assess the factors proposed by the functional perspective in cancer MDTs. One novel finding is the effect of sociocognitive factors on team DM quality, while another is the cognitive‐catch 22 effect: while the case discussions are significantly simpler in the second half of the meeting, there is significantly less time left to discuss
Soukup T, Morbi A, Lamb BW, et al., 2020, A measure of case complexity for streamlining workflow in multidisciplinary tumor boards: Mixed methods development and early validation of the MeDiC tool, Cancer Medicine, Vol: 9, Pages: 5143-5154, ISSN: 2045-7634
Background and ObjectiveThere is increasing emphasis in cancer care globally for care to be reviewed and managed by multidisciplinary teams (ie, in tumor boards). Evidence and recommendations suggest that the complexity of each patient case needs to be considered as care is planned; however, no tool currently exists for cancer teams to do so. We report the development and early validation of such a tool.MethodsWe used a mixed‐methods approach involving psychometric evaluation and expert review to develop the Measure of case‐Discussion Complexity (MeDiC) between May 2014 and November 2016. The study ran in six phases and included ethnographic interviews, observations, surveys, feasibility and reliability testing, expert consensus, and multiple expert‐team reviews.ResultsPhase‐1 : case complexity factors identified through literature review and expert interviews; Phase‐2 : 51 factors subjected to iterative review and content validation by nine cancer teams across four England Trusts with nine further items identified; Phase 3 : 60 items subjected to expert review distilled to the most relevant; Phase 4 : item weighing and further content validation through a national UK survey; Phases 5 and 6 : excellent interassessor reliability between clinical and nonclinical observers, and adequate validity on 903 video case discussions achieved. A final set of 27 factors, measuring clinical and logistical complexities were integrated into MeDiC.ConclusionsMeDiC is an evidence‐based and expert‐driven tool that gauges the complexity of cancer cases. MeDiC may be used as a clinical quality assurance and screening tool for tumor board consideration through case selection and prioritization.
Soukup T, Lamb BW, Sevdalis N, et al., 2020, Streamlining cancer multidisciplinary team meetings: challenges and solutions, BRITISH JOURNAL OF HOSPITAL MEDICINE, Vol: 81, ISSN: 1750-8460
Habib A, Connor M, Boxall N, et al., 2020, Improving quality of life for Muslim patients requiring a stoma: A critical review of theological and psychosocial issues, Surgical Practice, Vol: 24, Pages: 29-36, ISSN: 1744-1625
ObjectiveThe impact of a stoma on the health‐related quality of life (HRQoL) in patients is irrespective of faith. Muslim patients report lower quality of life and spiritual wellbeing following stoma surgery as compared to others. This critical review aims to improve awareness of Islamic practices and HRQoL outcomes in this cohort of patients amongst healthcare professionals.Methodology.An extensive non‐systematic search of EMBASE, MEDLINE and Google Scholar was performed for original research articles pertaining to health related quality of life (HRQoL), stoma care and impact on religious practice in Muslim patients. A narrative synthesis of extracted data was performed and presented using basic thematic analysis.ResultsThe findings from the 10 original articles, including 954 participants, were identified. Perceptions of cleanliness emerged as a concern to Muslim patients with stomas as it is core to the performance of prayer. Muslim patients with stomas are known to avoid or reduce participation in prayers due to perceived inferior hygiene and fear of leakage. The consensus opinion from Islamic scholars is that they can pray normally, attend mosque and perform the Hajj pilgrimage. Stoma patients may fast in the Holy month of Ramadan provided it is medically safe. Evidence suggests religion‐specific counselling can reduce the detrimental effect on HRQoL of Muslim patients following stoma‐forming surgery and increases engagement in social aspects of life.ConclusionsIt is important for patients, family members and healthcare professionals to understand the practical and religious implications of stomas on these patients for appropriate guidance and counselling.
Soukup T, Lamb BW, Weigl M, et al., 2019, An Integrated Literature Review of Time-on-Task Effects With a Pragmatic Framework for Understanding and Improving Decision-Making in Multidisciplinary Oncology Team Meetings, FRONTIERS IN PSYCHOLOGY, Vol: 10, ISSN: 1664-1078
Shah TT, Gao C, Peters M, et al., 2019, Factors associated with spontaneous stone passage in a contemporary cohort of patients presenting with acute ureteric colic: results from the Multi-centre cohort study evaluating the role of Inflammatory Markers In patients presenting with acute ureteric Colic (MIMIC) study., BJU Int
OBJECTIVES: To assess the relationship of white blood cell count (WBC) and other routinely collected inflammatory and clinical markers including stone size, stone position, and medical expulsive therapy use (MET), with spontaneous stone passage (SSP) in a large contemporary cohort of patients with acute ureteric colic, as there are conflicting data on the role of WBC and other inflammatory markers in SSP in patients with acute ureteric colic. PATIENTS AND METHODS: Multicentre retrospective cohort study coordinated by the British Urology Researchers in Surgical Training (BURST) Research Collaborative at 71 secondary care hospitals across four countries (UK, Republic of Ireland, Australia, and New Zealand). In all, 4170 patients presented with acute ureteric colic and a computed tomography confirmed single ureteric stone. Our primary outcome measure was SSP, as defined by the absence of need for intervention to assist stone passage (SP). Multivariable mixed effects logistic regression was used to explore the relationship between key patient factors and SSP. RESULTS: In all, 2518 patients were discharged with conservative management and had further follow-up with a SSP rate of 74% (n = 1874/2518). Sepsis after discharge with conservative management was reported in 0.6% (n = 16/2518). On multivariable analysis neither WBC, neutrophils count, nor C-reactive protein (CRP) predicted SSP, with an adjusted odds ratio (OR) of 0.97 (95% confidence interval [CI] 0.91-1.04, P = 0.38), 1.06 (95% CI 0.99-1.13, P = 0.1) and 1.00 (95% CI 0.99-1.00, P = 0.17), respectively. MET also did not predict SSP (adjusted OR 1.11, 95% CI 0.76-1.61). However, stone size and stone position were significant predictors. SSP for stones <5 mm was 89% (95% CI 87-90) compared to 49% (95% CI 44-53) for stones ≥5-7 mm, and 29% (95% CI 23-36) for stones >7 mm. For stones in the upper ureter the SSP rate was 52% (95% CI 48-56), midd
Tan WS, Ahmad A, Feber A, et al., 2019, Development and validation of a haematuria cancer risk score to identify patients at risk of harbouring cancer, JOURNAL OF INTERNAL MEDICINE, Vol: 285, Pages: 436-445, ISSN: 0954-6820
Gnanapragasam V, Barrett T, Burling K, et al., 2019, USE OF THE PHI ASSAY AS A FIRST LINE TRIAGING TEST IN AN IMAGE-GUIDED PROSTATE CANCER DIAGNOSTIC PATHWAY. THE PHI IN REFINING MRI STUDY (PRIM), 114th Annual Meeting of the American-Urological-Association (AUA), Publisher: LIPPINCOTT WILLIAMS & WILKINS, Pages: E653-E653, ISSN: 0022-5347
Pascoe C, Duncan C, Lamb BW, et al., 2019, Current management of radiation cystitis: a review and practical guide to clinical management, BJU INTERNATIONAL, Vol: 123, Pages: 585-594, ISSN: 1464-4096
Miah S, Boxall NE, Lamb BW, 2019, Is the educational performance measure a fair way of assessing candidates applying to the United Kingdom Foundation Programme? [Letter], ADVANCES IN MEDICAL EDUCATION AND PRACTICE, Vol: 10, Pages: 591-592, ISSN: 1179-7258
Tan WS, Sarpong R, Khetrapal P, et al., 2019, Does urinary cytology have a role in haematuria investigations?, BJU INTERNATIONAL, Vol: 123, Pages: 74-81, ISSN: 1464-4096
Pascoe C, Christidis D, Manning TG, et al., 2019, Photoselective Vaporization of the Bladder for the Management of Radiation Cystitis-Technique and Initial Outcomes, UROLOGY, Vol: 123, Pages: 295-295, ISSN: 0090-4295
Lamb BW, Rajan P, 2018, The practicing urologists' guide to clinical research, JOURNAL OF CLINICAL UROLOGY, Vol: 11, Pages: 395-397, ISSN: 2051-4158
Soukup T, Lamb BW, Arora S, et al., 2018, Corrigendum: Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature [Corrigendum], Journal of Multidisciplinary Healthcare, Vol: 11, Pages: 267-267, ISSN: 1178-2390
Tan WS, Tan M-Y, Lamb BW, et al., 2018, Intracorporeal robot-assisted radical cystectomy, together with an enhanced recovery programme, improves postoperative outcomes by aggregating marginal gains, BJU INTERNATIONAL, Vol: 121, Pages: 632-639, ISSN: 1464-4096
Pascoe C, Christidis D, Manning TE, et al., 2018, GREEN LIGHT LASER FOR MANAGEMENT OF HAEMORRHERGIC CYSTITIS - TECHNIQUE AND INITIAL RESULTS, American-Urological-Association(AUA) Annual Meeting, Publisher: ELSEVIER SCIENCE INC, Pages: E167-E167, ISSN: 0022-5347
Lamb BW, Alghazo O, Murphy DG, 2018, Balancing the benefits and harms of radiotherapy post-radical prostatectomy, TRANSLATIONAL ANDROLOGY AND UROLOGY, Vol: 7, Pages: S128-S131, ISSN: 2223-4683
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