Publications
168 results found
Allchorne P, Lamb BW, Kinsella J, et al., 2014, Initial experience of intravesical gemcitabine for patients with high-risk superficial transitional cell carcinoma of the bladder following BCG failure., Urol Nurs, Vol: 34, Pages: 95-99, ISSN: 1053-816X
This study reports the use of intravesical gemcitabine in managing patients with high-risk bladder cancer, refractory to Bacillus Calmette-Guerin (BCG). Patients were given gemcitibine; treatment response was evaluated by fluorescence-cystoscopy biopsy and urine cytology. Time to reoccurrence increased with instillation time.
Lamb BW, Jalil RT, Shah S, et al., 2014, Cancer patients' perspectives on multidisciplinary team working: an exploratory focus group study., Urol Nurs, Vol: 34, Pages: 83-102, ISSN: 1053-816X
This qualitative, focus-group study explores what patients understand about the multidisciplinary team (MDT) in cancer care. Participants were positive towards MDT working, and by strengthening the role of nurses in MDT decision-making, the representation of patients' interests can be improved.
Aref-Adib M, Lamb BW, Lee HB, et al., 2013, Stem cell therapy for stress urinary incontinence: a systematic review in human subjects, ARCHIVES OF GYNECOLOGY AND OBSTETRICS, Vol: 288, Pages: 1213-1221, ISSN: 0932-0067
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- Citations: 16
Aref-Adib M, Khasriya R, Lamb BW, et al., 2013, Do we practice what we preach? A survey of UK O&G trainees' attitudes to caesarean delivery for maternal request, BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Vol: 120, Pages: 1-2, ISSN: 1470-0328
Lamb BW, Green JSA, Benn J, et al., 2013, Improving Decision Making in Multidisciplinary Tumor Boards: Prospective Longitudinal Evaluation of a Multicomponent Intervention for 1,421 Patients, JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, Vol: 217, Pages: 412-420, ISSN: 1072-7515
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- Citations: 90
Aref-Adib M, Lamb BW, Yoong W, 2013, Stem cell therapy for stress urinary incontinence - a systematic review in human subjects, Publisher: WILEY-BLACKWELL, Pages: 288-289, ISSN: 1470-0328
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- Citations: 2
Papanikolaou P, Palfreyman S, 2013, The contribution of the discrete choice experiment to our understanding of nurse decision making: Response to Lamb and Sevdalis (2011), INTERNATIONAL JOURNAL OF NURSING STUDIES, Vol: 50, Pages: 708-710, ISSN: 0020-7489
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- Citations: 3
Lamb BW, Taylor C, Lamb JN, et al., 2013, Facilitators and Barriers to Teamworking and Patient Centeredness in Multidisciplinary Cancer Teams: Findings of a National Study, ANNALS OF SURGICAL ONCOLOGY, Vol: 20, Pages: 1408-1416, ISSN: 1068-9265
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- Citations: 80
Lamb BW, Sevdalis N, Benn J, et al., 2013, Multidisciplinary Cancer Team Meeting Structure and Treatment Decisions: A Prospective Correlational Study, ANNALS OF SURGICAL ONCOLOGY, Vol: 20, Pages: 715-722, ISSN: 1068-9265
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- Citations: 56
Jalil R, Lamb B, Russ S, et al., 2012, The cancer multi-disciplinary team from the co-ordinators' perspective: results from a national survey in the UK, BMC HEALTH SERVICES RESEARCH, Vol: 12
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- Citations: 25
Taylor C, Brown K, Lamb B, et al., 2012, Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary Teamwork, ANNALS OF SURGICAL ONCOLOGY, Vol: 19, Pages: 4019-4027, ISSN: 1068-9265
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- Citations: 29
Imrell K, Karrenbauer V, Bomfim IL, et al., 2012, Monogenetic Multiple Sclerosis or Spastic Paraplegia with Inflammation in a Consanguineous Family?, 3rd Nordic Meeting on Genetics and Pathogenesis of Immunological Diseases, Publisher: WILEY-BLACKWELL, Pages: 207-207, ISSN: 0300-9475
Marzouk SD, Mecci AJ, Gan JH, et al., 2012, Do bladder cancer patients who miss out on the 2 week wait referral process have a worse prognosis?, Annual Scientific Meeting of the British-Association-of-Urological-Surgeons (BAUS), Publisher: WILEY-BLACKWELL, Pages: 58-59, ISSN: 1464-4096
Lamb BW, Sevdalis N, Taylor C, et al., 2012, Multidisciplinary team working across different tumour types: analysis of a national survey., Ann Oncol, Vol: 23, Pages: 1293-1300
BACKGROUND: Using data from a national survey, this study aimed to address whether the current model for multidisciplinary team (MDT) working is appropriate for all tumour types. PATIENTS AND METHODS: Responses to the 2009 National Cancer Action Team national survey were analysed by tumour type. Differences indicate lack of consensus between MDT members in different tumour types. RESULTS: One thousand one hundred and forty-one respondents from breast, gynaecological, colorectal, upper gastrointestinal, urological, head and neck, haematological and lung MDTs were included. One hundred and sixteen of 136 statements demonstrated consensus between respondents in different tumour types. There were no differences regarding the infrastructure for meetings and team governance. Significant consensus was seen for team characteristics, and respondents disagreed regarding certain aspects of meeting organisations and logistics, and patient-centred decision making. Haematology MDT members were outliers in relation to the clinical decision-making process, and lung MDT members disagreed with other tumour types regarding treating patients with advanced disease. CONCLUSIONS: This analysis reveals strong consensus between MDT members from different tumour types, while also identifying areas that require a more tailored approach, such as the clinical decision-making process, and preparation for and the organisation of MDT meetings. Policymakers should remain sensitive to the needs of health care teams working in individual tumour types.
Powles L, Rolls AE, Lamb BW, et al., 2012, Can redesigning a laboratory request form reduce the number of inappropriate PSA requests without compromising clinical outcome?, British Journal of Medical and Surgical Urology
Lamb BW, Green JSA, Benn J, et al., 2012, Implementation of a quality improvement programme in a urology cancer multidisciplinary team, EUROPEAN UROLOGY SUPPLEMENTS, Vol: 11, Pages: E68-U422, ISSN: 1569-9056
Sud A, Solanki K, Lamb B, et al., 2012, Prospective study comparing whitelight cystoscopy <i>versus</i> bluelight fluorescence cystoscopy in detecting high grade bladder tumour, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 112-112, ISSN: 0007-1323
Lamb B, Payne H, Vincent C, et al., 2011, The role of oncologists in multidisciplinary cancer teams in the UK: an untapped resource for team leadership?, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 17, Pages: 1200-1206, ISSN: 1356-1294
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- Citations: 20
Lamb BW, Sevdalis N, Taylor C, et al., 2011, Multidisciplinary team working across different tumour types: analysis of a national survey, Annals of Oncology
Lamb B, Green JSA, Vincent C, et al., 2011, Decision making in surgical oncology, SURGICAL ONCOLOGY-OXFORD, Vol: 20, Pages: 163-168, ISSN: 0960-7404
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- Citations: 53
Lamb BW, Sevdalis S, Arora S, et al., 2011, Teamwork and Team Decision-making at Multidisciplinary Cancer Conferences: Barriers, Facilitators, and Opportunities for Improvement, WORLD J SURG, Vol: 35, Pages: 1970-1976
Hanief M, Lamb BW, Rajendran I, et al., 2011, The role of breast imaging in macrolane injection- a review and report of three cases, European Journal of Radiology Extra
Lamb BW, Allchorne P, Sevdalis N, et al., 2011, The role of the urology clinical nurse specialist in the multidisciplinary team meeting, INTERNATIONAL JOURNAL OF UROLOGICAL NURSING, Vol: 5, Pages: 59-64, ISSN: 1749-7701
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- Citations: 18
Lamb BW, Wong HW, Vincent C, et al., 2011, Teamwork and team performance in multidisciplinary cancer teams:Development and evaluation of an observational assessment tool, Qual Saf Health Care
Purpose: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance.Materials and Methods: An observational tool was developed to assess performance in MDTs. Behaviours were scored on Likert scales, with objective anchors. Five MDT meetings (112 cases) were observed by a surgeon and a psychologist. Presentation of case history, radiological, and pathological information, Chair’s effectiveness, contribution to decision-making of Surgeons, Oncologists, Radiologists, Pathologists, and Clinical Nurse Specialists (CNS) are analysed via descriptive statistics, comparison of average scores (Mann-Whitney U) to test inter-observer agreement, and Intraclass Correlation Coefficients (ICC) to further assess inter-observer agreement and learning curves. Results: Behaviour scoring: Contribution of Surgeons, Chair’s effectiveness, presentation of case history, and radiological information were rated above average (P≤0.001). Contributions of Histopathologists and CNS rated below average (P≤0.001), others average. Inter-observer agreement: agreement was high (ICC=0.70+) for presentation of radiological information, contribution of Oncologists, Radiologists, Pathologists and CNSs; adequate for case history presentation (ICC=0.68) and contribution of Surgeons (ICC=0.69); moderate for Chairperson (ICC=0.52); and poor for pathological information (ICC=0.31). Average differences found only for case history presentation (P≤0.001). Learning curves: significantly improving ICCs in assessment of case history, and Oncologists, and consistently high ICCs for CNS, Radiologists, and Histopathologists. Conclusions: Scientific observational metrics can reliably be used by medical and non-medical observers in cancer MDTs. Such robust assessment tools provide part of a toolkit for team evaluation and enhancement.
Lamb BW, Sevdalis N, Mostafid H, et al., 2011, Quality improvement in multidisciplinary cancer teams: an investigation of teamwork and clinical decision-making and cross-validation of assessments, Annals of Surgical Oncology
Lamb B, Taylor C, Vincent C, et al., 2011, DOES ONE SIZE OF CANCER CONFERENCE FIT ALL? COMPARISON OF UROLOGY WITH OTHER TUMOUR TYPES, Publisher: ELSEVIER SCIENCE INC, Pages: E122-E122, ISSN: 0022-5347
Lamb BW, Brown KF, Nagpal K, et al., 2011, Quality of care management decisions by multidisciplinary cancer teams: A systematic review, Annals of Surgical Oncology
Background: Factors that affect the quality of clinical decisions of multidisciplinary cancer teams (MDTs) are not well understood. We reviewed and synthesised the evidence on clinical, social, and technological factors that affect the quality of MDT clinical decision-making. Methods: Electronic databases were searched in May 2009. Eligible studies reported original data, quantitative or qualitative. Data were extracted and tabulated by two blinded reviewers, and study quality formally evaluated. Results: Thirty-seven studies were included. Study quality was low to medium. Studies assessed quality of care decisions via the effect of MDTs on care management. MDTs changed cancer management by individual physicians in 2-52% of cases. Failure to reach a decision at MDT discussion was found in 27-52% of cases. Decisions could not be implemented in 1-16% of cases. Team decisions are made by physicians, using clinical information. Nursing personnel do not have an active role and patient preferences are not discussed. Time pressure, excessive caseload, low attendance, poor teamworking and lack of leadership lead to lack of information and deterioration of decision-making. Telemedicine is increasingly used in developed countries, with no detriment to quality of MDT decisions. Conclusions: Team/social factors affect management decisions by cancer MDTs. Inclusion of time to prepare for MDTs into team-members job plans, making team and leadership skills training available to team-members, and systematic input from nursing personnel would address some of the current shortcomings. These improvements ought to be considered at national policy level, with the ultimate aim of improving cancer care.
Lamb B, Sevdalis N, 2011, How do nurses make decisions?, INTERNATIONAL JOURNAL OF NURSING STUDIES, Vol: 48, Pages: 281-284, ISSN: 0020-7489
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- Citations: 15
Arora S, Lamb B, Undre S, et al., 2011, Framework for incorporating simulation into urology training, BJU INTERNATIONAL, Vol: 107, Pages: 806-810, ISSN: 1464-4096
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- Citations: 36
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