Publications
45 results found
Murtagh GM, Kong W, Kaneria A, et al., 2022, Forum Theatre:An effective method of combined communication and ethics teaching in UG clinical medical students, Transform MedEd 2022
Palladino R, More A, Greenfield G, et al., 2022, Evaluation of the North West London Diabetes Foot Care Transformation Project: a mixed-methods evaluation, International Journal of Integrated Care, Vol: 22, Pages: 1-9, ISSN: 1568-4156
Introduction: Diabetes foot ulceration (DFU) presents an enormous burden to those living with diabetes and to the local health systems and economies. There is an increasing interest in implementing integrated care models to enhance the quality of care for people living with diabetes and related complications and the value of co-production approaches to achieve sustainable change. This paper aims to describe the evaluation methodology for the North West London (NWL) Diabetes Foot Care Transformation project. Description: A mixed methods design including: i) a quasi-experimental quantitative analysis assessing the impact of the implementation of the local secondary care multi-disciplinary diabetes foot team clinics on service utilisation and clinical outcomes (amputations and number of healed patients); ii) a phenomenological, qualitative study to explore patient and staff experience; and iii) a within-trial cost-effectiveness analysis (pre and post 2017) to evaluate the programme cost-effectiveness.Discussion and Conclusion: Demonstrating the impact of multidisciplinary, integrated care models and the value of co-production approaches is important for health providers and commissioners trying to improve health outcome. Evaluation is also needed to identify strategies to overcome barriers which might have reduced the impact of the programme and key elements for improvement.
Gillon R, Boyd K, Brazier M, et al., 2019, Guest editorial: a tribute to the Very Reverend Edward Shotter (FCMME), JOURNAL OF MEDICAL ETHICS, Vol: 45, Pages: 629-630, ISSN: 0306-6800
Kerr M, Barron E, Chadwick P, et al., 2019, The cost of diabetic foot ulcers and amputations to the National Health Service in England, Diabetic Medicine, Vol: 36, Pages: 995-1002, ISSN: 0742-3071
<jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>To estimate the healthcare costs of diabetic foot disease in England.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patient‐level data sets at a national and local level, and evidence from clinical studies, were used to estimate the annual cost of health care for foot ulceration and amputation in people with diabetes in England in 2014–2015.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The cost of health care for ulceration and amputation in diabetes in 2014–2015 is estimated at between £837 million and £962 million; 0.8% to 0.9% of the National Health Service (<jats:styled-content style="fixed-case">NHS</jats:styled-content>) budget for England. More than 90% of expenditure was related to ulceration, and 60% was for care in community, outpatient and primary settings. For inpatients, multiple regression analysis suggested that ulceration was associated with a length of stay 8.04 days longer (95% confidence interval 7.65 to 8.42) than that for diabetes admissions without ulceration.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Diabetic foot care accounts for a substantial proportion of healthcare expenditure in England, more than the combined cost of breast, prostate and lung cancers. Much of this expenditure arises through prolonged and severe ulceration. If the <jats:styled-content style="fixed-case">NHS</jats:styled-content> were to reduce the prevalence of diabetic foot ulcers in England by one‐third, the gross annual saving would be more than £250 million. Diabetic foot ulceration is a large and growing problem globally, and it is likely that there is potential to improve outcomes and reduce expen
Kong WM, Knight S, 2017, Bridging the education-action gap: a near-peer case-based undergraduate ethics teaching programme, JOURNAL OF MEDICAL ETHICS, Vol: 43, Pages: 692-696, ISSN: 0306-6800
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- Citations: 9
Sutton-Smith M, Siddiqui M, Gaytree T, et al., 2017, Cost benefits of an integrated diabetic foot service, Publisher: WILEY, Pages: 140-141, ISSN: 0742-3071
Kong WM, 2015, What is good medical ethics? A clinician's perspective, JOURNAL OF MEDICAL ETHICS, Vol: 41, Pages: 79-82, ISSN: 0306-6800
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- Citations: 8
Kong WM, 2015, Medical ethics in medical classrooms: from theory to practice, VOICES AND ROOMS OF EUROPEAN BIOETHICS, Editors: Huxtable, TerMeulen, Publisher: ROUTLEDGE, Pages: 159-179, ISBN: 978-0-415-73719-7
Salam A, Vakilgilani T, Chambers A, et al., 2014, Four cases of radiological diabetic foot osteomyelitis prior to clinical presentation, Publisher: WILEY-BLACKWELL, Pages: 21-21, ISSN: 0742-3071
Muthalagappan S, Johansson L, Kong WM, et al., 2013, Dialysis or conservative care for frail older patients: ethics of shared decision-making, NEPHROLOGY DIALYSIS TRANSPLANTATION, Vol: 28, Pages: 2717-2722, ISSN: 0931-0509
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- Citations: 50
Kong WM, Vernon B, 2013, Harnessing the LMG legacy: the IME's vision for the future, JOURNAL OF MEDICAL ETHICS, Vol: 39, Pages: 669-671, ISSN: 0306-6800
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- Citations: 5
Parekh R, Beaconsfield T, Kong WM, 2012, A woman with neck pain and shortness of breath, BRITISH MEDICAL JOURNAL, Vol: 345, ISSN: 1756-1833
Henry JL, Kong WM, Nicholas NS, et al., 2012, Dead in the Water - Are We Killing the Hospital Autopsy with Poor Consent Practices?, 201st Winter Scientific Meeting of the Pathological-Society-of-Great-Britain-and-Ireland, Publisher: WILEY-BLACKWELL, Pages: S8-S8, ISSN: 0022-3417
Jacobs RS, Kong WM, Hazell S, et al., 2012, MRI autopsy: A Suitable Alternative for Post-Mortem Analysis of the Foetal CNS?, 201st Winter Scientific Meeting of the Pathological-Society-of-Great-Britain-and-Ireland, Publisher: WILEY-BLACKWELL, Pages: S8-S8, ISSN: 0022-3417
Kong WM, Todd G, Rao G, et al., 2012, An integrated foot team improves outcomes in diabetics, 46th Annual Scientific Meeting of the Vascular-Society-of-Great-Britain-and-Ireland, Publisher: WILEY-BLACKWELL, Pages: 6-7, ISSN: 0007-1323
Kong WM, Vernon B, Boyd K, et al., 2011, Include medical ethics in the Research Excellence Framework, BMJ: British Medical Journal, Vol: 343, Pages: d3968-d3968
Preston-Shoot M, McKimm J, Kong WM, et al., 2011, Readiness for legally literate medical practice? Student perceptions of their undergraduate medico-legal education., Journal of Medical Ethics, Vol: 37, Pages: 616-622
Kong WM, Richardson J, 2010, Vulnerable Patients and Patient Abuse, Publisher: Department of health Foundation elearning project
Kong WM, Richardson J, 2010, Patient Autonomy and Patient Ethics, Publisher: Department of Health Foundation eLearning project
Kong WM, Richardson J, 2010, Confidentiality and Privacy, Publisher: Department of health Foundatuion eLearning Project
Smith KL, Gardiner JV, Ward HL, et al., 2008, Overexpression of CART in the PVN increases food intake and weight gain in rats, OBESITY, Vol: 16, Pages: 2239-2244, ISSN: 1930-7381
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- Citations: 38
Raby A, Car J, Kong WM, 2008, Type 2 diabetes: follow up., London J Prim Care (Abingdon), Vol: 1, Pages: 10-11, ISSN: 1757-1472
A 41 year old accountant recently registered with your practice. His registration health check indicates: BMI 31, BP 150/95, urine 1 + of glucose, no protein, smoker of 15 cigarettes daily. He has had diabetes for seven years and is taking Metformin 500 mg four times daily. It has been over a year since he last saw a doctor and he has now come to see you to obtain a prescription for medication.
Martin NM, Small CJ, Lee JL, et al., 2007, Low-dose oral tri-iodothyronine does not directly increase food intake in man, DIABETES OBESITY & METABOLISM, Vol: 9, Pages: 435-437, ISSN: 1462-8902
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- Citations: 3
Bishop CL, Ramalho M, Nadkarni N, et al., 2006, Role for centromeric heterochromatin and PML nuclear bodies in the cellular response to foreign DNA (vol 26, pg 2583, 2006), MOLECULAR AND CELLULAR BIOLOGY, Vol: 26, Pages: 3997-3997, ISSN: 0270-7306
Bishop CL, Ramalho M, Nadkarni N, et al., 2006, Role for centromeric heterochrornatin and PML nuclear bodies in the cellular response to foreign DNA, MOLECULAR AND CELLULAR BIOLOGY, Vol: 26, Pages: 2583-2594, ISSN: 0270-7306
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- Citations: 31
Bewick GA, Dhillo WS, Darch SJ, et al., 2005, Hypothalamic cocaine- and amphetamine-regulated transcript (CART) and agouti-related protein (AgRP) neurons coexpress the NOP<sub>1</sub> receptor and nociceptin alters CART and AgRP release, ENDOCRINOLOGY, Vol: 146, Pages: 3526-3534, ISSN: 0013-7227
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- Citations: 36
Kong WM, 2005, Legitimate requests and indecent proposals: matters of justice in the ethical assessment of phase I trials involving competent patients., Journal of Medical Ethics, Vol: 31, Pages: 205-208
Gardiner JV, Kong WM, Ward H, et al., 2005, AAV mediated expression of anti-sense neuropeptide Y cRNA in the arcuate nucleus of rats results in decreased weight gain and food intake, Biochemical and Biophysical research Communications, Vol: 327, Pages: 1088-1093
Kong WM, 2004, The Regulation of Gene Therapy Research In Competent Adult Patients, Today And Tomorrow: Implications Of EU Directive 2001/20/EC, Medical Law Review, Vol: 12, Pages: 164-180, ISSN: 0967-0742
Kong WM, Martin N, Smith K, et al., 2004, Triiodothyronine stimulates food intake via the hypothalamic ventromedial nucleus independent of changes in energy expenditure, Endocrinology, Vol: 145, Pages: 5252-5258
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