Comparative study of operative expenses: robotic vs. laparoscopic vs. open liver resections at a university hospital in the UK
AbstractRobotic liver resections (RLR) are increasingly being performed and has previously been considered more costly. The aim is to explore the cost of RLR compared with laparoscopic and open liver resection in a single National Health Service (NHS) hospital. A retrospective review of patients who underwent RLR, LLR, and OLR from April 2014 to December 2022 was conducted. The primary outcomes were the cost of consumables and median income, and the secondary outcomes were the overall length of stay and mortality at 90  days. Overall, 332 patients underwent liver resections. There were 204 males (61.4%) and 128 females (3...
Source: Journal of Robotic Surgery - January 12, 2024 Category: Surgery Source Type: research

Level of attendance at the English National Health Service Diabetes Prevention Programme and risk of progression to type 2 diabetes
We evaluated the dose –response relationship between the level of attendance at the English National Health Service Diabetes Prevention Programme (DPP) and risk of progression to type 2 diabetes amongst individ... (Source: International Journal of Behavioral Nutrition and Physical Activity)
Source: International Journal of Behavioral Nutrition and Physical Activity - January 12, 2024 Category: Nutrition Authors: Beth Parkinson, Emma McManus, Rachel Meacock and Matt Sutton Tags: Research Source Type: research

Rationale and design of the THIRST Alert feasibility study: a pragmatic, single-centre, parallel-group randomised controlled trial of an interruptive alert for oral fluid restriction in patients treated with intravenous furosemide
This study aims to explore the feasibility of using computer alerts within the electronic health record (EHR) system to invite clinical care teams to enrol patients into a pragmatic RCT at the time of clinical decision-making. It will additionally assess the effectiveness of using an alert to help address the clinical research question of whether oral fluid restriction is a safe and effective adjunct to pharmacological therapy for patients admitted with fluid overload. Methods and analysis THIRST (Randomised Controlled Trial within the electronic Health record of an Interruptive alert displaying a fluid Restriction Sugges...
Source: BMJ Open - January 11, 2024 Category: General Medicine Authors: Chen, Y., Shah, A., Jani, Y., Higgins, D., Saleem, N., Chafer, K., Sydes, M. R., Asselbergs, F. W., Lumbers, R. T. Tags: Open access, Cardiovascular medicine Source Type: research

What helps patients access web-based services in primary care? Free-text analysis of patient responses to the Di-Facto questionnaire
The National Health Service (NHS) and general practice are increasingly adopting digital services. These services can impact both positively and negatively upon patient experiences, and access to digital servi... (Source: BMC Family Practice)
Source: BMC Family Practice - January 10, 2024 Category: Primary Care Authors: Nada Khan, Emma Pitchforth, Rachel Winder, Gary Abel, Christopher E. Clark, Emma Cockcroft and John Campbell Tags: Research Source Type: research

Hybrid architecture based intelligent diagnosis assistant for GP
As the first point of contact for patients, General Practitioners (GPs) play a crucial role in the National Health Service (NHS). An accurate primary diagnosis from the GP can alleviate the burden on specialis... (Source: BMC Medical Informatics and Decision Making)
Source: BMC Medical Informatics and Decision Making - January 10, 2024 Category: Information Technology Authors: Ruibin Wang, Kavisha Jayathunge, Rupert Page, Hailing Li, Jian  Jun Zhang and Xiaosong Yang Tags: Research Source Type: research

Measurement properties of the EQ-5D in children and adolescents: a systematic review protocol
DiscussionThis systematic review will provide comprehensive information about the evidence regarding the measurement properties of EQ-5D instruments in children and adolescents of different settings and countries.Systematic review registrationOpen Science Framework with Registrationhttps://osf.io/r8kt9/ and PROSPERO: CRD42020218382. (Source: Systematic Reviews)
Source: Systematic Reviews - January 5, 2024 Category: International Medicine & Public Health Source Type: research

Consensus document on the management of hyperkalemia
Nefrologia (Engl Ed). 2024 Jan 1:S2013-2514(23)00178-5. doi: 10.1016/j.nefroe.2023.12.002. Online ahead of print.ABSTRACTHyperkalaemia is a common electrolyte imbalance with potentially serious short-, medium- and long-term consequences on morbidity and mortality rates and the use of national health service resources. The fact that different medical specialities can manage hyperkalaemia makes it important to have a unified approach, and the recent availability of new specific drug treatments means that the approach needs to be updated. This consensus document from the scientific societies most directly involved in the mana...
Source: Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia - January 3, 2024 Category: Urology & Nephrology Authors: Alberto Ortiz Carmen Del Arco Gal án Jos é Carlos Fernández-García Jorge G ómez Cerezo Rosa Ib án Ochoa Julio N úñez Francisco Pita Guti érrez Juan F Navarro-Gonz ález Source Type: research

GSE246622 Single-cell immune profiling reveals markers of emergency myelopoiesis that distinguish severe from mild respiratory syncytial virus (RSV) disease in infants
Contributors : Nevena Zivanovic ; Deniz Öner ; Yann Abraham ; Joseph McGinley ; Simon B Drysdale ; Joanne G Wildenbeest ; Marjolein Crabbe ; Greet Vanhoof ; Kim Thys ; Ryan S Thwaites ; Hannah Robinson ; Louis Bont ; Peter J Openshaw ; Federico Martinón-Torres ; Andrew J Pollard ; Jeroen AerssensSeries Type : Expression profiling by arrayOrganism : Homo sapiensWhile the majority of infants infected with respiratory syncytial virus (RSV) exhibit mild or no symptoms, approximately 3 million children under the age of five are hospitalized every year due to complications from RSV. This research sought to explore th...
Source: GEO: Gene Expression Omnibus - January 3, 2024 Category: Genetics & Stem Cells Tags: Expression profiling by array Homo sapiens Source Type: research

Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the  anti-vaxxer movement)
Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the anti-vaxxer movement) Jill Manthorpe, Steve Iliffe, Richard Bourne Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- It is over 20 years since the publication of the Wanless Report, “Securing our Future Health: Taking a Long-Term View”. The Wanless Report argued that the National Health Service (NHS) would survive in its current form only if the population became “fully engaged” with it.In this discussion paper, the authors explored what “fully engaged” mean...
Source: Journal of Integrated Care - December 28, 2023 Category: International Medicine & Public Health Authors: Jill Manthorpe Steve Iliffe Richard Bourne Source Type: research

Leave for informally admitted patients: a review of written guidance produced by mental health services in England and Wales
Russell Ashmore Mental Health Review Journal, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this paper is to report on the use and content of written guidance produced by mental health services in England and Wales describing hospital leave for informally admitted patients.Guidance on leave was requested from National Health Service (NHS) mental health trusts in England and health boards in Wales (n = 61) using a Freedom of Information submission. Data were analysed using content analysis.In total, 32 organisations had a leave policy for informal patients. Policies varied considerably in content and quality...
Source: Mental Health Review Journal - December 22, 2023 Category: Psychiatry Authors: Russell Ashmore Source Type: research

Impact of diabetes on medical costs in the pre- and postoperative year of lower extremity amputations in Belgium
Lower extremity amputations (LEAs), whether major or minor amputations, are associated with significantly reduced quality of life, high morbidity and mortality and a high financial burden [1]. In Western countries, most amputations are performed in the context of diabetic foot disease and/or peripheral arterial disease [2,3]. Data from the National Health Service in England for 2014 –2015 estimated expenditure of £837 million to £962 million on health-care costs related to foot ulceration and all amputations in individuals with diabetes, equivalent to 0.78–0.90 % of the entire health service’s budget [1]. (Source...
Source: Diabetes Research and Clinical Practice - December 22, 2023 Category: Endocrinology Authors: Patrick Lauwers, Jeroen M.H. Hendriks, Kristien Wouters, Johan Vanoverloop, Herv é Avalosse, Eveline Dirinck, Frank Nobels, Belgian Amputation Group Source Type: research

Cultural competence in NHS hearing aid clinics: a mixed-methods case study of services for Deaf British sign language users in the UK
This study identified and explored how National Health Service (NHS) hearing aid clinics address cultural competence concerning Deaf British Sign Language (BSL) users. This was approached by (i) investigating ... (Source: BMC Health Services Research)
Source: BMC Health Services Research - December 19, 2023 Category: General Medicine Authors: Celia Hulme, Alys Young, Katherine Rogers and Kevin J. Munro Tags: Research Source Type: research

The effectiveness of digital delivery versus group-based face-to-face delivery of the English National Health Service Type 2 Diabetes Prevention Programme: a non-inferiority retrospective cohort comparison study
Face-to-face group-based diabetes prevention programmes have been shown to be effective in many settings. Digital delivery may suit some patients, but research comparing the effectiveness of digital with face-... (Source: BMC Health Services Research)
Source: BMC Health Services Research - December 18, 2023 Category: General Medicine Authors: Antonia M. Marsden, Mark Hann, Emma Barron, Ben McGough, Elizabeth Murray, Jonathan Valabhji and Sarah Cotterill Tags: Research Source Type: research

Nurse identity: the misrepresentation of nursing in the media
Since 2019, the nursing profession has been frequently represented in mainstream media in the UK through the lenses of the COVID-19 pandemic and more recently, industrial action. In 2020, during COVID, we saw the nursing profession praised, with weekly neighbourhood applause and thanks to the National Health Service (NHS) staff schemes. In 2023, when, for the first time in history nurses voted to strike (fair pay for nursing), nurses again received media attention. Conversely, the media chose to report how striking nurses (and other health professional staff) contributed to long waiting lists in the NHS and unhelpfully, de...
Source: Evidence-Based Nursing - December 15, 2023 Category: Nursing Authors: Garcia, R., Qureshi, I. Tags: Editor's choice, Nursing issues Editorials Source Type: research