A5013853992- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Total Knee Arthroplasty Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Knee injuries and reconstruction techniques
- Spinal Fractures and Fixation Techniques
- Glioma Diagnosis and Treatment
- Surgical Simulation and Training
- Hip and Femur Fractures
- Pituitary Gland Disorders and Treatments
- Neurosurgical Procedures and Complications
- Traumatic Brain Injury Research
- Intracerebral and Subarachnoid Hemorrhage Research
- Empathy and Medical Education
- Pancreatic and Hepatic Oncology Research
- Clinical practice guidelines implementation
- Brain Metastases and Treatment
- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Meningioma and schwannoma management
University of Leeds
2022-2024
Royal College of Surgeons of England
2021-2023
The Honourable Society of Lincoln's Inn
2022
Royal Hallamshire Hospital
2019
Norfolk and Norwich University Hospital
2015
Objectives Postoperative mortality is a widely used quality indicator, but it may be unreliable when procedure numbers and/or rates are low, due to insufficient statistical power. The objective was investigate the validity of postoperative 30-day as metric for neurosurgical practice across healthcare providers. Design Retrospective cohort study. Setting Hospital Episode Statistics data from all units in England. Participants Patients who underwent procedures between April 2013 and March...
Abstract The Dex-CSDH trial is a randomised, double-blind, placebo-controlled of dexamethasone for patients with symptomatic chronic subdural haematoma. commenced an internal pilot, whose primary objective was to assess the feasibility multi-centre recruitment. Primary outcome data collection and safety were also assessed, whilst maintaining blinding. We aimed recruit 100 from United Kingdom Neurosurgical Units within 12 months. Trial participants randomised 2-week course or placebo in...
Objectives To investigate the longitudinal trends of decompressive craniectomy (DC) following traumatic brain injury (TBI) or stroke and explore whether timing cranial reconstruction affected revision removal rates using Hospital Episode Statistics (HES) between 2014 2019. Design Retrospective observational cohort study HES. The time frame definitions mirror those often used in clinical practice. Setting HES data from neurosurgical centres England. Participants related to procedures...
Abstract Background Surgical mortality indicators should be risk-adjusted when evaluating the performance of organisations. This study evaluated risk-adjustment models that used English hospital administrative data for 30-day after neurosurgery. Methods retrospective cohort Hospital Episode Statistics (HES) from 1 April 2013 to 31 March 2018. Organisational-level was calculated selected subspecialties (neuro-oncology, neurovascular and trauma neurosurgery) overall cohort. Risk adjustment...
Patterns of surgical care, outcomes, and quality care can be assessed using hospital administrative databases but this requires accurate complete data. The aim study was to explore whether the data sufficient assess pituitary surgery practice in England.The analysed Hospital Episode Statistics (HES) from April 2013 March 2018 on all adult patients undergoing England. A series indicators examined attribution cases consultants, coding sellar parasellar lesions, associated endocrine visual...
Abstract Aims Morbidity and mortality following resection of malignant primary brain tumours is high. The benefits reoperation for recurrent are uncertain it not known how frequently patients in England undergo further tumour resections. aim this study was to describe 30-day one-year readmission rates, the clinical reasons rate resections tumours. Method Patient data extracted from Hospital Episode Statistics (the hospital administrative NHS hospitals England) all supratentorial, malignant,...