A5019544779- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Global Health Care Issues
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Homelessness and Social Issues
- Data Quality and Management
- Asthma and respiratory diseases
- Food Security and Health in Diverse Populations
- Ethics in Clinical Research
- Dialysis and Renal Disease Management
- Health, psychology, and well-being
- Healthcare Systems and Technology
- Electronic Health Records Systems
- Emergency and Acute Care Studies
- Privacy-Preserving Technologies in Data
- Artificial Intelligence in Healthcare and Education
- Social Issues and Policies
- Cystic Fibrosis Research Advances
- Energy and Environment Impacts
Swansea University
2012-2022
Farr Institute
2015-2018
Cardiff University
2012
Public Health Wales
2005-2007
University of Wales
2003
Swansea Bay University Health Board
1999
Primary Health Care
1997
There are a lack of reliable data on the epidemiology and associated burden costs asthma. We sought to provide first UK-wide estimates epidemiology, healthcare utilisation asthma.We obtained analysed asthma-relevant from 27 datasets: these comprised national health surveys for 2010-11, routine administrative, social care datasets 2011-12; 2011-12 were estimated in pounds sterling using economic modelling.The prevalence asthma depended definition source used. The UK lifetime patient-reported...
With the current expansion of data linkage research, challenge is to find balance between preserving privacy person-level whilst making these accessible for use their full potential. We describe a privacy-protecting safe haven and secure remote access system, referred as Secure Anonymised Information Linkage (SAIL) Gateway. The Gateway provides users with familiar Windows interface usual toolsets approved anonymously-linked datasets research evaluation. outline principles operating model...
Objective —To measure the incidence of childhood fractures in a defined population. Setting —Accident and emergency (A&E) departments covering Swansea Neath Port Talbot areas South Wales 1996. Methods —Linkage data from A&E with population to produce fracture rates by anatomical site cause children aged 0–14 years. Results —During 1996, 2463 new occurred 2399 residents yielding rate 36.1/1000 children. Fractures were more common boys than girls increased age both groups. Sports...
Background The vulnerability of clinical trials to volunteer bias is under-reported. Volunteer systematic error due differences between those who choose participate in studies and do not. Methods Results This paper extends the applications concept by using data from a trial probiotic supplementation for childhood atopy healthy dyads explore 1) a) participants aggregated publicly available databases b) non-participants as progressed 2) impact on findings weighting according deprivation...
To compare hospital admission rates for all causes and specific of injury in children the elderly by a measure economic deprivation.All emergency admissions Welsh residents from 1997-99 were located to one 865 electoral tracts, which grouped into fifths using socioeconomic deprivation. Standardised ages 0-14, 15-75, 75+ year groups each quintile calculated with 95% confidence intervals.There 90 935 population 2.84 million yielding crude rate 1601/100 000/year standardised 1493/100 000. The...
In parallel with the advances in big data-driven clinical research, data safe haven concept has evolved over last decade. It led to development of a framework support secure handling health care information used for research that balances compliance legal and regulatory controls ethical requirements while engaging public as partner its governance. We describe evolution 4 separately developed platforms into services throughout United Kingdom-wide Farr Institute their common deployment...
To assess the usefulness of a centralised injury database in monitoring progress towards nationally set health targets for reduction childhood injuries.West Glamorgan County, Wales.Analysis was undertaken data held West which amalgamates population with from three hospital units covering 370,000. All first attendances due to new children aged 0-14 occurring 1993 were analysed, subgroup analysis injuries home and resulting fractures. Standardised ratios compared distance travelled, car...
Frequent mobility has been linked to poorer educational attainment. We investigated the association between moving home and school frequently early childhood formal achievement. carried out a cohort analysis of 121,422 children with anonymised records. Our exposure measures were: 1) number residential moves registered health care provider, 2) moves. outcome was assessment at age 6–7. Binary regression modeling used examine within three time periods: 0 – <1 year; 1 <4 years 4 <6 years. School...
Asthma is now one of the most common long-term conditions in UK. It therefore important to develop a comprehensive appreciation healthcare and societal costs order inform decisions on care provision planning. We plan build our earlier estimates national prevalence from asthma by filling data gaps previously identified relation broadening field enquiry include costs. This work will provide first UK-wide asthma. In context for UK its member countries (ie, England, Northern Ireland, Scotland...
Aim We evaluated the introduction of a predictive risk stratification model (PRISM) into primary care. Contemporaneously National Health Service (NHS) Wales introduced Quality and Outcomes Framework payments to general practices focus care on those at highest emergency admission hospital. The aim this study was evaluate costs effects introducing PRISM Methods Randomised stepped wedge trial with 32 in one Welsh health board. intervention comprised: software; practice-based training; clinical...
An ageing population increases demand on health and social care. New approaches are needed to shift care from hospital community general practice. A predictive risk stratification tool (Prism) has been developed for practice that estimates of an emergency admission in the following year. We present a protocol evaluation Prism. will undertake mixed methods progressive cluster-randomised trial. Practices begin as controls, delivering usual without receive Prism training randomly, thereafter be...
Background Poor growth during infancy and childhood is a characteristic feature of cystic fibrosis (CF). However, the impact CF on intrauterine unclear. We studied effect birth weight in Denmark Wales, assessed whether any associations are due to differences gestational age at birth. Methods conducted national registry linkage studies two countries, using data for 2.2 million singletons born (between 1980 2010) Wales 1998 2015). used hospital inpatient outpatient identify 852 children with...
Background With a higher proportion of older people in the UK population, new approaches are needed to reduce emergency hospital admissions, thereby shifting care delivery out when possible and safe. Study aim To evaluate introduction predictive risk stratification primary care. Objectives (1) measure effects on service usage, particularly admissions hospital; (2) assess Predictive RIsk Stratification Model (PRISM) quality life satisfaction; (3) technical performance PRISM; (4) estimate...
OBJECTIVE--To determine whether there was an increased incidence of leukaemias and lymphomas in young people aged less than 25 years the locality a petrochemical plant at Baglan Bay, South Wales. METHODS--Geographical population based study to compare observed expected leukaemia lymphoma with onset before age 25, 1974 1991. The 0-24 lived within 1.5 3 km plant. number cases various categories were compared numbers calculated from Welsh cancer registration rates. RESULTS--Although generally...
This study was undertaken to determine whether exposure various indoor pollutants is associated with a higher prevalence of respiratory symptoms, diagnosis asthma, or more variable peak flow rates. Four hundred and twenty six children aged 8–11 years in four junior schools at three locations recorded symptoms asthma using the ISAAC questionnaire. Daily measurements were taken during two six-week periods (winter summer). Symptoms without not related gas fires, cookers, smokers, pets home....
A cohort comprising residents of a housing regeneration and health programme was created from routinely collected data using system which allows us to anonymously link individuals their health. The incorporating four rolling work packages runs 2009 2014. main intervention we describe here contains the 18 312 9051 residences at baseline. will be followed continuously through routine (demographics, mortality, hospital admissions general practitioner records including prescriptions) with...
OBJECTIVES: To investigate the association between moving home in first year of life and subsequent emergency admissions for potentially preventable hospitalizations. METHODS: We undertook a cohort analysis linked anonymized data on 237 842 children Welsh Electronic Cohort Children. included born Wales April 1, 1999 December 31, 2008. The exposure was number residential moves from birth up to 1 year. main outcome hospitalizations (PPH) age 5 years. RESULTS: After adjustment confounders, we...
Objectives To investigate through survey and data linkage, healthcare resource use costs (except drugs), including who bears the cost, of multiple sclerosis in United Kingdom by disease severity type. Methods The Multiple Sclerosis Register deployed a cost illness survey, completed people with linked this within from their hospital records. Resource consumption was categorised as being medical or non-medical costed National Health Service social services estimates for 2018. Results We...
To determine the proportion of people with diabetes who have HbA1c measured, what achieve an level < 58 mmol/mol (7.5%), frequency testing and if there was any change in year before after incident stroke.This study used Secure Anonymised Information Linkage (SAIL) databank, which stores hospital data for whole Wales ~ 65% Welsh general practice records, to identify cases stroke patients between 2000 2010. These were matched against but without disease. We assessed first stroke. Estimation...
This study used a cross sectional survey to examine the effect of gender, age, and geographical location on population prevalence renal replacement therapy (RRT) provision in Wales.Physicians centres Wales adjacent areas England were asked undertake census patients 30 June 2004 using an agreed protocol. Data collated analysed anonymous form.2434 RRT at date. Median age was 56 years, peritoneal dialysis 58 haemodialysis 66 years transplantation 50 years. The three treatment modalities had...
<h3>Background</h3> Developing a comprehensive picture of the burden asthma in UK will enable informed national decisions about care provision and planning. We sought to provide first UK-wide estimates epidemiology, healthcare utilisation costs asthma. <h3>Methods</h3> undertook analyses health surveys, routine administrative datasets over period 2010–12. Economic modelling was carried out estimate costs. Estimates were calculated for each nation as whole. <h3>Results</h3> The lifetime...