- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Cancer Risks and Factors
- Substance Abuse Treatment and Outcomes
- Mobile Health and mHealth Applications
- Sexuality, Behavior, and Technology
- LGBTQ Health, Identity, and Policy
- BRCA gene mutations in cancer
- Genetic Associations and Epidemiology
- Ethics in Clinical Research
- Advanced MRI Techniques and Applications
- Economic and Financial Impacts of Cancer
- Hemoglobinopathies and Related Disorders
- Medical Coding and Health Information
- Global Health Workforce Issues
- HIV, Drug Use, Sexual Risk
- Cervical Cancer and HPV Research
- Food Security and Health in Diverse Populations
- Health Promotion and Cardiovascular Prevention
- Health Systems, Economic Evaluations, Quality of Life
- Breast Cancer Treatment Studies
University of Kentucky
2024
University of Bristol
2001-2006
St George's, University of London
2002
Brunel University of London
1996-2001
Institute of Cancer Research
2000
<h3>Abstract</h3> <b>Objective</b>: To compare mammography reading by one radiologist with independent two radiologists. <b>Design</b>: An observational non-randomised trial at St Margaret9s Hospital, Epping. <b>Subjects</b>: 33734 consecutive attenders for breast screening in the main and a sample of 132 assessment who provided data on private costs. <b>Interventions</b>: Three reporting policies were compared: single reading, consensus double non-consensus reading. <b>Main outcome...
Contrast enhanced magnetic resonance imaging (CE MRI) is the most sensitive tool for screening women who are at high familial risk of breast cancer. Our aim in this study was to assess cost-effectiveness X-ray mammography (XRM), CE MRI or both strategies combined. In total, 649 were enrolled MARIBS and screened with resulting 1881 screens 1–7 individual annual events. Women aged 35–49 years cancer, either because they have a strong family history cancer tested carriers BRCA1, BRCA2 TP53...
β-thalassaemia major is a serious genetic disorder, which results in considerable increase both acute and chronic morbidity, mortality. Although rare disease affecting ≈600 people the UK, treatment intensive predictions of costs incurred may aid health care planning. In this report, cost to service providing services for patients, over course lifetime, calculated order assist resource allocation decisions. A model was developed, incorporating data from disparate sources. The undiscounted...
To examine the effectiveness and cost-effectiveness of two primary care based interventions aimed at increasing breast screening uptake for women who had recently failed to attend.13 General practices with low in second round (below 60%) north west London West Midlands, United Kingdom. Participants were these recent non-attenders third round.Pragmatic factorial randomised controlled trial, people a systematic intervention (general practitioner letter), an opportunistic (flag women's notes...
Objectives To examine the effectiveness and cost-effectiveness of two interventions based in primary care aimed at increasing uptake breast screening. Setting 24 General practices with low second round screening (below 60%) north west London West Midlands, UK. Participants were all women registered these eligible for third round. Methods Pragmatic factorial cluster randomised controlled trial, to a systematic intervention (general practitioner letter), an opportunistic (flag women's notes...
Aims: To assess the cost-effectiveness of two primary care interventions, a letter and flag, aimed at improving attendance for breast screening among (i) all women invited (ii) non-attenders. Methods: A probabilistic decision analytic model was developed using Markov chain Monte Carlo simulation implemented in WinBUGS. The populated economic effectiveness data collected alongside randomised controlled trials. Results: For invited, incremental ratio (ICER) compared with no intervention is £27...
Background Sexual minority cisgender men and transgender (SMMT) individuals, particularly emerging adults (aged 18-34 years), often report hazardous drinking. Given that alcohol use increases the likelihood of HIV risk behaviors, disproportionately affects SMMT there is a need to test interventions reduce subsequent behaviors among this population. Ecological momentary (EMIs), which mobile phones deliver reduction messages based on current location can help address triggers lead drinking in...
The protocol of the national multicentre study Magnetic Resonance Imaging (MRI) as a method screening for breast cancer in women at genetic risk is described. sensitivity and specificity contrast-enhanced MRI will be compared with two-view X-ray mammography comparative trial. Approximately 500 below age 50 high recruited per year 3 years, annual examination continuing up to 5 years. A symptomatic cohort measured initial phase ensure consistent reporting between centres. comprise an...
Objective: To compare the time it takes to screen women aged 65–69 with age 50–64. Setting: Screening centres participating in Department of Health funded demonstration study extending breast screening 65–69. Methods: Consecutive all ages were timed during November 1999 February 2000, until about 50 had been screened at each sites. For woman screened, her age, whether she before, times when checked in, started get undressed, screening, finished and left unit recorded. The radiographers also...
<sec> <title>BACKGROUND</title> Sexual minority cisgender men and transgender (SMMT) individuals, particularly emerging adults (aged 18-34 years), often report hazardous drinking. Given that alcohol use increases the likelihood of HIV risk behaviors, disproportionately affects SMMT there is a need to test interventions reduce subsequent behaviors among this population. Ecological momentary (EMIs), which mobile phones deliver reduction messages based on current location can help address...
Routine programme data and specially designed surveys from 3 demonstration sites were analysed to determine the implications of extending NHS Breast Screening Programme (NHSBSP), include routine invitations for women up 69 years. All aged 65–69 registered with GPs in these areas received breast screening along those 50–64. Overall uptake was 71% compared 78% younger women, but ≥ 90% both groups who had previously attended within 5 Recall rates lower older a higher positive predictive value...