Naomi Merritt
A5007173207- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Nerve Injury and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Cardiovascular Syncope and Autonomic Disorders
- Trauma Management and Diagnosis
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Competitive and Knowledge Intelligence
- Diverticular Disease and Complications
- Colorectal Cancer Surgical Treatments
- Empathy and Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Patient-Provider Communication in Healthcare
- Anesthesia and Pain Management
- Statistical Methods in Clinical Trials
Nuffield Orthopaedic Centre
2015-2021
University of Oxford
2015-2021
Royal College of Surgeons of England
2017
Kingston General Hospital
2007
Queen's University
2007
BackgroundArthroscopic sub-acromial decompression (decompressing the space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness uncertain. We did study to assess investigate mechanism surgical decompression.MethodsWe multicentre, randomised, pragmatic, parallel group, placebo-controlled, three-group trial at 32 hospitals in UK with 51 surgeons. Participants were patients who had pain least 3 months intact rotator...
ObjectiveTo evaluate the impact of QuinteT Recruitment Intervention (QRI) on recruitment in challenging randomized controlled trials (RCTs) that have applied intervention. The QRI aims to understand difficulties and then implements "QRI actions" address these as proceeds.Study Design SettingA mixed-methods study, comprising (1) before-and-after comparisons rates numbers patients approached (2) qualitative case studies, including documentary analysis interviews with RCT...
Arthroscopic subacromial decompression (ASAD) is a commonly performed surgical intervention for shoulder pain. The rationale that removal of bony acromial spur relieves symptoms by decompressing rotator cuff tendons passing through the space. However, efficacy this procedure uncertain. objective trial was to compare and cost-effectiveness ASAD in patients with pain using appropriate control groups, including placebo intervention. three-group, parallel design, pragmatic, randomised controlled...
<h2>Abstract</h2><h3>Objectives</h3> To explore how the concept of randomization is described by clinicians and understood patients in randomized controlled trials (RCTs) it contributes to patient understanding recruitment. <h3>Study Design Setting</h3> Qualitative analysis 73 audio recordings recruitment consultations from five, multicenter, UK-based RCTs with identified or anticipated difficulties. <h3>Results</h3> One 10 appointments did not include any mention randomization. Most...
Aims The aims of this study were to compare the use resources, costs, and quality life outcomes associated with subacromial decompression, arthroscopy only (placebo surgery), no treatment for pain in United Kingdom National Health Service (NHS), estimate their cost-effectiveness. Patients Methods quality-adjusted life-years (QALYs) assessed trial at six months one year. Results extrapolated two years after randomization. Differences between arms, based on intention-to-treat principle,...
Rotator cuff tears are a common cause of shoulder pain and can result in prolonged periods pain, disability absence from work. repair surgery is increasingly used an attempt to resolve symptoms but has failure rates around 40%. There pressing need improve the outcome rotator repairs. Patch augmentation being within NHS reduce failures. The aim this survey was determine current UK practice opinion relating factors that influence choice patch, patient selection willingness assist with...
Shoulder pain is a common problem in the general population and responsible for prolonged periods of disability, loss productivity, absence from work inability to carry out household activities. Rotator cuff problems account up 70% shoulder are third most prevalent musculoskeletal disorder after those occurring lower back neck. surgery has high failure rates (25–50% within 12 months), as result, there pressing need improve outcome rotator surgery. Patch augmented repairs recently been...
A rotator cuff tear is a common disabling shoulder problem. Symptoms include pain, weakness, lack of mobility and sleep disturbance. Many patients require surgery to repair the tear; however, there high failure rate. There pressing need improve outcome use patch augmentation provide support healing process patient outcomes holds new promise. Patches have been made using different materials (e.g. human/animal skin or intestine tissue, completely synthetic materials) processes woven mesh)....
Abstract Background A rotator cuff tear is a common disabling shoulder problem. Symptoms include pain, weakness, lack of mobility and sleep disturbance. Many patients require surgery to repair the tear; however, there high failure rate. There pressing need improve outcome surgery. The use patch augmentation provide support healing process patient outcomes holds new promise. Different materials (e.g. human/animal skin or intestine tissue, completely synthetic materials) processes woven mesh)...
Abstract BackgroundA rotator cuff tear is a common disabling shoulder problem. Symptoms include pain, weakness, lack of mobility and sleep disturbance. Many patients require surgery to repair the tear; however, there high failure rate. There pressing need improve outcome surgery. The use patch augmentation provide support healing process patient outcomes holds new promise. Different materials (e.g. human/animal skin or intestine tissue, completely synthetic materials) processes woven mesh)...