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Forrester N, Greenslade M, Buxton C, Norman A, Majumdar A. A novel homozygous frameshift deletion in the SH3TC2 gene in a patient with Charcot–Marie–Tooth (CMT) type 4C and severe ataxia. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Honeychurch J, Hills A, Dean P, Greenslade M, Buxton C, Woodward G, Dennis G, Bayley G, Gritzmacher L, Haralambos K, Williams M. Modernising workflows for high throughput testing for Familial Hypercholesterolaemia: How to deliver a cost effective genetic testing service. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2015.10.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Faulkner C, Shaw A, Wragg C, Greenslade M, Haynes H, Williams H, Lowis S, Williams M, Kurian KM. OP32 * A COMBINED STRATEGY FOR THE DETECTION OF BRAF FUSIONS IN PILOCYTIC ASTROCYTOMA USING RT-PCR AND FISH. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou251.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Majumdar A, Fadiliah A, Vijayakumar K, Greenslade M, Kurian K. G.P.158. Neuromuscul Disord 2014. [DOI: 10.1016/j.nmd.2014.06.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Yarram L, Greenslade M, Bayly G, Balasubramani M, Taylor A, Day A, Whatley S, McDowell I, Williams M. Genetic testing of familial hypercholesterolaemia at BGL– a four year audit. Atherosclerosis 2013. [DOI: 10.1016/j.atherosclerosis.2013.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Elliss-Brookes L, McPhail S, Ives A, Greenslade M, Shelton J, Hiom S, Richards M. Routes to diagnosis for cancer - determining the patient journey using multiple routine data sets. Br J Cancer 2012; 107:1220-6. [PMID: 22996611 PMCID: PMC3494426 DOI: 10.1038/bjc.2012.408] [Citation(s) in RCA: 369] [Impact Index Per Article: 30.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2012] [Revised: 08/06/2012] [Accepted: 08/15/2012] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Cancer survival in England is lower than the European average, which has been at least partly attributed to later stage at diagnosis in English patients. There are substantial regional and demographic variations in cancer survival across England. The majority of patients are diagnosed following symptomatic or incidental presentation. This study defines a methodology by which the route the patient follows to the point of diagnosis can be categorised to examine demographic, organisational, service and personal reasons for delayed diagnosis. METHODS Administrative Hospital Episode Statistics data are linked with Cancer Waiting Times data, data from the cancer screening programmes and cancer registration data. Using these data sets, every case of cancer registered in England, which was diagnosed in 2006-2008, is categorised into one of eight 'Routes to Diagnosis'. RESULTS Different cancer types show substantial differences between the proportion of cases that present by each route, in reasonable agreement with previous clinical studies. Patients presenting via Emergency routes have substantially lower 1-year relative survival. CONCLUSION Linked cancer registration and administrative data can be used to robustly categorise the route to a cancer diagnosis for all patients. These categories can be used to enhance understanding of and explore possible reasons for delayed diagnosis.
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Affiliation(s)
- L Elliss-Brookes
- Avon, Somerset, and Wiltshire Cancer Services, South Plaza, Marlborough Street, Bristol BS1 3NX, UK
| | - S McPhail
- National Cancer Intelligence Network, 18th Floor, Portland House, Bressenden Place, London SW1E 5RS, UK
| | - A Ives
- South West Public Health Observatory, Grosvenor House, 149 Whiteladies Road, Bristol BS8 2RA, UK
| | - M Greenslade
- South West Public Health Observatory, Grosvenor House, 149 Whiteladies Road, Bristol BS8 2RA, UK
| | - J Shelton
- National Cancer Intelligence Network, 18th Floor, Portland House, Bressenden Place, London SW1E 5RS, UK
| | - S Hiom
- Cancer Research UK, Angel Building, 407 St John Street, London EC1V 4AD, UK
| | - M Richards
- National Cancer Action Team, 18th Floor, Portland House, Bressenden Place, London SW1E 5RS, UK
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Whatley S, Haralambos K, Yarram L, Williams M, Greenslade M, Palacios L, Datta D, Rees A, Townsend D, McDowell I. (27) DNA sequence variant c.932A>C, p.Lys311Thr in LDLR gene in familial hypercholesterolaemia (FH): Observations from family studies. Atherosclerosis 2012. [DOI: 10.1016/j.atherosclerosis.2012.06.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Herbert C, Williams M, Sawyer H, Greenslade M, Cornes P, Hopkins K. Treatment of glioblastoma multiforme with radiotherapy and concomitant and adjuvant temozolomide: translation of randomised controlled trial evidence into routine clinical practice. Clin Oncol (R Coll Radiol) 2011; 23:372-3. [PMID: 21310598 DOI: 10.1016/j.clon.2011.01.157] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Revised: 12/16/2010] [Accepted: 01/17/2011] [Indexed: 10/18/2022]
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Winters Z, Mills J, Haviland J, Reece-Smith A, Greenslade M, Benson J, Galea M, McManus P, Nicholson S, Weiler-Mithoff E, Rayter Z, Balta V, Thomson H. O-92 A multi centre prospective longitudinal study evaluating health related quality of life after immediate Latissimus dorsi (LD) breast reconstruction. EJC Suppl 2010. [DOI: 10.1016/j.ejcsup.2010.06.093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Winters Z, Mills J, Haviland J, Reece-Smith A, Greenslade M, Benson J, Galea M, MacMannus P, Nicholson S, Weiler-Mithoff E, Rayter Z, Thomson H. A Multi Centre Prospective Longitudinal Study Establishing Level II Evidence of Health Related Quality of Life after Types of Immediate Latissimus Dorsi (LD) Breast Reconstruction. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-3106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction: NICE recommends that the majority of women undergoing mastectomy should be offered immediate breast reconstruction with its potential benefits to improve health related quality of life (HRQL). A systematic review shows poor and conflicting evidence with a lack of 'hard' data to best inform both clinicians and their patients. Our aim was to evaluate the effects of implant-assisted LD (LDI) versus autologous LD (ALD) breast reconstruction on HRQL over 36 months. Recently, with the exception of the USA Breast-Q module there is a lack of a validated Breast reconstruction questionnaire.Methods: An MREC approved prospective longitudinal cohort study involving 6 centres commenced in early 2007. Serial patient reported outcome measures using the EORTC C30 (global QoL, physical functioning, fatigue, pain), BR-23 (breast and arm symptoms), 10 item Body Image Scale (BIS) and HADS, were completed pre-operatively and at 3, 6, 12, 24 and 36 months after surgery. Overall cosmetic satisfaction of the breast reconstruction was measured by a study-specific question on a 5 point Likert scale. Generalised estimating equations were used to assess change over time and differences between treatment groups.The Spearman's rank correlation coefficient was used to assess associations between patient reported cosmetic satisfaction with BIS and breast symptoms.Results: 118 patients (65 – ALD, 53 – LDI) were recruited to the study with a mean age of 50 years (range 22-70). Compliance with questionnaires at all time points was between 85-90%. There were no significant differences in HRQL domains between LDI and ALD, except a tendency for worse pain with ALD (p=0.06). Significant improvements over time were seen for overall HRQL (p<0.001), fatigue (p<0.001), breast symptoms (p=0.04), arm symptoms (p=0.001), as well as anxiety (p=0.017) and depression (p<0.001). Preliminary data shows that overall cosmetic satisfaction was significantly correlated with better body image and fewer breast symptoms. The study is ongoing in terms of 24 and 36 months follow-up and the evaluation of RT.Conclusion: There is an important need for cumulative clinical evidence in this field on which to base patient informed consent and clinical recommendations. Further analyses will assess whether there is an independent effect of RT on HRQL. A validated EORTC breast reconstruction module is in development.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 3106.
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Affiliation(s)
- Z. Winters
- 1University Hospitals Bristol NHS Foundation Trust, South West, United Kingdom
| | - J. Mills
- 2Clinical Trials and Statistics Unit, London, United Kingdom
| | - J. Haviland
- 2Clinical Trials and Statistics Unit, London, United Kingdom
| | - A. Reece-Smith
- 1University Hospitals Bristol NHS Foundation Trust, South West, United Kingdom
| | - M. Greenslade
- 1University Hospitals Bristol NHS Foundation Trust, South West, United Kingdom
| | - J. Benson
- 3Addenbrooke's Hospital Cambridge NHS Foundation Trust, United Kingdom
| | - M. Galea
- 4Western General NHS Foundation Trust, United Kingdom
| | - P. MacMannus
- 5Hull and Yeast Yorkshire Hospitlas NHS Trust, United Kingdom
| | | | | | - Z. Rayter
- 1University Hospitals Bristol NHS Foundation Trust, South West, United Kingdom
| | - H. Thomson
- 1University Hospitals Bristol NHS Foundation Trust, South West, United Kingdom
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Oliver RG, Miles A, Greenslade M, Harkness M. Patient and parent opinion of the use of recycled orthodontic brackets: an international comparison. Br J Orthod 1997; 24:329-32. [PMID: 9459033 DOI: 10.1093/ortho/24.4.329] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The aim of this study was to determine the opinion of patients and parents to the use of recycled orthodontic brackets. The design consisted of a questionnaire survey, which took place in the orthodontic departments of two teaching hospitals (Cardiff, Wales, and Dunedin, New Zealand). The subjects were patients (and parents of those under 18 years) undergoing active fixed appliance treatment and similar groups of those on the waiting list for fixed appliance treatment. There were no significant differences of opinion between gender, patient, parent, or centre. There were significant differences of opinion between those under treatment and those on the waiting list; those under treatment were less concerned about wearing recycled brackets than those waiting for treatment. All respondents felt that they should be told if recycled brackets were to be used, and any savings arising from their use passed on to the consumer.
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Affiliation(s)
- R G Oliver
- Department of Child Dental Health, University Dental Hospital Trust, Cardiff, U.K
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