Carole Cummins
YOU?
Author Swipe
View article: A mixed-methods evaluation of the implementation of IOTA-ADNEX ultrasound triage in NHS secondary care ovarian diagnostic one-stop clinics
A mixed-methods evaluation of the implementation of IOTA-ADNEX ultrasound triage in NHS secondary care ovarian diagnostic one-stop clinics Open
Objectives Robust evidence supports IOTA-ADNEX ultrasound triage at 10% threshold for ovarian cancer (OC) diagnosis to identify women for referral to tertiary gynaecological cancer centres for further management. The IOTA-ADNEX risk predic…
View article: Real‐world evaluation of automated insulin delivery therapy in type 1 diabetes: A multicentre study across regional and metropolitan Queensland, Australia
Real‐world evaluation of automated insulin delivery therapy in type 1 diabetes: A multicentre study across regional and metropolitan Queensland, Australia Open
Background Automated insulin delivery (AID) systems, which integrate continuous glucose monitoring (CGM) with automated insulin dosing, have emerged as a transformative therapy. However, real‐world data on AID effectiveness, particularly i…
View article: Stopping anticoagulation for isolated or incidental subsegmental pulmonary embolism: the challenges and lessons from the STOPAPE RCT
Stopping anticoagulation for isolated or incidental subsegmental pulmonary embolism: the challenges and lessons from the STOPAPE RCT Open
Background The increasing use of computed tomography pulmonary angiography to investigate patients with suspected pulmonary embolism has led to an increase in diagnosis of small subsegmental pulmonary embolism, which is rarely detectable w…
View article: Absolute abundance unveils <i>Basidiobolus</i> as a cross-domain bridge indirectly bolstering gut microbiome homeostasis
Absolute abundance unveils <i>Basidiobolus</i> as a cross-domain bridge indirectly bolstering gut microbiome homeostasis Open
The host microbiome is integral to metabolism, immune function, and pathogen resistance. Yet, reliance on relative abundance in microbiome studies introduces compositional biases that obscure ecological interpretation, while the absence of…
View article: Absolute abundance unveils <i>Basidiobolus</i> as a cross-domain bridge indirectly bolstering gut microbiome homeostasis
Absolute abundance unveils <i>Basidiobolus</i> as a cross-domain bridge indirectly bolstering gut microbiome homeostasis Open
The host microbiome is integral to metabolism, immune function, and resilience against pathogens. However, reliance on relative abundance (RA) to estimate host-associated microbiomes introduces compositional biases, while limited tools for…
View article: Effects of snake fungal disease (ophidiomycosis) on the skin microbiome across two major experimental scales
Effects of snake fungal disease (ophidiomycosis) on the skin microbiome across two major experimental scales Open
Emerging infectious diseases are increasingly recognized as a significant threat to global biodiversity conservation. Elucidating the relationship between pathogens and the host microbiome could lead to novel approaches for mitigating dise…
View article: Emergency Maternal Hospital Readmissions in the Postnatal Period: A Population‐Based Cohort Study
Emergency Maternal Hospital Readmissions in the Postnatal Period: A Population‐Based Cohort Study Open
Objective To determine the change in English emergency postnatal maternal readmissions 2007–2017 (pre‐COVID‐19) and the association with maternal demographics, obstetric risk factors and postnatal length of stay (LOS). Design National coho…
View article: Long term outcome in non-multiple sclerosis paediatric acquired demyelinating syndromes
Long term outcome in non-multiple sclerosis paediatric acquired demyelinating syndromes Open
The risk of relapse in non-MS ADS depends on initial diagnosis, and MOG-Ab positivity. Long-term difficulties are observed regardless of relapses and are determined by presenting phenotype.
View article: Stopping anticoagulation for isolated or incidental pulmonary embolism: the STOPAPE RCT protocol
Stopping anticoagulation for isolated or incidental pulmonary embolism: the STOPAPE RCT protocol Open
Research question Is withholding anticoagulation for patients with isolated or incidental subsegmental pulmonary embolism clinically and cost-effective compared with full anticoagulation for 3 months? Background There has been an increase …
View article: Analysis of Anxiety, Depression and Fear of Progression at 12 Months Post-Cytoreductive Surgery in the SOCQER-2 (Surgery in Ovarian Cancer—Quality of Life Evaluation Research) Prospective, International, Multicentre Study
Analysis of Anxiety, Depression and Fear of Progression at 12 Months Post-Cytoreductive Surgery in the SOCQER-2 (Surgery in Ovarian Cancer—Quality of Life Evaluation Research) Prospective, International, Multicentre Study Open
Patients with ovarian cancer (OC) often experience anxiety, depression and fear of progression (FOP); however, it is unclear whether surgical complexity has a role to play. We investigated the prevalence of anxiety, depression and FOP at 1…
View article: Advance care planning in perinatal settings: national survey of implementation using Normalisation Process Theory
Advance care planning in perinatal settings: national survey of implementation using Normalisation Process Theory Open
Background Perinatal advance care planning (PnACP) is a process of formal decision-making to help families plan for their baby’s care when recognised that they may have a life-limiting condition. While PnACP is recommended in policy, there…
View article: The Growth Hormone Deficiency (GHD) Reversal Trial: effect on final height of discontinuation versus continuation of growth hormone treatment in pubertal children with isolated GHD—a non-inferiority Randomised Controlled Trial (RCT)
The Growth Hormone Deficiency (GHD) Reversal Trial: effect on final height of discontinuation versus continuation of growth hormone treatment in pubertal children with isolated GHD—a non-inferiority Randomised Controlled Trial (RCT) Open
Background Growth hormone deficiency (GHD) is the commonest endocrine cause of short stature and may occur in isolation (I-GHD) or combined with other pituitary hormone deficiencies. Around 500 children are diagnosed with GHD every year in…
View article: The Growth Hormone Deficiency (GHD) Reversal Trial: Effect on final height of discontinuation versus continuation of growth hormone treatment in pubertal children with isolated GHD – A non-inferiority randomised controlled trial (RCT).
The Growth Hormone Deficiency (GHD) Reversal Trial: Effect on final height of discontinuation versus continuation of growth hormone treatment in pubertal children with isolated GHD – A non-inferiority randomised controlled trial (RCT). Open
The GHD Reversal trial is a non-inferiority RCT (ISRCTN12552768) funded by the NIHR HTA Programme (NIHR127468) Background: Growth hormone deficiency (GHD) is the commonest endocrine cause of short stature and may occur in isolation (I-GHD)…
View article: Barriers and facilitators for the provision of radiology services in Zimbabwe: A qualitative study based on staff experiences and observations
Barriers and facilitators for the provision of radiology services in Zimbabwe: A qualitative study based on staff experiences and observations Open
Despite its fundamental role in diagnostic and curative care, radiology has been described as a neglected essential service in many low and middle-income countries (LMICs). Previous studies have demonstrated basic equipment and infrastruct…
View article: Clinical handover communication at maternity shift changes and women's safety in Banjul, the Gambia: a mixed-methods study
Clinical handover communication at maternity shift changes and women's safety in Banjul, the Gambia: a mixed-methods study Open
View article: Investigating the Impact of Ultra-Radical Surgery on Survival in Advanced Ovarian Cancer Using Population-Based Data in a Multicentre UK Study
Investigating the Impact of Ultra-Radical Surgery on Survival in Advanced Ovarian Cancer Using Population-Based Data in a Multicentre UK Study Open
We investigated URS and impact on survival in whole patient cohorts with AOC treated within gynaecological cancer centres that participated in the previously presented SOCQER 2 study. National cancer registry datasets were used to identify…
View article: Quality of life from cytoreductive surgery in advanced ovarian cancer: Investigating the association between disease burden and surgical complexity in the international, prospective, SOCQER‐2 cohort study
Quality of life from cytoreductive surgery in advanced ovarian cancer: Investigating the association between disease burden and surgical complexity in the international, prospective, SOCQER‐2 cohort study Open
Objective To investigate quality of life (QoL) and association with surgical complexity and disease burden after surgical resection for advanced ovarian cancer in centres with variation in surgical approach. Design Prospective multicentre …
View article: Clinical Handover Communication at Maternity Shift Changes and Women's Safety in Banjul, The Gambia: A Mixed-Methods Study
Clinical Handover Communication at Maternity Shift Changes and Women's Safety in Banjul, The Gambia: A Mixed-Methods Study Open
Background Clinical handover is a vital communication process for patient safety; transferring patient responsibility between healthcare professionals (HCPs). Exploring handover processes in maternity care is fundamental for service qualit…
View article: Exploring stakeholder views on intervening in hospital around childhood secondhand smoke exposure (Precedent): a protocol for a qualitative study
Exploring stakeholder views on intervening in hospital around childhood secondhand smoke exposure (Precedent): a protocol for a qualitative study Open
Introduction Secondhand smoke exposure (SHSe) in childhood is linked with increased morbidity and mortality. Hospital or secondary care contact may present a ‘teachable moment’ to provide parents with support to change their home smoking b…
View article: 718 Investigating impact of ultra-radical surgery in advanced ovarian cancer using population level data linked to the SOCQER 2 multicentre study
718 Investigating impact of ultra-radical surgery in advanced ovarian cancer using population level data linked to the SOCQER 2 multicentre study Open
Introduction/Background* The first population study investigating per protocol implementation of ultra-radical surgery (URS) as primary surgery reported that URS in advanced ovarian cancer (AOC) reduces the proportion treated surgically an…
View article: 1047 Diagnostic accuracy of presenting symptoms in predicting SARS-CoV-2-positivity
1047 Diagnostic accuracy of presenting symptoms in predicting SARS-CoV-2-positivity Open
Background Clinical characterisation studies of children with laboratory confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have enabled better understanding of paediatric coronavirus disease 2019 (COVID-19). …
View article: Facilitating better postnatal care with women-held documents in The Gambia: a mixed-methods study
Facilitating better postnatal care with women-held documents in The Gambia: a mixed-methods study Open
Background Women-held documents are a basic component of continuity of maternity care. The use and completion of women-held documents following discharge could improve treatment and care for postnatal women. Using a mixed-methods study des…
View article: 94 A qualitative study to explore the experiences and roles of early adopters in the early implementation of magnolia house, a new facility for sharing life-altering information and bereavement care
94 A qualitative study to explore the experiences and roles of early adopters in the early implementation of magnolia house, a new facility for sharing life-altering information and bereavement care Open
Background Magnolia House (MH) is a new, innovative facility at an acute paediatric hospital. It was built to improve the quality of care for families and staff involved with sharing life-altering information and bereavement, through tran…
View article: Facilitating Better Postnatal Care with Women-Held Documents in The Gambia: A Mixed-Methods Study
Facilitating Better Postnatal Care with Women-Held Documents in The Gambia: A Mixed-Methods Study Open
Background: Women-held documents are a basic component of continuity of maternity care. The use and completion of women-held documents following discharge could improve treatment and care for postnatal women. Using a mixed-methods study de…
View article: Ultra-radical surgery compared to standard surgical treatment for women with advanced ovarian cancer: a cost-effectiveness analysis
Ultra-radical surgery compared to standard surgical treatment for women with advanced ovarian cancer: a cost-effectiveness analysis Open
Objective To compare current surgical practice for women with AOC to ultra-radical surgery; to assess whether the new approach would be cost-effective under NICE guidelines of approximately £20,000/QALY. Design Cost-effectiveness analysis.…
View article: Author Index
Author Index Open
View article: Early Postnatal Discharge for Infants: A Meta-analysis
Early Postnatal Discharge for Infants: A Meta-analysis Open
Infants discharged early after birth were more likely to be admitted within 28 days. The introduction of postnatal minimum length of stay policies was associated with a long-term reduction in neonatal hospital readmission rates.
View article: PATIENT REPORTED OUTCOMES (PRO) AFTER SURGERY IN ADVANCED OVARIAN CANCER - INITIAL RESULTS FROM THE INTERNATIONAL, PROSPECTIVE, MULTICENTER SOCQER 2 STUDY
PATIENT REPORTED OUTCOMES (PRO) AFTER SURGERY IN ADVANCED OVARIAN CANCER - INITIAL RESULTS FROM THE INTERNATIONAL, PROSPECTIVE, MULTICENTER SOCQER 2 STUDY Open
View article: Understanding parent preferences for NHS paediatric allergy services
Understanding parent preferences for NHS paediatric allergy services Open
Objectives To understand parent preferences for NHS paediatric allergy services. Design: A stated preference study (discrete choice experiment). Setting West Midlands, UK. Participants A sample of parents of children aged 16 years or young…
View article: The content and completeness of women-held maternity documents before admission for labour: A mixed methods study in Banjul, The Gambia
The content and completeness of women-held maternity documents before admission for labour: A mixed methods study in Banjul, The Gambia Open
Women rarely forgot their maternity card, but documents brought at admission were frequently incomplete. This is a missed opportunity to enhance handover and quality of care, especially for high-risk women. National guidelines were recogni…