George Smith
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Extracorporeal Shockwave Therapy for Diabetes Related Foot Ulcers: A Pilot Three‐Arm Double‐Blinded Randomised Controlled Trial Open
There is an urgent need for effective interventions to aid diabetes‐related foot ulcer (DFU) healing. This study aimed to test the deliverability of a proposed trial of extracorporeal shockwave therapy (ESWT) for DFU healing. A pilot doubl…
94 Sex-Based Differences Following Supervised Exercise Therapy for Intermittent Claudication: A Systematic Review and Meta-Analysis Open
Aim Peripheral artery disease (PAD) prevalence is similar or higher in women compared to men. However, women often present with atypical symptoms, leading to delayed diagnosis and treatment. They also experience faster functional decline a…
Postoperative remote first care for financially and environmentally sustainable healthcare Open
This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost…
Environmental and financial cost of surgical-site infection by severity after lower limb vascular surgery Open
Background There is sparse evidence of the relationship between environmental and financial costs of surgical-site infection. Identifying areas of high-cost burden would enable key targets for clinical interventions to aid in achieving the…
View article: <scp>ASSIST</scp>: Development of a Simplified Clinician–Patient Hybrid Reporting Outcome Measure for Remote Diagnosis of Surgical Site Infection
<span>ASSIST</span>: Development of a Simplified Clinician–Patient Hybrid Reporting Outcome Measure for Remote Diagnosis of Surgical Site Infection Open
Remote assessment of surgical site infection(SSI) lacks sensitivity for the diagnosis of SSI, but current evidence has not evaluated whether a combination of photographs and questionnaires improves diagnostic accuracy. This study aims to d…
A Pilot Three Arm Randomised Controlled Trial and Qualitative Study of Extracorporeal Shockwave Therapy for Diabetic Foot Ulcer Healing (<span>SOLEFUL</span>): A Study Protocol Open
The development of effective interventions for diabetes‐related foot ulcers (DFU) healing is vital. This protocol outlines a pilot trial and qualitative study investigating ESWT in DFU healing. A pilot three arm placebo controlled double‐b…
View article: Modification and validation of the Bluebelle Wound Healing Questionnaire (WHQ) for assessing surgical site infection in wounds healing by secondary intention
Modification and validation of the Bluebelle Wound Healing Questionnaire (WHQ) for assessing surgical site infection in wounds healing by secondary intention Open
The modified Bluebelle WHQ is a valuable tool for post-discharge assessment of wounds healing by secondary intention. It is recommended for use in research and clinical practice.
84 Extracorporeal Shockwave Therapy for Diabetes Related Foot Ulcers: A Pilot Three Arm Double Blinded Randomised Controlled Trial Open
Background There is an urgent need for effective interventions to aid diabetes related foot ulcer (DFU) healing. This study aimed to test the deliverability of a proposed definitive trial exploring the clinical efficacy of Extracorporeal S…
View article: 69 A systematic review and meta-analysis of machine learning models in the prediction of adverse outcomes in peripheral arterial disease
69 A systematic review and meta-analysis of machine learning models in the prediction of adverse outcomes in peripheral arterial disease Open
Background Peripheral Arterial Disease(PAD) is a prevalent cardiovascular condition affecting millions worldwide, and the advent of machine learning(ML) techniques offers promising opportunities to enhance risk prediction and personalise p…
Optimal treatment strategy for mixed arteriovenous leg ulceration: a systematic review protocol Open
Introduction: Chronic leg ulceration is a major health problem affecting 1.5% of adults, increasing to 5% of those over 60 years old. It is associated with significant quality of life (QoL) impairment in addition to high treatment costs, e…
Exploring UK clinician perceptions of through-knee amputation compared to above-knee amputation: a mixed methods study Open
Through-knee amputation (TKA) has potential advantages over above-knee amputation (AKA) but is rarely performed in the United Kingdom (UK). This mixed methods study aimed to explore clinicians’ perceptions of TKA compared to AKA. An online…
The effectiveness of waxing or epilation compared to conventional methods of hair removal in reducing the incidence of surgical site infections: a systematic review and meta-analysis Open
Background Surgical site infections (SSIs) pose a significant challenge to healthcare systems by elevating patient morbidity and mortality and driving up financial costs. Preoperative skin preparation is crucial for preventing SSIs; howeve…
View article: Widespread non-adherence to guidelines in the operative management of diabetes-related foot disease complications
Widespread non-adherence to guidelines in the operative management of diabetes-related foot disease complications Open
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View article: Ten-year outcomes of a randomized clinical trial of endothermal ablation <i>versus</i> conventional surgery for great saphenous varicose veins
Ten-year outcomes of a randomized clinical trial of endothermal ablation <i>versus</i> conventional surgery for great saphenous varicose veins Open
Background Surgical ligation and stripping (surgery) and endothermal ablation are both effective treatments for varicose veins, improving quality of life (QoL) up to 5 years. Few data are available on long-term outcomes. The aim of this st…
Barriers and facilitators to vascular access point‐of‐care ultrasound in haemodialysis: An international survey of haemodialysis clinicians Open
Background Utilising point‐of‐care ultrasound for assessment and cannulation of vascular access in people receiving haemodialysis has shown positive clinical results. Nonetheless, there is variation in how renal health care professionals w…
Endovascular rectal artery embolisation (RAE) for symptomatic haemorrhoids Open
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the safety and clinical effectiveness of endovascular rectal artery embolisation (RAE) for symptomatic haemorrhoids.
Extracorporeal Shockwave for Intermittent Claudication and Quality of Life Open
Importance Intermittent lower limb claudication limits function and quality of life. Supervised exercise programs are not readily available, and a noninvasive alternative is needed. Objective To assess extracorporeal corporeal shockwave th…
View article: Telemedicine for sustainable postoperative follow-up: a prospective pilot study evaluating the hybrid life-cycle assessment approach to carbon footprint analysis
Telemedicine for sustainable postoperative follow-up: a prospective pilot study evaluating the hybrid life-cycle assessment approach to carbon footprint analysis Open
Introduction Surgical site infections (SSI) are the most common healthcare-associated infections; however, access to healthcare services, lack of patient awareness of signs, and inadequate wound surveillance can limit timely diagnosis. Tel…
View article: O21: ASSIST: Validation of a novel hybrid clinician-patient remote outcome measure for diagnosis of surgical site infection
O21: ASSIST: Validation of a novel hybrid clinician-patient remote outcome measure for diagnosis of surgical site infection Open
Introduction Current remote methods of surgical site infection diagnosis have high specificity but lack sensitivity in diagnosis. This study evaluates the acceptability, reliability and validity of a novel hybrid clinician-patient remote o…
O57: Tailored risk assessment and forecasting in intermittent claudication using machine learning (TRAFIC-ML) Open
Introduction Guidelines recommend cardiovascular risk reduction and supervised exercise therapy as the initial treatment for patients with intermittent claudication(IC). However, implementation challenges and poor patient compliance lead t…
View article: O22: Postoperative Telemedicine is feasible and sustainable; a prospective life-cycle assessment approach to carbon footprint analysis
O22: Postoperative Telemedicine is feasible and sustainable; a prospective life-cycle assessment approach to carbon footprint analysis Open
Introduction The NHS must provide a net zero service by 2045. Innovative strategies are required to quantify, evaluate and implement environmentally friendly interventions into practice. The study evaluates the feasibility and sustainabili…
View article: Early Ultrasound Surveillance of Newly-Created Hemodialysis Arteriovenous Fistula
Early Ultrasound Surveillance of Newly-Created Hemodialysis Arteriovenous Fistula Open
Early ultrasound surveillance may predict fistula maturation, but is likely, at best, to result in only very modest improvements in fistula patency. Power calculations suggest that an impractically large number of participants (>1700) woul…
View article: Long-term risk prediction after major lower limb amputation: 1-year results of the PERCEIVE study
Long-term risk prediction after major lower limb amputation: 1-year results of the PERCEIVE study Open
Background Decision-making when considering major lower limb amputation is complex and requires individualized outcome estimation. It is unknown how accurate healthcare professionals or relevant outcome prediction tools are at predicting o…
Tailored risk assessment and forecasting in intermittent claudication Open
Background Guidelines recommend cardiovascular risk reduction and supervised exercise therapy as the first line of treatment in intermittent claudication, but implementation challenges and poor patient compliance lead to significant variat…
View article: A feasibility survey to inform trial design investigating surgical site infection prevention in vascular surgery
A feasibility survey to inform trial design investigating surgical site infection prevention in vascular surgery Open
Introduction: Current surgical site infection (SSI) prevention guidance indicates low-quality evidence supporting many of their recommendations. Subsequently, there is substantial variation in practice and often implementation of unsubstan…