Ian Chetter
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View article: Surgical Site Infection in Major Lower Limb Amputation (SIMBA): an international multicentre audit: baseline unit survey
Surgical Site Infection in Major Lower Limb Amputation (SIMBA): an international multicentre audit: baseline unit survey Open
Introduction: Surgical site infection (SSI) is common after major lower limb amputation (MLLA) and is associated with significant morbidity and mortality. National and international guidelines and a best practice pathway aim to optimise ca…
View article: Surgical wounds healing by Secondary Intention-2 Trial: outcomes and learning from the internal pilot phase and main trial
Surgical wounds healing by Secondary Intention-2 Trial: outcomes and learning from the internal pilot phase and main trial Open
View article: 94 Sex-Based Differences Following Supervised Exercise Therapy for Intermittent Claudication: A Systematic Review and Meta-Analysis
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…
View article: A vein bypass first <i>versus</i> a best endovascular treatment first revascularization strategy for patients with chronic limb-threatening ischaemia who require an infra-popliteal, with or without an additional more proximal infra-inguinal, revascularization procedure to restore limb perfusion: the BASIL-2 within-trial health economic analysis
A vein bypass first <i>versus</i> a best endovascular treatment first revascularization strategy for patients with chronic limb-threatening ischaemia who require an infra-popliteal, with or without an additional more proximal infra-inguinal, revascularization procedure to restore limb perfusion: the BASIL-2 within-trial health economic analysis Open
Background Chronic limb-threatening ischaemia (CLTI) places a considerable socioeconomic burden health and social care systems worldwide. The objective of this health economic analysis was to investigate the cost-effectiveness (CEA) and co…
View article: Effectiveness of antimicrobial dressings in surgical site infection prophylaxis in surgical wounds healing by secondary intentions (SWHSI): a systematic review protocol
Effectiveness of antimicrobial dressings in surgical site infection prophylaxis in surgical wounds healing by secondary intentions (SWHSI): a systematic review protocol Open
Background: Surgical wounds healing by secondary intentions (SWHSI) refers to wounds left open after surgical procedures. SWHSI is challenging to manage and presents a significant burden to both individual and healthcare services. They req…
View article: The Fate of the Claudicant in the 21st Century
The Fate of the Claudicant in the 21st Century Open
View article: A Dynamic Neural Network-based Approach to Identify High-risk Patients With Intermittent Claudication
A Dynamic Neural Network-based Approach to Identify High-risk Patients With Intermittent Claudication Open
View article: Delays to Revascularisation and Outcomes of Non-Elective Admissions for Chronic Limb Threatening Ischaemia: a UK Population Based Cohort Study
Delays to Revascularisation and Outcomes of Non-Elective Admissions for Chronic Limb Threatening Ischaemia: a UK Population Based Cohort Study Open
View article: The Impact of a Nurse-led Intermittent Claudication Clinic on Service Provision
The Impact of a Nurse-led Intermittent Claudication Clinic on Service Provision Open
View article: Postoperative remote first care for financially and environmentally sustainable healthcare
Postoperative remote first care for financially and environmentally sustainable healthcare Open
View article: Environmental and financial cost of surgical-site infection by severity after lower limb vascular surgery
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: Negative pressure wound therapy for surgical wounds healing by secondary intention is not cost-effective
Negative pressure wound therapy for surgical wounds healing by secondary intention is not cost-effective Open
Background Negative pressure wound therapy (NPWT) has been used in clinical practice for surgical wounds healing by secondary intention (SWHSI), despite limited evidence regarding its clinical effectiveness and cost-effectiveness. The aim …
View article: Negative pressure wound therapy versus usual care in patients with surgical wound healing by secondary intention in the UK (SWHSI-2): an open-label, multicentre, parallel-group, randomised controlled trial
Negative pressure wound therapy versus usual care in patients with surgical wound healing by secondary intention in the UK (SWHSI-2): an open-label, multicentre, parallel-group, randomised controlled trial Open
National Institute for Health Research Health Technology Assessment Programme.
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…
View article: A Pilot Three Arm Randomised Controlled Trial and Qualitative Study of Extracorporeal Shockwave Therapy for Diabetic Foot Ulcer Healing (<scp>SOLEFUL</scp>): A Study Protocol
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.
View article: 84 Extracorporeal Shockwave Therapy for Diabetes Related Foot Ulcers: A Pilot Three Arm Double Blinded Randomised Controlled Trial
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: Sexual misconduct in surgery: “We need to have challenging and awkward conversations”
Sexual misconduct in surgery: “We need to have challenging and awkward conversations” Open
Is sexual misconduct in surgery the hidden epidemic we can no longer ignore?
View article: The Vascular Society of Great Britain and Ireland and Rouleaux Club membership survey on the role of Physician Associates in vascular surgery
The Vascular Society of Great Britain and Ireland and Rouleaux Club membership survey on the role of Physician Associates in vascular surgery Open
Background: The UK government’s proposed expansion of the role of Physician Associates (PAs) in the NHS is an ongoing topic of debate. This survey aimed to capture the opinion of members of the Vascular Society of Great Britain and Ireland…
View article: Optimal treatment strategy for mixed arteriovenous leg ulceration: a systematic review protocol
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…
View article: VENous Ulcer Study (VenUS 6): A Randomised Clinical Trial of Compression Therapies for the Treatment of Venous Leg Ulcer
VENous Ulcer Study (VenUS 6): A Randomised Clinical Trial of Compression Therapies for the Treatment of Venous Leg Ulcer Open
View article: 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
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: Provision of Services for People with Vascular Disease 2024
Provision of Services for People with Vascular Disease 2024 Open
Provision of vascular services The allied Vascular Societies of Great Britain and Ireland promote world class care for people with vascular disease. Provision of Vascular Services (POVS) defines the vision, sets standards and recommends im…
View article: Correction: Protocol: The role of defunctioning stoma prior to neoadjuvant therapy for locally advanced colonic and rectal cancer-A systematic review
Correction: Protocol: The role of defunctioning stoma prior to neoadjuvant therapy for locally advanced colonic and rectal cancer-A systematic review Open
[This corrects the article DOI: 10.1371/journal.pone.0275025.].
View article: The Association Between Completion of Supervised Exercise Therapy and Long-Term Outcomes in Patients with Intermittent Claudication, Concomitant Sarcopenia, and Cardiometabolic Multimorbidity
The Association Between Completion of Supervised Exercise Therapy and Long-Term Outcomes in Patients with Intermittent Claudication, Concomitant Sarcopenia, and Cardiometabolic Multimorbidity Open
View article: Patient experience of the process to diagnosis of chronic limb‐threatening ischaemia: A qualitative study
Patient experience of the process to diagnosis of chronic limb‐threatening ischaemia: A qualitative study Open
Introduction Delays exist at each stage of the chronic limb‐threatening ischaemia (CLTI) care pathway, but there is little known about patient factors influencing delay to diagnosis of CLTI. This study explores the experiences and percepti…
View article: The incidence of surgical site infection following major lower limb amputation: A systematic review
The incidence of surgical site infection following major lower limb amputation: A systematic review Open
Surgical site infections (SSIs) following major lower limb amputation (MLLA) in vascular patients are a major source of morbidity. The objective of this systematic review was to determine the incidence of SSI following MLLA in vascular pat…
View article: Prognostic value of simple frailty and malnutrition screening tools for determining surgical risk in patients with chronic limb threatening ischaemia undergoing major vascular surgery: a retrospective cross-sectional study
Prognostic value of simple frailty and malnutrition screening tools for determining surgical risk in patients with chronic limb threatening ischaemia undergoing major vascular surgery: a retrospective cross-sectional study Open
Background: This study aims to explore the prognostic value of simple frailty and malnutrition tools for determining postoperative outcomes at 30 days and one year in patients with chronic limb threatening ischaemia (CLTI) undergoing major…
View article: Endovascular rectal artery embolisation (RAE) for symptomatic haemorrhoids
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.
View article: Understanding delays in chronic limb‐threatening ischaemia care: Application of the theoretical domains framework to identify factors affecting primary care clinicians' referral behaviours
Understanding delays in chronic limb‐threatening ischaemia care: Application of the theoretical domains framework to identify factors affecting primary care clinicians' referral behaviours Open
Introduction Patients in the community with suspected Chronic limb‐threatening ischaemia (CLTI) should be urgently referred to vascular services for investigation and management. The Theoretical Domains Framework (TDF) allows identificatio…