Tony Stone
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View article: Educational outcomes for children and young people with cancer: study protocol for a population-based cohort study using linked education and hospital data from England
Educational outcomes for children and young people with cancer: study protocol for a population-based cohort study using linked education and hospital data from England Open
Introduction Childhood cancer survivors (CCSs) experience educational disruptions during and following treatment, yet robust, longitudinal evidence on educational performance remains limited. We will investigate differences in educational …
View article: Clinical advisors at NHS 111 improve accuracy for paediatric patients and their advice is more reliably followed: a retrospective observational cohort study
Clinical advisors at NHS 111 improve accuracy for paediatric patients and their advice is more reliably followed: a retrospective observational cohort study Open
Objective To determine whether National Health Service (NHS) 111 advice regarding paediatric patients given by clinically trained health advisors (CHAs) is, as previously found for adult patients, less risk-averse, more accurate and compli…
View article: Making using administrative data easier: How To Guides and the Phenotype Code List Repository for ECHILD
Making using administrative data easier: How To Guides and the Phenotype Code List Repository for ECHILD Open
ObjectivesEven experienced researchers face difficulties in finding and using administrative data and producing analysis-ready datasets. Here we describe two resources developed to support users of the Education and Child Health Insights f…
View article: Open science and phenotyping in UK administrative health, education and social care data: the ECHILD phenotype code list repository
Open science and phenotyping in UK administrative health, education and social care data: the ECHILD phenotype code list repository Open
Administrative health data, such as the Hospital Episode Statistics (HES), can be used to identify groups of people with a particular target condition, a process known as phenotyping. Clinical phenotypes are useful as exposures, covariates…
View article: A network approach to addressing the needs of patients with incurable head and neck cancer and their families
A network approach to addressing the needs of patients with incurable head and neck cancer and their families Open
Background Patients with incurable head and neck cancer have considerable unmet needs and complex symptom burden, with evidence of substantial geographical and/or socioeconomic inequalities. Accurate information on healthcare needs, resour…
View article: Identifying “problematic” clusters in record linkage using graph measures
Identifying “problematic” clusters in record linkage using graph measures Open
Manual review of outputs from record linkage processes remains a frequently necessary but time-consuming operation. This work outlines a potential means to reduce the manual review workload through the extraction of graph measures from the…
View article: Correction: Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013–2017
Correction: Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013–2017 Open
[This corrects the article DOI: 10.1371/journal.pone.0251362.].
View article: 2321 Accuracy of and patient compliance with NHS111 advice given by clinically vs non-clinically trained call-handlers regarding paediatric patients
2321 Accuracy of and patient compliance with NHS111 advice given by clinically vs non-clinically trained call-handlers regarding paediatric patients Open
Aims and Objectives The NHS111 telephone triage service aims to direct patients to the correct level of care and reduce pressure on urgent and emergency care (UEC) services. However, some studies show NHS111 is associated with increased UE…
View article: Navigating data governance associated with real-world data for public benefit: an overview in the UK and future considerations
Navigating data governance associated with real-world data for public benefit: an overview in the UK and future considerations Open
Real-world data encompass data primarily captured for the provision or operation of services, for example, electronic health records for direct care purposes, but which may have secondary uses for informing research or commissioning. Publi…
View article: Which people are most affected by changes to data linkage methodology? An exploration of patient, organisational and spatiotemporal characteristics in administrative hospital data in England
Which people are most affected by changes to data linkage methodology? An exploration of patient, organisational and spatiotemporal characteristics in administrative hospital data in England Open
ObjectivesIn 2021, NHS Digital changed the process used to link records belonging to the same person across and within data collections. Our objectives were to identify patient, organisational and spatiotemporal characteristics associated …
View article: Use of urgent, emergency and acute care by mental health service users: A record-level cohort study
Use of urgent, emergency and acute care by mental health service users: A record-level cohort study Open
Background People with serious mental illness experience worse physical health and greater mortality than the general population. Crude rates of A&E attendance and acute hospital admission are higher in people with serious mental illness t…
View article: Sharing real-world data for public benefit: a qualitative exploration of stakeholder views and perceptions
Sharing real-world data for public benefit: a qualitative exploration of stakeholder views and perceptions Open
Background There has been an increasing interest in the use of “real-world” data to inform care decision making that could lead to public health benefit. Routinely collected service and activity data associated with the administration of c…
View article: Factors associated with longer wait times, admission and reattendances in older patients attending emergency departments: an analysis of linked healthcare data
Factors associated with longer wait times, admission and reattendances in older patients attending emergency departments: an analysis of linked healthcare data Open
Background and objective Care for older patients in the ED is an increasingly important issue with the ageing society. To better assess the quality of care in this patient group, we assessed predictors for three outcomes related to ED care…
View article: 1502 Geospatial visualisation of emergency department attendance rates and their associations with deprivation and non-urgent attendances
1502 Geospatial visualisation of emergency department attendance rates and their associations with deprivation and non-urgent attendances Open
Aims, Objectives and Background Attendances at emergency departments in England continue to increase above the capacity of the urgent and emergency care system. There is significant variability in the rates of attendance at emergency depar…
View article: Temporal association between invasive procedures and infective endocarditis
Temporal association between invasive procedures and infective endocarditis Open
Objective Antibiotic prophylaxis has been recommended for patients at increased risk of infective endocarditis (IE) undergoing specific invasive procedures (IPs) despite a lack of data supporting its use. Therefore, antibiotic prophylaxis …
View article: Pre-hospital prediction of adverse outcomes in patients with suspected COVID-19: Development, application and comparison of machine learning and deep learning methods
Pre-hospital prediction of adverse outcomes in patients with suspected COVID-19: Development, application and comparison of machine learning and deep learning methods Open
These methods could potentially reduce the numbers of patients conveyed to hospital without a concomitant increase in adverse outcomes. Further work is required to test the models externally and develop an automated system for use in clini…
View article: Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: An observational cohort study linking NHS 111 telephone triage, primary and secondary healthcare and mortality records.
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: An observational cohort study linking NHS 111 telephone triage, primary and secondary healthcare and mortality records. Open
ObjectivesSettings in identifying need for emergency care amongst those with suspected COVID-19 infection and identify factors which affect triage accuracy. ApproachAn observational cohort study of adults who contacted the NHS 111 telephon…
View article: Measuring the impact introducing NHS 111 online had on the NHS 111 telephone service and the wider NHS urgent care system: an observational study
Measuring the impact introducing NHS 111 online had on the NHS 111 telephone service and the wider NHS urgent care system: an observational study Open
Objectives To explore what impact introducing the National Health Service (NHS) 111 online service had on the number of phone calls to the NHS 111 telephone service and the NHS urgent care system. Design Observational study using a dose–re…
View article: Creating a Real-World Linked Research Platform for Analyzing the Urgent and Emergency Care System
Creating a Real-World Linked Research Platform for Analyzing the Urgent and Emergency Care System Open
Background This article describes the development of a system-based data platform for research developed to provide a detailed picture of the characteristics of the Urgent and Emergency Care system in 1 region of the United Kingdom. Data S…
View article: Infective endocarditis following invasive dental procedures: IDEA case-crossover study
Infective endocarditis following invasive dental procedures: IDEA case-crossover study Open
Background Infective endocarditis is a heart infection with a first-year mortality rate of ≈ 30%. It has long been thought that infective endocarditis is causally associated with bloodstream seeding with oral bacteria in ≈ 40–45% of cases.…
View article: Accuracy of emergency medical service telephone triage of need for an ambulance response in suspected COVID-19: an observational cohort study
Accuracy of emergency medical service telephone triage of need for an ambulance response in suspected COVID-19: an observational cohort study Open
Objective To assess accuracy of emergency medical service (EMS) telephone triage in identifying patients who need an EMS response and identify factors which affect triage accuracy. Design Observational cohort study. Setting Emergency telep…
View article: Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study Open
Objective To assess accuracy of telephone triage in identifying need for emergency care among those with suspected COVID-19 infection and identify factors which affect triage accuracy. Design Observational cohort study. Setting Community t…
View article: Emergency department presentations in palliative care patients: a retrospective cohort study
Emergency department presentations in palliative care patients: a retrospective cohort study Open
Objectives To map the patient journey for individuals known to palliative care presenting to the emergency department (ED). Methods A linked dataset from the CUREd database and palliative care services in a region in the North of England w…
View article: Corrigendum: Impact of NHS 111 Online on the NHS 111 telephone service and urgent care system: a mixed-methods study
Corrigendum: Impact of NHS 111 Online on the NHS 111 telephone service and urgent care system: a mixed-methods study Open
Correction to list of authors.
View article: 798 Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study
798 Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study Open
Aims/Objectives/Background To reduce the risk of spreading infection and hospitals being overwhelmed, on the 18 th February 2020, NHS England advised patients with suspected COVID infection to contact NHS 111 instead of attending health ca…
View article: 965 Accuracy of emergency (999) telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study
965 Accuracy of emergency (999) telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study Open
Aims/Objectives/Background In the first wave of the pandemic some ambulance services received three times their usual number of 999 calls. The increase was mostly due to calls from patients with respiratory symptoms. Call handlers must rap…
View article: 867 Prognostic accuracy of triage tools for adults with suspected COVID-19 in a pre-hospital setting: an observational cohort study
867 Prognostic accuracy of triage tools for adults with suspected COVID-19 in a pre-hospital setting: an observational cohort study Open
Aims/Objectives/Background Emergency Medical Service (EMS) and other practitioners assessing patients with suspected COVID-19 in the community must rapidly determine whether patients need treatment in hospital or can self-care. Tools to tr…
View article: Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting: an observational cohort study
Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting: an observational cohort study Open
Background Tools proposed to triage patient acuity in COVID-19 infection have only been validated in hospital populations. We estimated the accuracy of five risk-stratification tools recommended to predict severe illness and compared accur…
View article: Impact of NHS 111 Online on the NHS 111 telephone service and urgent care system: a mixed-methods study
Impact of NHS 111 Online on the NHS 111 telephone service and urgent care system: a mixed-methods study Open
Background The NHS emergency and urgent care system is under pressure as demand for services increases each year. NHS 111 is a telephone triage service designed to provide advice and signposting to appropriate services for people with urge…