University Hospitals Bristol NHS Foundation Trust

‘Talk CKD Options’: improving how clinicians communicate treatment options in advanced kidney disease using a conversation analysis-based training intervention

Abstract Background Most older people with kidney failure and multiple co-morbidities must decide between dialysis or conservative kidney management. Dialysis is often presented as the default, despite providing uncertain survival benefits in this population. The Optimising Staff...

Patterns of practice and paediatric care

The question we raise in this paper is whether the notion of patterns of practice is useful in clinical ethics. The first part of the paper presents the notion of patterns of practice, describing what it reflects (including important themes from the philosophy of practice) and ho...

A qualitative study exploring how an Emergency Medicine leadership programme was received in Ghana

Introduction Emergency Medicine (EM) is a developing specialty in several West African countries, where practitioners are increasingly assuming leadership roles despite limited training. The EM Leaders programme, originally designed for the UK context, offers leadership training...

Effects of maternal and paternal smoking on offspring cardiometabolic risk factors in adulthood: a multi-method intergenerational Mendelian randomization study

Abstract Background Parental smoking has been linked to several adverse offspring cardiometabolic outcomes; however, evidence is conflicting regarding the causal and long-term nature of these associations. Methods We investigated the effects of maternal and paternal smoking, capt...

Regional Geriatric Trauma Advice for Older Patients with Chronic Subdural Haematoma—A Novel Service for Multi-Disciplinary Decision-Making

Background: Chronic subdural haematoma (cSDH) is one of the most common neurocranial conditions in older adults and is increasing in incidence. Conservatively managed patients are typically older, frailer, and more comorbid than surgical candidates, yet specialist geriatrician in...

Glucagon-like peptide-1 receptor agonists are associated with improved 90-day outcomes after total hip and knee arthroplasty

Aims Obesity and diabetes are risk factors for developing osteoarthritis and associated with worse outcomes following total hip (THA) and total knee arthroplasty (TKA). Glucagon-like peptide-1 receptor agonists (GLP-1as) improve glycaemic control and promote weight loss. The aim...

Periprosthetic joint infection

Infection is one of the most devastating complications following arthroplasty. The National Institute for Health and Care Research (NIHR) funded the multinational INFection ORthopaedic Management (INFORM) research programme to study this problem comprehensively, and then funded I...