Publications by authors named "A McNair"
Objective: To synthesize evidence of surgical treatment intensity, defined as a measure of the quantity of invasive procedures, received by patients in patients with cancer within a defined time period around the 'end of life' (EoL).
Background: Concern regarding overly 'aggressive' care or high health care utilization at the EoL, particularly in cancer, is growing. The contribution surgery makes to the quality and cost of EoL care in cancer has not yet been quantified.
Article Synopsis
- Degenerative cervical myelopathy (DCM) affects about 2% of adults, and there is a lack of standardized outcomes in clinical research, leading to inconsistencies in study results; creating a standardized minimum data set could enhance comparability.* -
- The study used a modified Delphi method to develop a core outcome set (COS), core data elements (CDEs), and a core measurement set (CMS) for DCM research, with input from an international stakeholder group.* -
- In total, 28 outcomes were identified across 6 key domains, culminating in a structured data set that can be utilized in future clinical trials to ensure consistency and improve measurement accuracy in DCM research.*
Identifying potentially low value surgical care: A national ecological study in England.
J Health Serv Res Policy
October 2024
Article Synopsis
- High clinical practice variation may signal uncertainty and indicate potential low-value surgical care, prompting the need for clearer identification methods.
- A national study analyzed surgical procedure data in England from 2014 to 2019, focusing on the fastest-growing and most varied procedures among clinical commissioning groups.
- The research identified six procedures with significant growth and four exhibiting notable geographical variation, highlighting uncertainty around efficacy for the majority, suggesting routine variation analysis could help pinpoint low-value surgical interventions.
Background: Improving shared decision-making (SDM) for patients has become a health policy priority in many countries. Achieving high-quality SDM is particularly important for approximately 313 million surgical treatment decisions patients make globally every year. Large-scale monitoring of surgical patients' experience of SDM in real time is needed to identify the failings of SDM before surgery is performed.
View Article and Find Full Text PDFThere is limited research on how a cervical cancer diagnosis financially impacts women and their families in Uganda. This analysis aimed to describe the economic impact of cervical cancer treatment, including how it differs by socio-economic status (SES) in Uganda. We conducted a cross-sectional study from September 19, 2022 to January 17, 2023.
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