Publications by authors named "Anni Skilton"
Article Synopsis
- The study explores how patients are informed about innovative surgical procedures and their uncertain outcomes, highlighting a gap between national guidelines and actual communication practices.
- Interviews with clinicians indicated a desire to inform patients neutrally, but there were challenges in balancing honesty with the need to avoid distressing patients.
- Postoperative interviews revealed that many patients misunderstood the experimental nature of these procedures, often believing they were more established than they really were, suggesting a need for better training in patient communication for clinicians.
Introduction: The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of 'case studies' of new procedures and/or devices being introduced into NHS trusts to explore what information is communicated to patients, how procedures are modified over time and how outcomes are selected and reported.
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- COVID-19 made it risky for operating room teams, so new guidelines were created to keep everyone safe during surgeries.
- 43 healthcare workers from different specialties shared their experiences in interviews about how they adapted their practices.
- Teams worked hard to communicate and collaborate, but faced challenges and uncertainties while trying to balance patient care and their own safety during the pandemic.*
Introduction: Surgery (oesophagectomy), with neoadjuvant chemo(radio)therapy, is the main curative treatment for patients with oesophageal cancer. Several surgical approaches can be used to remove an oesophageal tumour. The Ivor Lewis (two-phase procedure) is usually used in the UK.
View Article and Find Full Text PDFIntroduction: Randomised controlled trials (RCTs) in surgery are frequently criticised because surgeon expertise and standards of surgery are not considered or accounted for during study design. This is particularly true in pragmatic trials (which typically involve multiple centres and surgeons and are based in 'real world' settings), compared with explanatory trials (which are smaller and more tightly controlled).
Objective: This protocol describes a process to develop and test quality assurance (QA) measures for use within a predominantly pragmatic surgical RCT comparing minimally invasive and open techniques for oesophageal cancer (the NIHR ROMIO study).