Publications by authors named "E C Harland"

Article Synopsis
  • The study focuses on intracranial catheter use in neurosurgery, highlighting issues with shunt failure and the importance of accurate catheter placement.
  • A review of CT images of patients who received shunts or external ventricular drains (EVDs) revealed significant differences in placement accuracy, favoring EVDs with detailed metric markings.
  • The findings suggest that adding clear millimeter markings to ventricular shunt catheters can help reduce insertion errors and prevent associated neurovascular injuries.
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Background: Endoscopists have low adherence to guideline-recommended colonoscopy surveillance intervals. We performed a cluster-randomized single-blind pilot trial in Winnipeg, Canada, to assess the effectiveness of a newly developed digital application tool that computes guideline-recommended follow-up intervals.

Methods: Participant endoscopists were randomized to either receive access to the digital application (intervention group) or not receive access (control group).

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Article Synopsis
  • - The study by the International Cancer Benchmarking Partnership analyzed breast cancer diagnostic pathways across 10 regions in Australia, Canada, and Europe to understand the impact of delayed treatment on prognosis.
  • - Data were collected from 3,471 women diagnosed with breast cancer and included input from primary care physicians and cancer specialists, revealing that a significant number sought care due to symptoms, primarily lumps or changes in their breasts.
  • - Results showed considerable variation in the time taken for diagnosis and treatment between regions, with some areas demonstrating longer waiting periods, suggesting the need for improved strategies to reduce these delays and improve patient outcomes.
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  • The International Cancer Benchmarking Partnership studied how ovarian cancer is diagnosed and the time from symptom onset to treatment across five countries, analyzing data from over 1,100 patients.
  • Key findings revealed no significant differences in initial diagnosis symptoms, but there were notable inconsistencies in urgent referral rates and intervals from diagnosis to treatment, particularly when compared to Denmark.
  • The research emphasizes the need for improvements in the diagnostic process and encourages learning from different healthcare systems to enhance timely ovarian cancer diagnosis and treatment.
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Article Synopsis
  • The study compares the time intervals from symptom onset to treatment for lung cancer patients across several jurisdictions, including Australia, Canada, and the UK, highlighting differences that could impact diagnosis stage and survival rates.
  • Researchers surveyed newly diagnosed lung cancer patients along with their primary care physicians and cancer specialists, analyzing data from 10,203 patients, of which 2,143 were included in the final analysis.
  • The results revealed that most jurisdictions had similar median intervals to treatment as Wales, with Denmark showing the shortest intervals overall, while Manitoba had the longest diagnostic intervals compared to Wales.
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