Publications by authors named "Nicola Dames"
Aim: Surgeon personality is a factor influencing rectal anastomotic decision-making. However, it is unclear how or why this may be the case, or what aspects of personality are involved. The aim of this study was to investigate the views of colorectal surgeons on how their individual personality may influence variation in anastomotic decision-making.
View Article and Find Full Text PDFAim: When making anastomotic decisions in rectal cancer surgery, surgeons must consider the risk of anastomotic leakage, which bears implications for the patient's quality of life, cancer recurrence and, potentially, death. The aim of this study was to investigate the views of colorectal surgeons on how their individual attributes (e.g.
View Article and Find Full Text PDFBackground: Corticosteroids are a mainstay of the treatment of moderately severe relapses of ulcerative colitis, yet almost 50% of patients do not respond fully to these and risk prolonged steroid use and side effects. There is a lack of clarity about the definitions of steroid resistance, the optimum choice of treatment, and patient and health-care professional treatment preferences.
Objectives: The overall aim of this research was to understand how steroid-resistant ulcerative colitis is managed in adult secondary care and how current practice compares with patient and health-care professional preferences.
Background: Decision-making under uncertainty may be influenced by an individual's personality. The primary aim was to explore associations between surgeon personality traits and colorectal anastomotic decision-making.
Methods: Colorectal surgeons worldwide participated in a two-part online survey.
Background And Aim: Understanding treatment preferences in those patients who are not responding to corticosteroids for ulcerative colitis is important in informing treatment choices. This study aimed to assess the relative importance of treatment characteristics to patients by conducting a discrete-choice experiment.
Methods: Patients completed the questionnaire online.
Hernias are one of the most common surgical diagnoses, and general surgical operations are performed. The involvement of patients in the decision making can be limited. The aim of this study was to explore the perspectives of patients around their hernia and its management, to aid future planning of hernia services to maximise patient experience, and good outcomes for the patient.
View Article and Find Full Text PDFAim: Discussions regarding sex after colorectal and pelvic floor surgery are often overlooked by clinicians. This is the first patient designed and delivered study to explore sexual function and practices after colorectal surgery. The aim was to explore the questions about sex that matter to patients and their partners following colorectal or pelvic floor surgery through a patient and public involvement survey.
View Article and Find Full Text PDFBackground: support garments are commonly worn by people with a urostomy but there are no published data about their experiences of doing so.
Aims: to identify the views of people living with a urostomy on the role of support garments.
Methods: a cross-sectional survey of the stoma population's experiences of support garments was conducted in 2018.
Aim: To explore the experiences of support garments when adjusting to bodily change following bowel stoma formation.
Design: Thematic analyses of free-text responses in a cross-sectional survey of the stoma population in 2018.
Methods: Free-text responses were invited so that respondents could describe their experiences in more detail.