Publications by authors named "S L Spear"

Objectives: This paper reports on an exploratory study into the perceived benefits and challenges of using an electronic cancer prediction system, C the Signs, for safety netting within a Primary Care Network (PCN) in the East of England.

Methods: The study involved semi-structured interviews and a qualitative questionnaire with a sample of 15 clinicians and practice administrators within four GP practices in the PCN.

Results: Participants generally perceived benefits of C the Signs for managing and monitoring referrals as part of post-consultation safety netting.

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High-grade serous ovarian carcinoma (HGSC) remains a disease with poor prognosis that is unresponsive to current immune checkpoint inhibitors. Although PI3K pathway alterations, such as PTEN loss, are common in HGSC, attempts to target this pathway have been unsuccessful. We hypothesized that aberrant PI3K pathway activation may alter the HGSC immune microenvironment and present a targeting opportunity.

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Background: Advance care planning has been advocated as a way for people to have their wishes recorded and respected in relation to types of treatment and place of care. However, uptake in England remains low.

Aims: To examine the views of older, well, adults towards Advance Care Plans (ACPs) and planning for end-of-life care, in order to inform national policy decisions.

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Article Synopsis
  • The study aims to assess trends in stapedectomy (a type of ear surgery) and ossiculoplasty (repair of ear bones) over a decade before the COVID-19 pandemic to understand the skill retention of these procedures among otolaryngologists.
  • Analysis of over nine million Department of Defense beneficiaries revealed a significant decline in both stapedectomies (down 23%) and ossiculoplasties (down 18%) from 2010 to 2019, indicating a potential shift in surgical focus.
  • The findings suggest that as these surgeries decrease, cochlear implantations may rise, prompting a recommendation to prioritize cochlear implantation training over stapedectomy and ossiculoplasty for medical residents to enhance their future practice.
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