Toby Smith

🆕 How does age of death vary across England and Wales?

There is wide variation at local authority level in the proportion of people who die aged under 75 – from 50% in Tower Hamlets, to only 22% in Dorset.

Read the analysis by @sarahscobie.bsky.social and
@stutibagri.bsky.social: buff.ly/20unIxr

NEWSFLASH: The report for BEPOP wave 2 has now been published, find it here: research.ncl.ac.uk/ageresearchg...

Our NIHR Newcastle BRC funded MET-PREVENT trial now published - no improvement in physical performance or quality of life with 4 maths of metformin in older people with sarcopenia and frailty (but lots of side effects) @nihr.bsky.social @medicalsciencesncl.bsky.social @nihrnewcastlebrc.bsky.social

The number of patients entering clinical trials in the UK fell by 27% from 2018 to 2023 and new industry trials declined 38%.

To revive clinical research we need to streamline systems and dismantle bureaucracy, writes @masudhusain.bsky.social
www.bmj.com/content/388/...

📣 Attention! ❗ CALL FOR ABSTRACTS! ❗ We'd love to hear about all the innovation you're doing in #AddingLifeToYears for our older people. ☀️ Submit an abstract for our national Conference here: tinyurl.com/AgileAbstract

🚀 We're looking for 2 Assistant Professors to work at the new Bennett School of Public Policy. They'll play a leading role in helping to establish a new M.Phil in Digital Policy & also in relation to the existing successful M.Phil in Public Policy. Apply by 10 March '25 www.jobs.cam.ac.uk/job/50248/

Norfolk Sunday Morning

Logo - the word 'promise'

Funders expect evidence of 'promise' (the intervention is likely to work) when considering whether to fund an RCT, pilot, or feasibility study. But there is no shared understanding of how we should do this. We have been funded by @nihr.bsky.social to develop guidance to help.

Brace of knife for medial knee OA?

Unloader brace or high tibial osteotomy in the treatment of the young patient with medial knee osteoarthritis: a randomized controlled trial

#OpenAccess in Acta 👇👇👇

https://buff.ly/3QgMqYH

Incidence, treatment, and mortality of ankle fractures: a Danish population-based cohort study
Per H Gundtoft, Alma B Pedersen, Bjarke Viberg
buff.ly/UFaAEAz
#AnkleFracture #FootandAnkle #Fractures #Incidence #MalleollusFracture #Mortality #Population

Identifying recovery trajectories following primary total shoulder arthroplasty: a cohort study of 3,358 patients from the Dutch Arthroplasty Register
Mirthe H W van Veghel, Liza N van Steenbergen, Cornelis P J Visser, B Willem Schreurs, Gerjon Hannink
buff.ly/gXpTQqe
#Arthroplasty #Shoulder

Great work Vicki. Well done 👍🏻

Feasibility of increasing physical activity levels of hospitalized cancer survivors using goal setting and feedback (CanFit): A randomized controlled trial This trial aimed to provide estimates of effect and feasibility of a physical activity intervention for hospitalized cancer survivors using smartwatches for goal-setting and feedback.

Feasibility study of a physical activity intervention for people receiving cancer treatment in hospitals. Some recruitment challenges but also some positive findings for this goal-setting based programme. www.physiotherapyjournal.com/article/S003...

A pre-, peri- and postoperative rehabilitation pathway for lumbar fusion surgery (REACT): a nonrandomized controlled clinical trial - European Spine Journal Purpose To evaluate the effectiveness of an evidence-based pre-, peri- and postoperative rehabilitation pathway (i.e. the REACT rehabilitation pathway) on disability in patients undergoing lumbar fusi...

DW. A study in 72 people have lumbar fusion surgery; why do a non-randomised study of "REACT rehabilitation pathway includes prehabilitation, early mobilization and avoidance of unsubstantiated postoperative restrictions"? The data cannot be interpreted. link.springer.com/article/10.1...

An economic evaluation of pre-discharge home assessment visits following hip fracture: Analysis from a randomised controlled trial - Kylee J. Lockwood, Nicholas F. Taylor, Katherine E. Harding, Natash... Objective To investigate cost-effectiveness of pre-discharge home assessment visits for patients recovering after hip fracture. Design Cost-effectiveness analys...

DW. Health economic studies in rehabilitation are possible. This study found adding a pre-discharge occupational therapist's home visit improved outcomes with fewer falls and a significant cost saving to the health service for patients after hip fracture. doi.org/10.1177/0269... #neurorehab

Latest scoping review I've read on hospital-aquired deconditioning. More is being published now but still so much work needed for positive practice change. Super helpful read. bmjopen.bmj.com/content/15/1...

Why is implementing remote monitoring in virtual wards (Hospital at Home) for people living with frailty so hard? Qualitative interview study AbstractBackground. There is relatively low uptake of remote monitoring on frailty virtual wards (Hospital at Home) compared to virtual wards caring for pe

Why is remote monitoring on virtual wards for people with frailty so hard? Our new @thisinstitute.bsky.social paper investigates, finding multiple challenges ranging from procurement to work system design and clinician and patient preference. academic.oup.com/ageing/artic...

Antidote to Blue Monday (pity I was at work in Coventry instead)

Happy Christmas all from Co. Kerry. 🎄🧑‍🎄

I just watched Home Alone 2...Christmas essential in Chez Smith...has anyone counted how many injuries would 'really' mean you're immediately considered for Major Trauma Centre admission. Way worse than Home Alone 1 (that was last night). Happy Christmas all 🎄🧑‍🎄🎄🧑‍🎄

Nice end to the 2024 academic year - the GRRAND (Getting Recovery Right After Neck Dissection) trial registration now out. Looking forward to rolling this out with @nihr.bsky.social in 2025 www.isrctn.com/ISRCTN13855775

An Analysis of Publicly Available National Health Service Information Leaflets for Patients With Shoulder Osteoarthritis Background Shoulder osteoarthritis is a common cause of pain, disability and difficulty sleeping. Patient information leaflets are produced by NHS Trusts with the aim of informing patients about the...

Our paper ‘An analysis of publicly available NHS information leaflets for patients with shoulder osteoarthritis’ has been published, have a read. @tobysmith.bsky.social

dx.doi.org/10.1002/msc....

Identification of latent classes of randomized controlled trials based on integrity and reporting characteristics - @jclinepi.bsky.social www.jclinepi.com/article/S089...

Super start to the day seeing the @nnuh.bsky.social @nihr.bsky.social Clinical Research Team to deliver REPPORT Christmas goodies. They are still our lead recruiters! (We have goodies to all so no preferential treatment, promise)

Welcome! You are invited to join a webinar: WHO launches new clinical trials guidance – What do I need to know?. After registering, you will receive a confirmation email about joining the webinar. In September 2024, WHO published its groundbreaking guidance on best practices for clinical trials - establishing, for the first time, a global framework applicable to the design and conduct of all cl...

WHO launches new clinical trials guidance – What do I need to know?

A #guidance establishing a global framework on best practices for clinical trials

#Research #Science #RCT #Evidence #Methodology #Training #Care #Health

Register to the Webinar 👇
zoom.us/webinar/regi...

Universal access to rehabilitation is key to reducing the gap in healthy life expectancy: guest blog post from the Chartered Society of Physiotherapy

'Poor access to rehabilitation for people with long-term conditions is driving the gap in healthy life expectancy.'

CSP policy lead @tashaowusu.bsky.social guest blogs @rcphysicians.bsky.social, sharing how universal access to rehab is key to reducing health inequalities. #RightToRehab

Sociology needs to think more about pain, and it also needs to think more about the fundamental processes that ground our most cherished concepts....

Off to Bristol for the day for the final @bristoluni.bsky.social MyKneePlan @nihr.bsky.social co-production meeting. Excited about seeing the final programme to improve preoperative care for people awaiting knee replacement

What is @the-under-study.bsky.social? Find out more: