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Challenges and Opportunities in Surgery Research 9 February 2012 Professor Jane Blazeby.

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Presentation on theme: "Challenges and Opportunities in Surgery Research 9 February 2012 Professor Jane Blazeby."— Presentation transcript:

1 Challenges and Opportunities in Surgery Research 9 February 2012 Professor Jane Blazeby

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4 Made by Srikant Ganesh A good surgeon needs, The eye of an eagle, heart of a lion and hand of a lady 15 th Century English Proverb

5 Spend of the MRC/NIHR on non-surgical & surgical research in 2008/9

6 A paucity of surgical RCTs

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8 US Bariatric centres of excellent 2008/9 De Maria E. Operations for morbid obesity UK National Bariatric surgery registry NBSR

9 BAND BYpass BAND BYpass

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12 Made by Srikant Ganesh Difficult to select outcomes Technical outcomes Measuring recovery Complications poorly defined

13 Made by Srikant Ganesh Operator expertise & culture

14 MRC Framework

15 Made by Srikant Ganesh Research infrastructure, CTUs & Hubs ConDuCT Edinburgh Midlands Cambridge London Oxford All-Ireland Northwest

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17 The lady you saw in clinic Monday wants to be randomized! ! Its the way I talk to them young Jedi.

18 Trainee-led Surgical Research Collaboratives - Lessons learnt from the ROSSINI trial Mr Thomas Pinkney

19 ROSSINI Reduction Of Surgical Site Infection using a Novel Intervention A randomised controlled trial of a wound-edge protection device to reduce surgical site infection Inclusion:All patients undergoing laparotomy Exclusion:Laparoscopic-assisted surgery Blinded wound reviews Pre-discharge (5-7 days) & at days Funded by NIHR Research for Patient Benefit programme

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21 Made by Srikant Ganesh Other research collaboratives London – LSRG South West – SPARCS Mersey – MERGS Yorkshire Kent/Maidstone Trent Cardiothoracic collaborative Yorkshire orthopaedic group

22 Made by Srikant Ganesh Opportunities Feasibility work/studies (RfPB, HTA) Program research, RCTs (NIHR & HTA) Clinical academic pathways, NIHR PhDs.

23 Where theres a will theres a way

24 Thank you 9 February 2012


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