Hagen, Suzanne Bugge, Carol Dean, Sarah G Elders, Andrew Hay-Smith, Jean Kilonzo, Mary McClurg, Doreen Abdel-Fattah, Mohamed Agur, Wael Andreis, Federico
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Published in
Health technology assessment (Winchester, England)
Urinary incontinence (accidental leakage of urine) is a common and embarrassing problem for women. Pregnancy and childbirth may contribute by leading to less muscle support and bladder control. Pelvic floor exercises and ‘biofeedback’ equipment (a device that lets women see the muscles working as they exercise) are often used in treatment. There is...
Pickard, Robert Goulao, Beatriz Carnell, Sonya Shen, Jing MacLennan, Graeme Norrie, John Breckons, Matt Vale, Luke Whybrow, Paul Rapley, Tim
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Published in
Health technology assessment (Winchester, England)
The urethra carries urine from the bladder to the tip of the penis. Men can develop a condition called urethral stricture when part of the urethra narrows due to scarring. This can lead to difficulties in passing urine and can recur. There are two operations for urethral stricture. The standard approach is endoscopic urethrotomy. The alternative is...
Dias, Joseph Brealey, Stephen Cook, Liz Fairhurst, Caroline Hinde, Sebastian Leighton, Paul Choudhary, Surabhi Costa, Matthew Hewitt, Catherine Hodgson, Stephen
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Published in
Health technology assessment (Winchester, England)
Fracture of the scaphoid bone (one of eight small bones in the wrist) is common in young active people. It is caused by a fall on the hand or the hand being suddenly forced backwards. The usual treatment is to rest the wrist in a plaster cast for 6–10 weeks and allow the broken bone to heal. In 1 in 10 cases in which the fracture is treated in a pl...
Rodgers, Helen Bosomworth, Helen Krebs, Hermano I van Wijck, Frederike Howel, Denise Wilson, Nina Finch, Tracy Alvarado, Natasha Ternent, Laura Fernandez-Garcia, Cristina
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Published in
Health technology assessment (Winchester, England)
Many people who have arm weakness following a stroke feel that insufficient attention is paid by rehabilitation services to recovery of their arm. Unfortunately, it is currently unclear how best to provide rehabilitation to optimise recovery, but robot-assisted training and therapy programmes that focus on practising functional tasks are promising ...
Lewis, Amanda L Young, Grace J Selman, Lucy E Rice, Caoimhe Clement, Clare Ochieng, Cynthia A Abrams, Paul Blair, Peter S Chapple, Christopher Glazener, Cathryn Ma
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Published in
Health technology assessment (Winchester, England)
After hospital referral, men with bothersome lower urinary tract symptoms (LUTS) are assessed with standard tests. These include measurement of urine flow rate, bladder diaries and questionnaires, including the International Prostate Symptom Score (IPSS). UPSTREAM (Urodynamics for Prostate Surgery Trial; Randomised Evaluation of Assessment Methods)...
Witham, Miles D Band, Margaret Chong, Huey Donnan, Peter T Hampson, Geeta Hu, May Khei Littleford, Roberta Lamb, Edmund Kalra, Philip A Kennedy, Gwen
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Published in
Health technology assessment (Winchester, England)
Patients with advanced chronic kidney disease often have excessive levels of acid in their blood (acidosis). Acidosis has been associated with a range of other problems that particularly affect patients with chronic kidney disease, including weaker muscles, weaker bones, worse blood vessel health and kidney disease that worsens more quickly. For de...
Shaw, Lisa Bhattarai, Nawaraj Cant, Robin Drummond, Avril Ford, Gary A Forster, Anne Francis, Richard Hills, Katie Howel, Denise Laverty, Anne Marie
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Published in
Health technology assessment (Winchester, England)
Early supported discharge enables stroke patients with mild or moderate disability to be discharged earlier than usual from hospital to continue rehabilitation at home. Randomised controlled trials have demonstrated that early supported discharge leads to increased independence for stroke survivors, and that early supported discharge is cost-effect...
Cooper, Kevin Breeman, Suzanne Scott, Neil W Scotland, Graham Hernández, Rodolfo Clark, T Justin Hawe, Jed Hawthorn, Robert Phillips, Kevin Wileman, Samantha
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Published in
Health technology assessment (Winchester, England)
Almost 1.5 million women in England and Wales suffer from heavy periods. Initial treatment involves tablets or a medicated coil inserted within the womb. Sometimes these treatments do not work and many women need an operation, either endometrial ablation (EA) (removing the lining of the womb) or a full hysterectomy (complete removal of the womb). P...
Griffin, Xavier L Costa, Matthew L Phelps, Emma Parsons, Nicholas Dritsaki, Melina Png, May Ee Achten, Juul Tutton, Elizabeth Lerner, Robin McGibbon, Alwin
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Published in
Health technology assessment (Winchester, England)
Breaks of the lower end of the thigh bone are increasingly common injuries. Two operations are used to treat these injuries: a rod placed along the centre of the bone or a plate attached to the edge of the bone. It is not clear which is better. We report the results from a study that will help develop the design of a definitive study to test which ...
Nixon, Jane Brown, Sarah Smith, Isabelle L McGinnis, Elizabeth Vargas-Palacios, Armando Nelson, E Andrea Brown, Julia Coleman, Susanne Collier, Howard Fernandez, Catherine
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Published in
Health technology assessment (Winchester, England)
Pressure ulcers (PUs) are patches of damaged skin, mainly caused by sitting/lying in one position. PUs are graded based on how serious they are, ranging from red patches (category 1) through small skin breaks/blisters (category 2) to serious wounds (category 4). Special mattresses are used to help prevent PUs. This study compared alternating pressu...
