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  1. Article ; Online: Can virtual reality enhance the patient experience during awake invasive procedures? A systematic review of randomized controlled trials.

    Boyce, Louis / Jordan, Chloe / Egan, Timothy / Sivaprakasam, Rajesh

    Pain

    2023  Volume 165, Issue 4, Page(s) 741–752

    Abstract: Abstract: Procedural anxiety and pain negatively affect surgical outcomes and the patient experience during awake, invasive procedures (AIPs). This systematic review aims to evaluate the effect of using virtual reality (VR) to enhance the ... ...

    Abstract Abstract: Procedural anxiety and pain negatively affect surgical outcomes and the patient experience during awake, invasive procedures (AIPs). This systematic review aims to evaluate the effect of using virtual reality (VR) to enhance the intraprocedural patient experience during AIPs. PRISMA, Cochrane, and SWiM Reporting Items guidelines were followed. PubMed, EMBASE, CENTRAL, and medRxiv databases were systematically searched for randomised controlled trials (RCTs) investigating the use of immersive VR headsets to enhance the patient experience in adults undergoing AIPs. Sixteen studies were included. The VR and control groups comprised 685 and 677 patients, respectively. Patients underwent endoscopic procedures in 9 studies ("endoscopic") and interventions that involved a skin incision in 7 studies ("incision"). Eleven (of 13) studies demonstrated a favourable effect on procedural anxiety with VR use compared with standard intraprocedural care (85% [95% CI: 46%-100%], P = 0.011). Ten (of 13) studies demonstrated a favourable effect on pain with VR use (77% [95% CI: 38%-100%], P = 0.046). Seven (of 9) studies demonstrated a favourable VR effect on patient satisfaction (78% (95% CI: 44%-100%), P = 0.070). The effect of VR on physiological markers of anxiety and pain and requirements for additional pro re nata (PRN) analgesia and sedation were not clear. No significant differences in patient experience were identified between the "incision" and "endoscopic" subgroups. This review demonstrates that VR can feasibly be used to enhance the patient experience during AIPs by attenuating subjective perceptions of procedural anxiety and pain. However, further RCTs are required to elucidate the effect of VR on more objective measures of the patient experience.
    MeSH term(s) Adult ; Humans ; Wakefulness ; Randomized Controlled Trials as Topic ; Virtual Reality ; Pain ; Patient Outcome Assessment
    Language English
    Publishing date 2023-10-23
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 193153-2
    ISSN 1872-6623 ; 0304-3959
    ISSN (online) 1872-6623
    ISSN 0304-3959
    DOI 10.1097/j.pain.0000000000003086
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  2. Article ; Online: Telephone consultations in the COVID-19 era versus pre-COVID face-to-face consultations: a survey of dermatology patient perceptions.

    Ramjee, Serena / Boyce, Louis / Mohandas, Padma

    Archives of dermatological research

    2023  Volume 315, Issue 6, Page(s) 1843–1846

    MeSH term(s) Humans ; COVID-19 ; Dermatology ; Telephone ; Remote Consultation ; Telemedicine
    Language English
    Publishing date 2023-02-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 130131-7
    ISSN 1432-069X ; 0340-3696
    ISSN (online) 1432-069X
    ISSN 0340-3696
    DOI 10.1007/s00403-023-02561-1
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  3. Article ; Online: The early response of plastic and reconstructive surgery services to the COVID-19 pandemic: A systematic review.

    Boyce, Louis / Nicolaides, Marios / Hanrahan, John Gerrard / Sideris, Michail / Pafitanis, Georgios

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2020  Volume 73, Issue 11, Page(s) 2063–2071

    Abstract: The World Health Organisation characterised the spread of coronavirus disease-19 (COVID-19) as a pandemic in March 2020, signalling medical governance and professional organisations worldwide to make urgent changes in their service. We have performed a ... ...

    Abstract The World Health Organisation characterised the spread of coronavirus disease-19 (COVID-19) as a pandemic in March 2020, signalling medical governance and professional organisations worldwide to make urgent changes in their service. We have performed a systematic review of the literature to identify all published literature on plastic surgery and COVID-19, in an effort to summarise the evidence for future reference. Our search identified 1207 articles from electronic databases and 17 from manual search, out of which 20 were included in the final data synthesis. Out of the included studies, most originated from the United States (n = 12), five from Europe, two from China and one from Australia. Strategies described to limit the spread and impact of the virus could be divided into nine distinct categories, including the suspension of non-essential services, use of telemedicine, use of personal protective equipment, screening patients for COVID-19, restructuring the healthcare team, adapting standard management practices, using distance-learning for trainees, promoting public education and initiatives, and minimising intra-hospital viral transmission. The ever-changing nature of the COVID-19 may prompt plastic surgeons to adapt special strategies as pandemic progresses and subsequently declines. The findings of this review can prove beneficial to other plastic surgery departments in informing their response strategies to the pandemic and in a second wave of the disease.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Cross Infection/prevention & control ; Delivery of Health Care/organization & administration ; Education, Distance ; Health Education ; Hospital Departments/organization & administration ; Humans ; Pandemics/prevention & control ; Patient Care Team/organization & administration ; Personal Protective Equipment ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Plastic Surgery Procedures/education ; SARS-CoV-2 ; Telemedicine ; Triage
    Keywords covid19
    Language English
    Publishing date 2020-09-07
    Publishing country Netherlands
    Document type Journal Article ; Systematic Review
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2020.08.088
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  4. Article ; Online: Early Responses of Neurosurgical Practice to the Coronavirus Disease 2019 (COVID-19) Pandemic: A Rapid Review.

    Hanrahan, John Gerrard / Burford, Charlotte / Adegboyega, Gideon / Nicolaides, Marios / Boyce, Louis / Wong, Kendra / Sideris, Michail

    World neurosurgery

    2020  Volume 141, Page(s) e1017–e1026

    Abstract: Background: The novel coronavirus and subsequent pandemic have drastically transfigured health care delivery. Surgical specialties have seen severe alterations or reductions to practice, with neurosurgery being one example in which staff and resource ... ...

    Abstract Background: The novel coronavirus and subsequent pandemic have drastically transfigured health care delivery. Surgical specialties have seen severe alterations or reductions to practice, with neurosurgery being one example in which staff and resource reallocation has occurred to meet wider public health needs. This review summarizes the published evidence detailing early experiences and changes to neurosurgical practice in response to the coronavirus disease 2019 (COVID-19) pandemic.
    Methods: A systematic review was conducted up until April 21, 2020 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, by searching Medline, EMBASE, PubMed, Scopus, Cochrane Central, and Web of Science Core Collection databases. Individual studies were qualitatively assessed to outline core themes detailing changes to practice. Iterative analysis allowed themes to be developed and applied to all studies included in the review.
    Results: In total, 13 themes from 18 studies were identified, grouped into 3 overriding themes: logistics, human resources, and clinical delivery. Studies originated from 3 of the most affected countries (United States, China, and Italy), comprising expert opinions, letters to the editor, editorials, case reports, or perspective pieces. The commonest themes discussed include cancellation of elective operations, reduction in outpatient services, and pandemic rotas.
    Conclusions: This review summarizes the early responses of the neurosurgical community to the COVID-19 pandemic and presents a menu of interventions to be considered in future pandemic response, or in recurrent outbreaks of COVID-19. Whilst our review is limited by the low quality of evidence and rapid rate of change in our understanding of COVID-19, it provides a valuable summary of initial responses by the neurosurgical community to a global pandemic.
    MeSH term(s) COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/therapy ; Humans ; Nervous System Diseases/etiology ; Nervous System Diseases/surgery ; Neurosurgery/statistics & numerical data ; Neurosurgical Procedures/statistics & numerical data ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/therapy
    Keywords covid19
    Language English
    Publishing date 2020-06-26
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2020.06.167
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  5. Article: The early response of plastic and reconstructive surgery services to the COVID-19 pandemic: A systematic review

    Boyce, Louis / Nicolaides, Marios / Hanrahan, John Gerrard / Sideris, Michail / Pafitanis, Georgios

    J Plast Reconstr Aesthet Surg

    Abstract: The World Health Organisation characterised the spread of coronavirus disease-19 (COVID-19) as a pandemic in March 2020, signalling medical governance and professional organisations worldwide to make urgent changes in their service. We have performed a ... ...

    Abstract The World Health Organisation characterised the spread of coronavirus disease-19 (COVID-19) as a pandemic in March 2020, signalling medical governance and professional organisations worldwide to make urgent changes in their service. We have performed a systematic review of the literature to identify all published literature on plastic surgery and COVID-19, in an effort to summarise the evidence for future reference. Our search identified 1207 articles from electronic databases and 17 from manual search, out of which 20 were included in the final data synthesis. Out of the included studies, most originated from the United States (n = 12), five from Europe, two from China and one from Australia. Strategies described to limit the spread and impact of the virus could be divided into nine distinct categories, including the suspension of non-essential services, use of telemedicine, use of personal protective equipment, screening patients for COVID-19, restructuring the healthcare team, adapting standard management practices, using distance-learning for trainees, promoting public education and initiatives, and minimising intra-hospital viral transmission. The ever-changing nature of the COVID-19 may prompt plastic surgeons to adapt special strategies as pandemic progresses and subsequently declines. The findings of this review can prove beneficial to other plastic surgery departments in informing their response strategies to the pandemic and in a second wave of the disease.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #746093
    Database COVID19

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  6. Article ; Online: The early response of plastic and reconstructive surgery services to the COVID-19 pandemic

    Boyce, Louis / Nicolaides, Marios / Hanrahan, John Gerrard / Sideris, Michail / Pafitanis, Georgios

    Journal of Plastic, Reconstructive & Aesthetic Surgery

    A systematic review

    2020  Volume 73, Issue 11, Page(s) 2063–2071

    Keywords Surgery ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2020.08.088
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  7. Article ; Online: The outcomes of total knee arthroplasty in morbidly obese patients: a systematic review of the literature.

    Boyce, Louis / Prasad, Anoop / Barrett, Matthew / Dawson-Bowling, Sebastian / Millington, Steven / Hanna, Sammy A / Achan, Pramod

    Archives of orthopaedic and trauma surgery

    2019  Volume 139, Issue 4, Page(s) 553–560

    Abstract: Introduction: The increasing prevalence of obesity has led to an increase in total knee arthroplasties (TKAs) being undertaken in patients with a higher body mass index (BMI). TKA in morbidly obese patients can be technically challenging due to numerous  ...

    Abstract Introduction: The increasing prevalence of obesity has led to an increase in total knee arthroplasties (TKAs) being undertaken in patients with a higher body mass index (BMI). TKA in morbidly obese patients can be technically challenging due to numerous anatomical factors and patient co-morbidities. The long-term outcomes in this patient group are unclear. This systematic review aims to compare the long-term revision rates, functional outcomes and complication rates of TKAs in morbidly obese versus non-obese patients.
    Methods: A search of PubMed, EMBASE and PubMed Central was conducted to identify studies that reported revision rates in a cohort of morbidly obese patients (BMI ≥ 40 kg/m
    Results: Nine studies were included in this review. There were 624 TKAs in morbidly obese patients and 9,449 TKAs in non-obese patients, average BMI values were 45.0 kg/m
    Conclusions: This review suggests an increased mid to long-term revision rate following primary TKA in morbidly obese patients, however, these patients have a functional recovery which is comparable to non-obese individuals. There is also an increased risk of perioperative complications, such as superficial wound infection. Morbidly obese patients should be fully informed of these issues prior to undergoing primary TKA.
    MeSH term(s) Arthroplasty, Replacement, Knee/adverse effects ; Arthroplasty, Replacement, Knee/statistics & numerical data ; Cohort Studies ; Humans ; Obesity, Morbid/epidemiology ; Treatment Outcome
    Language English
    Publishing date 2019-02-16
    Publishing country Germany
    Document type Journal Article ; Systematic Review
    ZDB-ID 80407-1
    ISSN 1434-3916 ; 0003-9330 ; 0344-8444
    ISSN (online) 1434-3916
    ISSN 0003-9330 ; 0344-8444
    DOI 10.1007/s00402-019-03127-5
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  8. Article: Total hip arthroplasty outcomes in morbidly obese patients: A systematic review.

    Barrett, Matthew / Prasad, Anoop / Boyce, Louis / Dawson-Bowling, Sebastian / Achan, Pramod / Millington, Steven / Hanna, Sammy A

    EFORT open reviews

    2018  Volume 3, Issue 9, Page(s) 507–512

    Abstract: The increasing prevalence of obesity has resulted in a marked increase in the number of total hip arthroplasties (THAs) carried out in patients with a high body mass index (BMI).THA in morbidly obese patients is often technically challenging owing to the ...

    Abstract The increasing prevalence of obesity has resulted in a marked increase in the number of total hip arthroplasties (THAs) carried out in patients with a high body mass index (BMI).THA in morbidly obese patients is often technically challenging owing to the associated co-morbidities and anatomical factors. Furthermore, the long-term clinical and functional outcomes of the procedure in these patients are not clear.The aim of this systematic review was to compare the long-term failure rate and functional outcomes of THA in morbidly obese versus non-obese patients.A literature search of PubMed, EMBASE and PubMed Central was conducted to identify studies that compared the outcomes of THA in patients defined as morbidly obese (BMI ≥ 35) to a control group (BMI < 30). The primary and secondary outcome measures were rate of revision and functional outcome, respectively, in the long term.Eight studies were included in this review. There were 66,238 THAs in morbidly obese patients and 705,619 THAs in patients with a BMI < 30. The overall revision rate was 7.99% in the morbidly obese patients versus 2.75% in the non-obese controls. The functional outcome was at least comparable to non-obese patients.This review suggests that morbidly obese patients have a slightly increased revision rate following THA. Importantly, these patients have a functional recovery at least comparable to those with a BMI < 30. Morbidly obese patients should be fully informed of these issues prior to undergoing surgery. Cite this article:
    Language English
    Publishing date 2018-09-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2844421-8
    ISSN 2058-5241 ; 2058-5241 ; 2396-7544
    ISSN (online) 2058-5241
    ISSN 2058-5241 ; 2396-7544
    DOI 10.1302/2058-5241.3.180011
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  9. Article: Early Responses of Neurosurgical Practice to the Coronavirus Disease 2019 (COVID-19) Pandemic: A Rapid Review

    Hanrahan, John Gerrard / Burford, Charlotte / Adegboyega, Gideon / Nicolaides, Marios / Boyce, Louis / Wong, Kendra / Sideris, Michail

    World Neurosurg

    Abstract: BACKGROUND: The novel coronavirus and subsequent pandemic have drastically transfigured health care delivery. Surgical specialties have seen severe alterations or reductions to practice, with neurosurgery being one example in which staff and resource ... ...

    Abstract BACKGROUND: The novel coronavirus and subsequent pandemic have drastically transfigured health care delivery. Surgical specialties have seen severe alterations or reductions to practice, with neurosurgery being one example in which staff and resource reallocation has occurred to meet wider public health needs. This review summarizes the published evidence detailing early experiences and changes to neurosurgical practice in response to the coronavirus disease 2019 (COVID-19) pandemic. METHODS: A systematic review was conducted up until April 21, 2020 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, by searching Medline, EMBASE, PubMed, Scopus, Cochrane Central, and Web of Science Core Collection databases. Individual studies were qualitatively assessed to outline core themes detailing changes to practice. Iterative analysis allowed themes to be developed and applied to all studies included in the review. RESULTS: In total, 13 themes from 18 studies were identified, grouped into 3 overriding themes: logistics, human resources, and clinical delivery. Studies originated from 3 of the most affected countries (United States, China, and Italy), comprising expert opinions, letters to the editor, editorials, case reports, or perspective pieces. The commonest themes discussed include cancellation of elective operations, reduction in outpatient services, and pandemic rotas. CONCLUSIONS: This review summarizes the early responses of the neurosurgical community to the COVID-19 pandemic and presents a menu of interventions to be considered in future pandemic response, or in recurrent outbreaks of COVID-19. Whilst our review is limited by the low quality of evidence and rapid rate of change in our understanding of COVID-19, it provides a valuable summary of initial responses by the neurosurgical community to a global pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #645089
    Database COVID19

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  10. Article ; Online: Early Responses of Neurosurgical Practice to the Coronavirus Disease 2019 (COVID-19) Pandemic

    Hanrahan, John Gerrard / Burford, Charlotte / Adegboyega, Gideon / Nicolaides, Marios / Boyce, Louis / Wong, Kendra / Sideris, Michail

    World Neurosurgery

    A Rapid Review

    2020  Volume 141, Page(s) e1017–e1026

    Keywords Surgery ; Clinical Neurology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2020.06.167
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