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  1. Book: Biologic meshes in colorectal surgery

    Smart, Neil J. / Daniels, Ian R.

    (Colorectal disease ; 14, Suppl. 3)

    2012  

    Author's details guest ed.: Neil . Smart and Ian R. Daniels
    Series title Colorectal disease ; 14, Suppl. 3
    Collection
    Language English
    Size 37 S. : Ill.
    Publisher Wiley-Blackwell
    Publishing place Oxford u.a.
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT017499020
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    Zs A 5799 -14,Suppl.3- not available for loan Zeitschriften-Lesesaal

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  2. Article ; Online: Creating a collaborative network in a low/middle income country region. A practical (and motivational) guide to getting started.

    Avellaneda, Nicolas / Smart, Neil J

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 1, Page(s) 6–8

    MeSH term(s) Humans ; Developing Countries ; Intersectoral Collaboration
    Language English
    Publishing date 2023-01-31
    Publishing country England
    Document type Editorial
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16479
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5799: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: To mesh or not to mesh-the known unknowns of preventing parastomal hernias.

    Rajaretnam, Niroshini / Smart, Neil J

    The British journal of surgery

    2021  Volume 109, Issue 1, Page(s) 1–2

    MeSH term(s) Humans ; Incisional Hernia/etiology ; Incisional Hernia/prevention & control ; Randomized Controlled Trials as Topic ; Rectal Neoplasms/surgery ; Surgical Mesh/adverse effects ; Surgical Stomas/adverse effects
    Language English
    Publishing date 2021-10-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znab334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.66: Show issues Location:
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  4. Article ; Online: Perspectives on Surgery in the Time of COVID-19

    Smart, Neil J.

    Safety First

    2020  

    Abstract: This article is freely available via Open Access. Click on the Publisher URL to access it via the publisher's site. ... published version, accepted version (12 month embargo), submitted ... ...

    Abstract This article is freely available via Open Access. Click on the Publisher URL to access it via the publisher's site.

    published version, accepted version (12 month embargo), submitted version
    Keywords Surgery ; COVID-19 ; Safety ; Wessex Classification Subject Headings::Surgery ; covid19
    Language English
    Publishing date 2020-09-07T14:33:26Z
    Publisher Elsevier Science
    Publishing country uk
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  5. Article ; Online: Artificial intelligence as a diagnostic aid in cross-sectional radiological imaging of surgical pathology in the abdominopelvic cavity: a systematic review.

    Fowler, George E / Blencowe, Natalie S / Hardacre, Conor / Callaway, Mark P / Smart, Neil J / Macefield, Rhiannon

    BMJ open

    2023  Volume 13, Issue 3, Page(s) e064739

    Abstract: Objectives: There is emerging use of artificial intelligence (AI) models to aid diagnostic imaging. This review examined and critically appraised the application of AI models to identify surgical pathology from radiological images of the abdominopelvic ... ...

    Abstract Objectives: There is emerging use of artificial intelligence (AI) models to aid diagnostic imaging. This review examined and critically appraised the application of AI models to identify surgical pathology from radiological images of the abdominopelvic cavity, to identify current limitations and inform future research.
    Design: Systematic review.
    Data sources: Systematic database searches (Medline, EMBASE, Cochrane Central Register of Controlled Trials) were performed. Date limitations (January 2012 to July 2021) were applied.
    Eligibility criteria: Primary research studies were considered for eligibility using the PIRT (participants, index test(s), reference standard and target condition) framework. Only publications in the English language were eligible for inclusion in the review.
    Data extraction and synthesis: Study characteristics, descriptions of AI models and outcomes assessing diagnostic performance were extracted by independent reviewers. A narrative synthesis was performed in accordance with the Synthesis Without Meta-analysis guidelines. Risk of bias was assessed (Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2)).
    Results: Fifteen retrospective studies were included. Studies were diverse in surgical specialty, the intention of the AI applications and the models used. AI training and test sets comprised a median of 130 (range: 5-2440) and 37 (range: 10-1045) patients, respectively. Diagnostic performance of models varied (range: 70%-95% sensitivity, 53%-98% specificity). Only four studies compared the AI model with human performance. Reporting of studies was unstandardised and often lacking in detail. Most studies (n=14) were judged as having overall high risk of bias with concerns regarding applicability.
    Conclusions: AI application in this field is diverse. Adherence to reporting guidelines is warranted. With finite healthcare resources, future endeavours may benefit from targeting areas where radiological expertise is in high demand to provide greater efficiency in clinical care. Translation to clinical practice and adoption of a multidisciplinary approach should be of high priority.
    Prospero registration number: CRD42021237249.
    MeSH term(s) Humans ; Pathology, Surgical ; Artificial Intelligence ; Cross-Sectional Studies ; Retrospective Studies ; Radiography
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-064739
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: ESCP 2017 Snapshot Audit - Editorial.

    Smart, Neil J / Nilsson, Per J

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2018  Volume 20 Suppl 6, Page(s) 3

    MeSH term(s) Colorectal Surgery ; Datasets as Topic ; Europe ; Humans ; Prospective Studies ; Research Design ; Societies, Medical
    Language English
    Publishing date 2018-08-24
    Publishing country England
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.14379
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5799: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Commentary on "Sterilization and Cross-Linking Combined with Ultraviolet Irradiation and Low-Energy Electron Irradiation Procedure: New Perspectives for Bovine Pericardial Implants in Cardiac Surgery".

    Smart, Neil J / Petter-Puchner, Alexander H

    The Thoracic and cardiovascular surgeon

    2020  Volume 70, Issue 1, Page(s) 43–44

    MeSH term(s) Animals ; Cardiac Surgical Procedures/adverse effects ; Cattle ; Electrons ; Humans ; Sterilization ; Treatment Outcome ; Ultraviolet Rays
    Language English
    Publishing date 2020-04-12
    Publishing country Germany
    Document type Journal Article ; Comment
    ZDB-ID 800050-5
    ISSN 1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
    ISSN (online) 1439-1902
    ISSN 0171-6425 ; 0946-4778 ; 0172-6137
    DOI 10.1055/s-0040-1705099
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.186: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Neuroscience and colorectal surgery--divided by a common language?

    Smart, Neil J

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2013  Volume 15, Issue 3, Page(s) 267–268

    MeSH term(s) Colorectal Surgery ; Electric Stimulation Therapy/methods ; Fecal Incontinence/therapy ; Humans ; Neurosciences
    Language English
    Publishing date 2013-03
    Publishing country England
    Document type Editorial
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.12121
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5799: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: A semi-Markov model comparing the lifetime cost-effectiveness of mesh prophylaxis to prevent parastomal hernia in patients undergoing end colostomy creation for rectal cancer.

    Mohiuddin, Syed / Reeves, Barnaby C / Smart, Neil J / Hollingworth, William

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 11, Page(s) 2967–2979

    Abstract: Aim: Parastomal hernia (PSH) is a common problem following colostomy. Using prophylactic mesh during end colostomy creation may reduce PSH incidence, but concerns exist regarding the optimal type of mesh, potential long-term complications, and cost- ... ...

    Abstract Aim: Parastomal hernia (PSH) is a common problem following colostomy. Using prophylactic mesh during end colostomy creation may reduce PSH incidence, but concerns exist regarding the optimal type of mesh, potential long-term complications, and cost-effectiveness of its use. We evaluated the cost-effectiveness of mesh prophylaxis to prevent PSH in patients undergoing end colostomy creation for rectal cancer.
    Methods: We developed a decision-analytical model, stratified by rectal cancer stages I-IV, to estimate the lifetime costs, quality-adjusted life-years (QALYs) and net monetary benefits (NMBs) of synthetic, biologic and no mesh from a UK NHS perspective. We pooled the mesh-related relative risks of PSH from 13 randomised controlled trials (RCTs) and superimposed these on the baseline (no mesh) risk from a population-based cohort. Uncertainty was assessed in sensitivity analyses.
    Results: Synthetic mesh was less costly and more effective than biologic and no mesh to prevent PSH for all rectal cancer stages. At the willingness-to-pay threshold of £20,000/QALY, the incremental NMBs (95% CI) ranged between £1,706 (£1,692 to £1,720) (stage I) and £684 (£678 to £690) (stage IV) for synthetic versus no mesh, and £2,038 (£1,997 to £2,079) (stage I) and £1,671 (£1,653 to £1,689) (stage IV) for synthetic versus biologic mesh. Synthetic mesh was more cost-effective than no mesh unless the relative risk of PSH was ≥0.95 for stages I-III and ≥0.93 for stage IV. [Correction added on 05 October 2021 after first online publication: The estimation of health outcomes (QALYs) for all three interventions evaluated (synthetic mesh; biologic mesh; no mesh) have been corrected in this version.] CONCLUSIONS: Synthetic mesh was the most cost-effective strategy to prevent the formation of PSH in patients after end colostomy for any rectal cancer stage; however, conclusions are dependent on which subset of RCTs are considered to provide the most robust evidence.
    MeSH term(s) Colostomy ; Cost-Benefit Analysis ; Hernia, Ventral ; Humans ; Rectal Neoplasms/surgery ; Surgical Mesh ; Surgical Stomas/adverse effects
    Language English
    Publishing date 2021-08-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5799: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Re: risk factors and natural history of parastomal hernia after radical cystectomy and ileal conduit.

    John, Joseph B / Rajaretnam, Niroshini / McGrath, John S / Smart, Neil J

    BJU international

    2022  Volume 130, Issue 3, Page(s) 394–395

    MeSH term(s) Cystectomy/adverse effects ; Humans ; Incisional Hernia/etiology ; Risk Factors ; Urinary Bladder Neoplasms/complications ; Urinary Diversion/adverse effects
    Language English
    Publishing date 2022-08-23
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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