With the support and funding provided by Med Chi I was able to give an oral presentation on 29 October 2019 in the World Congress of Endourology, held in Abu Dhabi.
Closed loop audit of muscle sampling in trans-urethral resection of bladder tumour
Our experience with presence of detrusor muscle (DM) following transurethral resection of bladder tumour (TURBT). Retrospective electronic record histopathology reports from a single urology centre, servicing a group of urologists, were obtained for TURBT procedures performed between January 2014 and May 2018. Results: A total of 242 cases were performed under the care of 7 consultant urologists. Analysis revealed a significant improvement in the quality of resections from 39% to 68% (36% to 84% for high grade) after the introduction of the following interventions: 1. analysis of current practice, 2. introduction of European Association of Urology (EAU) guidelines by separating samples and sending a second specimen pot marked as bladder tumour base to look for DM, 3. dedicated urologists with an interest in bladder cancer performing TURBTs using the en-bloc resection technique in appropriate cases.
Through our closed loop audits we have demonstrated a considerable improvement in the quality of resections. In the future we aim to analyse the effect of these measures on cancer recurrence and progression. Our simple interventions have improved the rate of DM yield in order to accurately stage the tumour.
We hope that our results improve the rate of DM yield in other centres, and highlight the importance of clinical audits. We hope this can be used as a template for further closed loop audits to follow.
|Dr Harriet Sharp
Click here to see Dr Sharp's poster
|Dr Georgina Frew
Click here to see Dr Frew's abstract
|Dr Yarrow Scantling-Birch
UKISCRS (UK & Ireland Society of Cataract & Refractive Surgeons) 43rd Annual Meeting
Wednesday 16th – Friday 18th October 2019
All in all, the event proved to be a phenomenal opportunity to network and meet like-minded colleagues. I’ve gained the support of a few additional registrars and been motivated by the large amount of academic work being done across the UK. More importantly, I’ve decided I will be attending the next UKISCRS meeting and I thank the Brighton & Sussex Medico-Chirurgical Society for the kind sponsorship.
|Dr Thomas Hickman Casey|
|Dr Tom Aquilina
Can early changes in metabolic markers predict outcome?
I undertook a project with the intensive care unit in BSUH. The project looked at whether changes in metabolic markers (pH, lactate, PaCO2, and bicarbonate) over the initial period in the critical care unit are good predictors of mortality and length of stay. This involved analysing data from 1506 patients admitted over two years. We found that the initial values of these markers at admission provide a better prognostic indicator than their change over the initial 6 hour period, with initial lactate level being the best predictor. We found that the change in metabolic markers does not accurately predict length of hospital stay.
|Dr Hannah Shimmin
Click here to see Dr Shimmin's poster
Click here to see Dr Shimmin's abstract for a second poster
|Dr Julian Cumberworth
Click here to view a summary of Dr Cumberworth's research.
|Dr Oana Anton
Click here to see Dr Anton's poster.
The following people were awarded bursaries in 2017.
Dr Luke Hanna
Dr Ahmed Hashim
Dr James Cohen
2016 Sixth Form Essay Prize
In 2016, the sixth form essay prize was won by Portia Smith, for her reflective piece on Dr Paul Ransom’s talk on Trauma and Landmine Clearance. Click here to see her essay.
The work of all our prize winners is covered under Copyright law, and must not be copied or adapted by anyone else.