Connect with us

News

New study debunks the “weekend effect”

Published

on

A new study debunks the “weekend effect” and the myth that patients who have surgery during a weekend are at a greater risk of dying.

The study, published in the British Journal of Surgery, looked at over 50,000 emergency surgeries that took place in Scotland over a three-year period.

It has been claimed that patients who underwent emergency surgery during a weekend had a higher morality rate – known as the “weekend effect”.

But the study tracked overall patients outcomes and demonstrated that, even after adjustment for risk factors, the day a patient undergoes surgery had no effect on either their short or long-term chances of survival.

It was noted that weekend surgeries usually consisted of riskier or more complex procedures that inherently come with bigger risk factors.

Incidentally, the study showed those had surgery over the weekend were likely to have fewer delays in receiving treatment with the average time from admission to operation 1.2 days compared to 1.6 for weekdays.

Dr Michael Gillies, lead author of the study, said; “There was no difference in overall survival after surgery undertaken on any particular day compared with Wednesday; a borderline reduction in perioperative mortality was seen on Tuesday”.

Continue Reading
Advertisement
Join the discussion...

Leave a Reply

Your email address will not be published. Required fields are marked *

Midwifery

Royal College of Midwives to end campaign to promote ‘normal births’

Published

on

By

The Royal College of Midwives ends their campaign for “normal births” to avoid making mothers who opt for medical interventions feel like failures.

The Royal College of Midwives (RCM) has been running a continuous campaign since 2005 to encourage expectant mothers to give birth without medical interventions such as; epidurals, inductions and caesareans.

Currently, around 40% of mothers give birth without medical interventions. 20% less than 30 years ago. But experts say a significant number of these are due to the increase in more risky pregnancies.

Prof Cathy Warwick, the Chief Executive of the RCM, said;

“There was a danger that if you just talk about normal births – and particularly if you call it a campaign – it kind of sounds as if you’re only interested in women who have a vaginal birth without intervention”.

“What we don’t want to do is in any way contribute to any sense that a woman has failed because she hasn’t had a normal birth. Unfortunately, that seems to be how some women feel.”

“What we don’t want to do is in any way contribute to any sense that a woman has failed because she hasn’t had a normal birth. Unfortunately that seems to be how some women feel.”

Midwives, will instead, start to use the term “physiological births” to describe those without interventions.

Continue Reading

News

Pancreatic cancer patients to have routine access to life extending drug after new deal

Published

on

NICE has recommended nab-paclitaxel for routine NHS use after the company agreed a confidential price discount and provided more evidence on its effectiveness.

Nab-paclitaxel, also known as Abraxane, made by Celgene will be routinely available as an option for patients with pancreatic cancer that has progressed.

When Abraxane is added to a standard chemotherapy, called gemcibatine the evidence has found it extends life by an average of 2.4 months.

If other combination chemotherapy treatments are unsuitable for a patient, NICE recommends offering Abraxane instead of this standard chemotherapy on its own.

It works by blocking the action of the proteins within cancer cells that cause them to grow and divide.

NICE has reviewed its guidance from 2015 which did not recommend Abraxane for routine NHS use for not being cost-effective.

Professor Carole Longson, director of the centre for health technology evaluation at NICE, said: The life expectancy of pancreatic cancer is poor, with patients usually living for only up to 6 months. It’s incredibly important that patients and families affected by this disease are able to have routine access to this life extending treatment.”

There are almost 10,000 new cases of pancreatic cancer each year in the UK, and less than 1% survive for 10 or more years.

This is a final appraisal determination for Abraxane. The company, healthcare professionals and patient/carer organisations now have until Friday 1 September to appeal the decision.

Continue Reading

Trending