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8. P082 Research priorities regarding the use of bisphosphonates for osteoporosis: a UK priority setting exercise

Author

Paskins, Zoe, primary, Moult, Alice, additional, Corp, Nadia, additional, Bastounis, Anastasios, additional, Davis, Sarah, additional, Narayanasamy, Melanie Jay, additional, Griffin, Jill, additional, Gittoes, Neil, additional, Leonardi-Bee, Jo, additional, Langley, Tessa, additional, Bishop, Simon, additional, and Sahota, Opinder, additional

Published
2023
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15. The Acute VertEbRal AugmentaTion (AVERT) study: protocol for a randomised controlled, feasibility trial of spinal medial branch nerve block in hospitalised older patients with vertebral fragility fractures

Author

Tan, Chia Wei, primary, Cameron, Maribel, additional, Arlachov, Yuriy, additional, Bastounis, Anastasios, additional, Bishop, Simon, additional, Czernicki, Michal, additional, Drummond, Avril, additional, Fakis, Apostolos, additional, Pasku, Dritan, additional, and Sahota, Opinder, additional

Published
2022
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17. P059 Acceptability of remote consulting during COVID-19 among patients with two common long-term musculoskeletal conditions: findings from three qualitative studies and recommendations for practice

Author

Paskins, Zoe, primary, Bullock, Laurna, additional, Manning, Fay, additional, Bishop, Simon, additional, Campbell, Paul, additional, Cottrell, Elizabeth, additional, Jinks, Clare, additional, Narayanasamy, Melanie, additional, Scott, Ian, additional, Sahota, Opinder, additional, and Ryan, Sarah, additional

Published
2022
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19. Additional file 1 of Acceptability of, and preferences for, remote consulting during COVID-19 among older patients with two common long-term musculoskeletal conditions: findings from three qualitative studies and recommendations for practice

Author

Paskins, Zoe, Bullock, Laurna, Manning, Fay, Bishop, Simon, Campbell, Paul, Cottrell, Elizabeth, Partner, G. P., Jinks, Clare, Narayanasamy, Melanie, Scott, Ian C., Sahota, Opinder, and Ryan, Sarah

Abstract

Additional file 1: Table S1. Additional information about contributing study methods. Table S2. Pooled study findings.

Published
2022
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22. PERFECTED enhanced recovery pathway (PERFECT-ER) versus standard acute hospital care for people after hip fracture surgery who have cognitive impairment: a feasibility cluster randomised controlled trial

Author

Cross, Jane L, primary, Hammond, Simon P, additional, Shepstone, Lee, additional, Poland, Fiona, additional, Henderson, Catherine, additional, Backhouse, Tamara, additional, Penhale, Bridget, additional, Donell, Simon, additional, Knapp, Martin, additional, Lewins, Douglas, additional, MacLullich, Alasdair, additional, Patel, Martyn, additional, Sahota, Opinder, additional, Smith, Toby O, additional, Waring, Justin, additional, Howard, Robert, additional, Ballard, Clive, additional, and Fox, Chris, additional

Published
2022
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25. Supplemental Material, sj-pdf-1-gos-10.1177_21514593211026794 - ASSERT (Acute Sacral inSufficiEncy fractuRe augmenTation): Perceptions in the Assessment and Treatment of Pubic Rami and Sacral Fragility Fractures Amongst Healthcare Professionals in Geriatric Medicine and Surgery—A Qualitative Study

Author

Sahota, Opinder, Leighton, Paul, Cameron, Maribel, Taylor, Rachael, Ong, Terence, Drummond, Avril, Hendrick, Paul, Quraishi, Nasir, and Salem, Khalid

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, 110308 Geriatrics and Gerontology, 110314 Orthopaedics
Abstract

Supplemental Material, sj-pdf-1-gos-10.1177_21514593211026794 for ASSERT (Acute Sacral inSufficiEncy fractuRe augmenTation): Perceptions in the Assessment and Treatment of Pubic Rami and Sacral Fragility Fractures Amongst Healthcare Professionals in Geriatric Medicine and Surgery—A Qualitative Study by Opinder Sahota, Paul Leighton, Maribel Cameron, Rachael Taylor, Terence Ong, Avril Drummond, Paul Hendrick, Nasir Quraishi, Khalid Salem and On Behalf of the ASSERT Research Team in Geriatric Orthopaedic Surgery & Rehabilitation

Published
2021
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30. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery : Enhanced Recovery After Surgery (ERAS®) Society recommendations

Author

Wainwright, Thomas W., Gill, Mike, McDonald, David A., Middleton, Robert G., Reed, Mike, Sahota, Opinder, Yates, Piers, Ljungqvist, Olle, Wainwright, Thomas W., Gill, Mike, McDonald, David A., Middleton, Robert G., Reed, Mike, Sahota, Opinder, Yates, Piers, and Ljungqvist, Olle

Abstract

Background and purpose: There is a large volume of heterogeneous studies across all Enhanced Recovery After Surgery (ERAS®) components within total hip and total knee replacement surgery. This multidisciplinary consensus review summarizes the literature, and proposes recommendations for the perioperative care of patients undergoing total hip replacement and total knee replacement with an ERAS program. Methods: Studies were selected with particular attention being paid to meta-analyses, randomized controlled trials, and large prospective cohort studies that evaluated the efficacy of individual items of the perioperative treatment pathway to expedite the achievement of discharge criteria. A consensus recommendation was reached by the group after critical appraisal of the literature. Results: This consensus statement includes 17 topic areas. Best practice includes optimizing preoperative patient education, anesthetic technique, and transfusion strategy, in combination with an opioid-sparing multimodal analgesic approach and early mobilization. There is insufficient evidence to recommend that one surgical technique (type of approach, use of a minimally invasive technique, prosthesis choice, or use of computer-assisted surgery) over another will independently effect achievement of discharge criteria. Interpretation: Based on the evidence available for each element of perioperative care pathways, the ERAS® Society presents a comprehensive consensus review, for the perioperative care of patients undergoing total hip replacement and total knee replacement surgery within an ERAS® program. This unified protocol should now be further evaluated in order to refine the protocol and verify the strength of these recommendations.

Published
2020
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31. Management of Fracture Risk in Patients with Chronic Obstructive Pulmonary Disease (COPD): Building a UK Consensus Through Healthcare Professional and Patient Engagement

Author

Gupta,Ayushman, Jayes,Leah R, Holmes,Steve, Sahota,Opinder, Canavan,Melissa, Elkin,Sarah L, Lim,Kelvin, Murphy,Anna C, Singh,Sally, Towlson,Elizabeth A, Ward,Helen, Scullion,Jane, McKeever,Tricia M, Bolton,Charlotte E, Gupta,Ayushman, Jayes,Leah R, Holmes,Steve, Sahota,Opinder, Canavan,Melissa, Elkin,Sarah L, Lim,Kelvin, Murphy,Anna C, Singh,Sally, Towlson,Elizabeth A, Ward,Helen, Scullion,Jane, McKeever,Tricia M, and Bolton,Charlotte E

Abstract

Ayushman Gupta, 1 Leah R Jayes, 2 Steve Holmes, 3 Opinder Sahota, 4 Melissa Canavan, 5 Sarah L Elkin, 6 Kelvin Lim, 7 Anna C Murphy, 8 Sally Singh, 9, 10 Elizabeth A Towlson, 11 Helen Ward, 12 Jane Scullion, 9 Tricia M McKeever, 2 Charlotte E Bolton 1 1NIHR Nottingham BRC Respiratory Theme, School of Medicine, University of Nottingham, City Hospital Campus, Nottingham, UK; 2Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, City Hospital Campus, Nottingham, UK; 3General Practitioner, Park Medical Partnership, Shepton Mallet, UK; 4Department of Geriatric Medicine, Nottingham University Hospitals Trust, Nottingham, UK; 5Department of Respiratory, Respiratory Care Solutions, Leeds, UK; 6Department of Respiratory Medicine, Imperial College Healthcare Trust, London W2 1NY, UK; Airways Section, National Heart and Lung Institute, Imperial College, London, UK; 7Eastwood Primary Care Centre, Eastwood, Nottingham, UK; 8Department of Pharmacy, University Hospitals of Leicester NHS Trust, Leicester, UK; 9Department of Respiratory Science, University Hospitals of Leicester NHS Trust, Leicester, UK; 10Department of Respiratory Science, University of Leicester, Leicester, UK; 11Respiratory Nurse, Saxon Cross Surgery, Stapleford, Nottingham, UK; 12Faculty of Medicine, The Royal Wolverhampton NHS Trust, West Midlands, UKCorrespondence: Ayushman GuptaNIHR Nottingham BRC Respiratory Theme, School of Medicine, University of Nottingham, Clinical Sciences Building, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UKEmail ayushman.gupta@nottingham.ac.ukIntroduction: Osteoporosis and bone fractures are common in chronic obstructive pulmonary disease (COPD) and contribute significantly to morbidity and mortality. Current national guidance on COPD management recommends addressing bone health in patients, however, does not detail how. This consensus outlines key elements of a structured approach to managing bone health and fracture risk in patien

Published
2020

37. Acceptability of bisphosphonates among patients, clinicians and managers: a systematic review and framework synthesis

Author

Paskins, Zoe, primary, Crawford-Manning, Fay, additional, Cottrell, Elizabeth, additional, Corp, Nadia, additional, Wright, Jenny, additional, Jinks, Clare, additional, Bishop, Simon, additional, Doyle, Alison, additional, Ong, Terence, additional, Gittoes, Neil, additional, Leonardi-Bee, Jo, additional, Langley, Tessa, additional, Horne, Robert, additional, and Sahota, Opinder, additional

Published
2020
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40. Management of Fracture Risk in Patients with Chronic Obstructive Pulmonary Disease (COPD): Building a UK Consensus Through Healthcare Professional and Patient Engagement

Author

Gupta, Ayushman, primary, Jayes, Leah R, additional, Holmes, Steve, additional, Sahota, Opinder, additional, Canavan, Melissa, additional, Elkin, Sarah L, additional, Lim, Kelvin, additional, Murphy, Anna C, additional, Singh, Sally, additional, Towlson, Elizabeth A, additional, Ward, Helen, additional, Scullion, Jane, additional, McKeever, Tricia M, additional, and Bolton, Charlotte E, additional

Published
2020
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41. Osteoporosis and the role of vitamen D and calcium-vitamin deficiency, vitamin D insufficiency and vitamin D sufficiency

Author

Sahota, Opinder

Subjects
Osteoporosis -- Research, Vitamin D -- Research, Calcium -- Research, Hyperthyroidism -- Research, Health, Psychology and mental health, Seniors, Social sciences
Abstract

This article discusses the importance of calcium and vitamin D supplementation to prevent loss of bone mass density and preserve the structural integrity of the skeletal system, which is especially important in dealing with osteoporosis. A vitamin D deficiency is common among fit, active elderly women, causing increased risk of fracture, which is mediated by hyperthyroidism.

Published
2000

45. Trialling technologies to reduce hospital in?patient falls: an agential realist analysis

Author

Timmons, Stephen, Vezyridis, Paraskevas, and Sahota, Opinder

Subjects
agential realism, fall, bed sensor, elderly patients, RCT
Abstract

This paper analyses the 'failure' of a patient safety intervention. Our study was part of an RCT of bed and bedside chair pressure sensors linked to radio pagers to prevent bedside falls in older people admitted to hospital. We use agential realism within science and technology studies to examine the fall and its prevention as a situated phenomenon of knowledge that is made and unmade through intra-actions between environment, culture, humans and technologies. We show that neither the intervention (the pressure sensor system), nor the outcome (fall prevention) could be disentangled from the broader sociomaterial context of the ward, the patients, the nurses and (especially) their work through the RCT. We argue that the RCT design, by virtue of its unacknowledged assumptions, played a part in creating the negative findings. The study also raises wider questions about the kind of subjectivities, agencies and power relations these entanglements might effect and (re)produce in the hospital ward.

Published
2019

49. ASSERT (Acute Sacral inSufficiEncy fractuRe augmenTation): Perceptions in the Assessment and Treatment of Pubic Rami and Sacral Fragility Fractures Amongst Healthcare Professionals in Geriatric Medicine and Surgery--A Qualitative Study.

Author

Sahota, Opinder, Leighton, Paul, Cameron, Maribel, Taylor, Rachael, Ong, Terence, Drummond, Avril, Hendrick, Paul, Quraishi, Nasir, and Salem, Khalid

Subjects
GERIATRICS, FRAGILITY (Psychology), MEDICAL personnel, MORTALITY, OLDER patients
Abstract

Background: Pubic rami fragility fractures are common in older people and result in significant morbidity and increased mortality. Co-existing fractures of the sacrum are common, but routinely missed. The aim of the study was to explore the perceptions in the assessment and treatment of pubic rami and sacral fragility fractures amongst healthcare professionals. Methods: We interviewed 14 participants about their experience in the assessment and treatment of patients presenting with pubic rami fragility fractures. Data was analyzed using an inductive thematic approach. Results: The majority of patients presenting with a pubic rami fragility fracture were managed by geriatricians. However, many of the geriatricians were not aware that these fractures have a high association with co-existing sacral fragility fractures. Furthermore, they were not aware of the limitations of standard x-ray imaging, nor of the potential benefits of surgical intervention for sacral fragility fractures. Spinal surgeons recommended that early, more specialist imaging in patients with pubic rami fragility fractures failing to mobilize, would change clinical management, if found to have a coexisting sacral fragility fracture, amenable to surgical intervention. Conclusions: The awareness, assessment and management of sacral fragility fractures in patients presenting with pubic rami fragility fractures is poor amongst healthcare professionals in geriatric medicine. Spinal surgeons in this study advocate early further imaging and surgical intervention in patients confirmed to have a concomitant sacral fragility fracture who are failing to mobilize. [ABSTRACT FROM AUTHOR]

Published
2021
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