The Sir Chris Hoy Effect - teaser from recent GU Cast #urology #podcast #prostatecancer @benchallacombe.bsky.social Daniel Moon, Renu Eapen, Declan Murphy, Andrei Norris
Posts by Ben Challacombe
The Sir Chris Hoy Effect - why family history matters. GU Cast with @benchallacombe.bsky.social Daniel Moon, Renu Eapen, Declan Murphy and patient Andrei Norris @usanzurology.bsky.social youtu.be/VcLAjWebo-A?...
At one of my first meetings as a council member of the Royal College of Surgeons of England, we approved a report called Access All Ages. It encouraged less ageist thinking and bias among healthcare staff that might lead to them denying older people surgery. But sometimes an operation isn't the best option. Among patients who have surgery, 14% express regret and 15% experience complications, which are at least four times as likely if they're frail or physically inactive. The Centre for Perioperative Care has published information on the importance of exercise before surgery, but that alone may not be enough. We need shared decision making, including asking patients what matters to them. The public should be primed to ask about BRAN-the benefits, risks, and alternatives to surgery and the likely result from doing nothing. A slew of data supports this approach, especially from the Perioperative Care of Older People Undergoing Surgery (POPS) initiative. After discussion with a geriatric medicine team completing a comprehensive assessment and using shared decision making with a POPS approach, 14.8% of patients decided against surgery. Most of these then had their health improved through other means: adjusted medication, lifestyle advice, or other interventions.
This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery).
When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described.
#MedSky
Feels like I’m on here early for a urologist but seems such a happy environment and different. Looks like traction is happening though. #bringthemacross