As publishes today in the , it's a good moment to reflect on where we are:
+ have funded one of the world's largest surgical trials, that delivered 13,300 patients (81 hospitals, 7 countries) during COVID
thelancet.com/journals/lance
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Andy Metcalfe
@AndyMetOrtho
Orthopaedic surgeon | Professor | Twitter novice | Likes football, bikes and a good pub | Views my own.
Joined April 2022
Andy Metcalfe’s Tweets
I was struck by a comment this week; when we create any new dataset we have a duty to do it responsibly. Once collected, data need careful curation & guardianship for years. In trials we have a way to go; mostly we still collect too much unnecessary data…1/9
#MethodologyMonday
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Is there a better way to design surgical intervention trials? et al. explore group sequential designs in pragmatic trials in #BMCMedResMethodol: bit.ly/3Fdcqjp
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*** Only 3 weeks left until the interim survey closes *** Which questions should be prioritised?!!
cambridge.eu.qualtrics.com/jfe/form/SV_4N
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Our new paper…👀👀👀Surgical implementation gap: an interrupted time series analysis with interviews examining the impact of surgical trials on surgical practice in England qualitysafety.bmj.com/content/early/
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Interesting paper, the debate continues.
Was thinking of making a subtle plug for , but not sure it'll be that subtle.
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Robotic #TKA was longer and costlier than manual for experienced surgeons, without clinically significant differences in LOS or complications. @womenAAHKS @kimtuckinAZ @CenterRotation @KevinWeiszMD @BrdgPlt2Nowhere @DrPeterGold @JennaBernstein7
arthroplastyjournal.org/article/S0883-
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Which steroid do you inject for 1st MTP joint osteoarthritis? Tell us and inform future research warwick.co1.qualtrics.com/jfe/form/SV_8p
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Who will win? Surgeons? patients? primary care? physio? sports med?
Who will decide about the knee injury research of the future??
Just a few mins to have your say. 👊👏
#MedTwitter #orthotwitter
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Have you suffered a knee injury?! Do you think more research is needed to better understand how to prevent, treat, diagnose or rehabilitate your injury? Choose which questions are most important! cambridge.eu.qualtrics.com/jfe/form/SV_4N #knee #injury
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This is interesting on so many levels. Direct marketing is a challenge but this also talks to the special relationships surgeons have with patients & the need for wise stewardship of new tech.
Of course, we also need trials.... 😉
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It occurs to me that it's difficult for hearfelt pieces like this to counteract the effects of all the marketing.
Why robotic joint surgery is not a ‘penicillin moment’ in orthopaedics | Ranjana Srivastava theguardian.com/commentisfree/
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The Dragons are confirmed!! What a session this is going to be!! #BOTAACC22 Thursday 24th Nov AM
💰£4000 to give away to support your research ideas!📚
Come and pitch to Profs . Can you convince them to invest?!
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- 7 new studies ✅
- Still limited data to best inform practice🤷♂️
- Further trials needed with validated PROMs/QoL measures to guide clinicians 🧐
#distalfemur #orthotwitter
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Updated #Cochrane review just published: Interventions for treating fractures of the distal femur in adults. 14 included studies (7 new) ow.ly/ACFi50L2iEl
#distalfemur
@BartsBoneJoint
@xlgriffin
@harryclax
@HKCSearle
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presenting this morning at #ICTMC2022 about challenges in
- Blinding in surgical trials
- Issues with PROM instruments
Come say hi to the team if you're at the conference!
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Yes great meeting #LondonKneeMeeting , great faculty and loads of info to take in and digest - much to think about and lots of ideas.
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Proud to be part of the awesome London Knee Meeting - great day with a fabulous faculty. Thanks for the invite @bjjeditor ! twitter.com/londonkneehip/…
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Absolutely delighted to welcome Professor who is joining our team at . First day at work and he can get in the office, so we’re off to a good start. Exciting times ahead…
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Lots more work to be done! But this is encouraging stuff & will be great for future trials in surgery, or complex interventions in general.
Great work team.
Thanks for investing in this work.
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The team applied our recent adaptive design method to some big-hitting T&O trials .
Some big time gains, both money saving but more importantly quicker answers for patients and improved care earlier
With some simple design changes, more studies would have stopped.
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Adaptive designs work, and can make trials faster.
Great paper by Nick Parsons & an awesome team of clever people for this, will give the community a lot of confidence that these can be done, and are effective.
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First Saturday home match of the season, love the pre-match buzz - city fans up for it, borough fans up for, going to be fun….
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Surgeon innovators, what should patients be told during consultation discussions for #Surgicalinnovation?
Tell us your expert opinion before the survey closes next week!
Take 2 mins to complete the core information set survey: chdredcaplive.bris.ac.uk/redcap/surveys
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Interim survey is open!!! Choose which questions are the most important and go into the Final Workshop! cambridge.eu.qualtrics.com/jfe/form/SV_4N
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MOTION will be a great trial - if you do HTO in the UK, this is a good one to take part in . Top work from
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Very excited to start recruiting for @MOTIONTrial(HTO vs non-op) from 1 Feb 2023 with fab team including @DuckworthOrthEd @EdinburghKnee @AndyMetOrtho & more. Huge thanks to sites signed up. Our contact details in poster #BOAAC22 for any sites keen to participate @BritOrthopaedic
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A very warm welcome to Portsmouth our latest site to be given green light for #RACERKnee
Delighted to have you on board!
PI at site:
GIF
read image description
ALT
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This was a really special event to be involved with. Feedback has been overwhelmingly positive and it’s clear VR has a role in surgical training. So grateful for all the hard work of everyone involved to make it happen. #orthotwitter #meded
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We've used virtual reality technology to help prepare and train our surgeons of the future.
The simulation technology allows trainees to practice and develop their skills in a safe environment before they go into a real operating theatre.
bit.ly/VRTechTraining (1/2)
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This is also true of rotator cuff tears and back pain. It may well be true for PROMs for most ortho conditions.
The point is that we can't use improvements in case series to say that a treatment works, we have to have comparative data, with RCTs.
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Meniscal tear review published by Imran Ahmed (now PhD!) .
Mean PROMs improve from baseline, whatever the treatment. PROMs improving from baseline doesn't mean a treatment works. Only RCTs can say that...
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This is great…. Fantastic trial, and good news for knee surgery.
Huge congratulations to the team for this & a top achievement for the whole UK knee community, well done to all involved
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How do we accelerate the evidence base for recruiting & retaining participants in RCTs? PROMETHEUS collaborated with the brilliant team & 4 other trial teams to test the feasibility of doing multiple simultaneous Studies Within Trials (SWATs). 1/4
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Please consider completing to assist easing the NHS backlog by allowing staff to work without being financially penalised…
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Its the hot topic in our house - which was the best in recent times? 2020 or 2022? Both great for the fans, but different. What does twitter think? #cycling #couchpeloton
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#orthotwitter Paid 💰opportunity for UK arthroplasty surgeons to participate in an online study. How do you decide between UKA vs TKA? Please visit this link imperial.eu.qualtrics.com/jfe/form/SV_2i
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Many congratulations to , who has been highly commended at the Asian Women of Achievement Awards UK 2022 in the Science category bit.ly/3PeOqyh
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Book your spot at the first national conference dedicated to the role of AI within Orthopaedics: bit.ly/AIInOrthopaedi
Pls rt
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Planning meeting for Sports Knee Surgery 2023 with the legends that are Tim Spalding and Pete Thompson and November 6th & 7th Nov.
Get it in the diary - it’s going to be big!!
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Join BASK at the World Congress of #Orthopaedic #Research on September 8th for knee day:
mechanical and biological #knee reconstruction and #Arthroplasty debates from an expert international faculty.
Early bird registration still open - 2022icors.org
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Robots will have their surgical skills put to the test as researchers trial their use in hip replacement surgery for the first time.
Read the news story on our website: nihr.ac.uk/news/robot-hip
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Catch #RACERHip featured today in @BBCMorningLive
@pdhwall discusses potential benefits of robotic hip replacement
More so, the importance of studying it before widespread #NHS use
Watch on iplayer (22:25)
bbc.co.uk/iplayer/episod.
@ROHNHSFT @AndyMetOrtho @ProfEdwardDavis
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Interesting study, I need to read through the details but seems very well done, the point they made about unreported trials was eye opening too.
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It seems I have to update my beliefs.
New review shows that effect of HA in knee OA related pain is -2/100 mm. I have considered HA as an option especially since scopes have been de-implemented in these patients. No more HA.
#ebm #orthotwitter
bmj.com/content/378/bm
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