Re-evaluating the National Subarachnoid Haemorrhage study (2006) from a Patient-Related-Outcome-Measure perspective: comparing fiscal outcomes of Treatment-as-Usual with an enhanced service

Abstract

This PROM approach allows the 'patient's voice' to be heard, which facilitates speedier patient and family recovery, showing that an integrated treatment approach in 'high tech' neuro-surgery is cost-effective.

Comparing cancer mortality and GDP health expenditure in England and Wales with other major developed countries from 1979 to 2006

“…Nevertheless, many of the people who are still alive today who would not have been 20 or more years ago will have returned to work and continue to contribute to the wider economy, off-setting some of the cost of the NHS (and other health care systems), a feature often forgotten in debates about the ‘cost' of the NHS (Pritchard et al , 2011). …”

An analysis of National Health Service Trust websites on the occupational backgrounds of ‘Non-Executive Directors’ on England’s Acute Trusts

“…4 Yet, the paucity of ‘patient’ representation on Boards is in marked contrast to the Secretary of State’s recent aspiration that the new NHS would be patient centred. 2 …”

Patient’s occupation, electric & head trauma in a cohort of 88 multiple system atrophy patients compared with the general population: a hypothesis stimulating pilot study

“…The key limit to the study is that we know nothing of the cohort's family/genetic background, as many authors point towards an epigenetic under-lying pathology. [45][46][47][48][49] The other limit in the study is the problem of missing data, also the inability to more accurately identify the severity of head and electrical shock events although we have more detail on occupations from the POL regional categories. Also it is acknowledged that the ratios of head injuries and electric shocks in the general population are only estimates, but as 73% of the cohort reported a head injury and 39% mentioned an electric shock, it is fair to assume the level of these incidents in the general population are above any chance artefact.…”

“…So far we have only commented upon possible interactive environmental factors yet self-evidently many authors point towards genetic and epigenetic factors under-lying the pathology of many neurological diseases. [45][46][47][48][49] However, this project focuses specifically upon on MSA patients' occupational backgrounds and any reported life style traumatic events, following the many patients who had previously volunteered such information. Exploring the literature on such events, a link between neurological disease and electric shock was described by Dureux in 1958 43 but the evidence on electric shock and neurological disorders is inconsistent, some report either no association or the linkage is very weak 34,47 whilst others have found a significant connection.…”

“…[45][46][47][48][49] However, this project focuses specifically upon on MSA patients' occupational backgrounds and any reported life style traumatic events, following the many patients who had previously volunteered such information. Exploring the literature on such events, a link between neurological disease and electric shock was described by Dureux in 1958 43 but the evidence on electric shock and neurological disorders is inconsistent, some report either no association or the linkage is very weak 34,47 whilst others have found a significant connection. 37,38,[50][51][52][53][54][55] A study of particular possible relevance strongly indicated that there appeared to be a degree of delayed neurological reaction, from months to many years, before symptoms appeared.…”