A survey of UK standards of radiation protection amongst orthopaedic surgeons.

Objective: To evaluate training in radiation protection, awareness of local policies, and current practices regarding safe working with ionizing radiation among UK orthopaedic surgeons.

Methods: A 37-question online survey was distributed to UK orthopaedic resident doctors and consultants through social media platforms. The survey assessed demographics, use of radiation-guided procedures, training, knowledge of safety policies, access to and use of personal protective equipment (PPE), and monitoring of radiation exposure.

Postoperative remote first care for financially and environmentally sustainable healthcare.

This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost(eC) of postoperative follow-up models. Remote-first screening(RFS), where all patients were reviewed remotely, and complications triaged for face-to-face assessment and treatment.

Comparative Performance of Clinician and Computational Approaches in Forecasting Adverse Outcomes in Intermittent Claudication.

Background: Recent evidence has shown that machine learning (ML) techniques can accurately forecast adverse cardiovascular and limb events in patients with intermittent claudication. This is the first study to compare the predictive performance of ML versus traditional logistic regression (LR) and clinicians.

Methods: An anonymized dataset of 99 patients with 27 baseline characteristics, compliance with best medical therapy/smoking cessation was used for comparison.

Environmental and financial cost of surgical-site infection by severity after lower limb vascular surgery.

Background: There is sparse evidence of the relationship between environmental and financial costs of surgical-site infection. Identifying areas of high-cost burden would enable key targets for clinical interventions to aid in achieving the UK national net zero healthcare system strategies. The aim of this study was to evaluate the environmental and financial costs of surgical-site infection, subclassified by severity of infection.

Five Year Follow Up of a Randomised Clinical Trial of Endovenous Laser Ablationversus Mechanochemical Ablation for Superficial Venous Incompetence (LAMA trial).

Objective: In this randomised clinical trial, patients treated with mechanochemical ablation (MOCA) with ambulatory phlebectomy (AP) had a lower anatomical occlusion (AO) rate at one year and no benefit in peri-procedural pain compared with endovenous laser ablation (EVLA) with AP. Early quality of life (QoL) improvements were similar. This study aimed to study comparative outcomes at five years.