OSIRIS programme

We are finding better ways for patients to make decisions about major surgery. The OSIRIS programme is led by @NHSBartsHealth & @QMUL & funded by @OfficialNIHR

[ISRCTN: the UK's Clinical Study Registry @ISRCTN]

A research project aimed to understand and improve the shared decision-making process for patients at high risk of medical complications as they contemplate major surgery. The OSIRIS study registered at #ISRCTN by @OsirisProgramme

https://t.co/PXxbZJtC1V

#Clinicaltrials

[Sara Shaw @SaraShawX2]

@BJAJournals @GemHughes The research was the first part of the @OsirisProgramme funded by @NIHRResearch

Osiris focuses on improving the process of decision making for patients at high risk of medical complications when considering major surgery

@rupert_pearse
https://t.co/7xwiNeXVzl
1/4 #bjachat

[Sara Shaw @SaraShawX2]

@BJAJournals @GemHughes @OsirisProgramme @NIHRresearch @rupert_pearse The rationale for the work is that >older people are having major surgery, with >risks of complications related to comorbidities

Surgery might be successful but any complications that follow that mean these patients don’t see the benefits they might have hoped for

2/4 #bjachat

[Sara Shaw @SaraShawX2]

@BJAJournals @GemHughes @OsirisProgramme @NIHRresearch @rupert_pearse We need for better decision making, information, and support for ‘high risk’ patients to make informed decisions about major surgery

Shared decision making (SDM) is an important approach. Not much is known about how the patients we are concerned about engage in SDM

3/4 #bjachat

[Sara Shaw @SaraShawX2]

@BJAJournals @GemHughes @OsirisProgramme @NIHRresearch @rupert_pearse The study in BJA is one of 6 in the Osiris programme

It was conducted at the outset of the programme to explore how, when & why clinicians and patients can share decisions about major surgery

It also informed the development of an intervention to support SDM

4/4 #bjachat

[British Journal of Anaesthesia @BJAJournals]

Question 1: What led you to undertake this research?
@SaraShawX2 @GemHughes https://t.co/j5jeVQdxxt #bjachat

[CCPMG @CCPMG_TEAM]

We have recruited 20 patients for our GlucoVital Trial in 1 month!! Congratulations to our little team here at the Royal London Hospital!! @CCPMG_TEAM @AcklandLab @VITALTrial @SajaAlharbi10 @JanssenHenrike @royalmarsdenNHS @QMULWHRI

[Sara Shaw @SaraShawX2]

How can people at high risk of poor outcomes after major surgery get involved in decisions about their care?

This NHS Alert distils key findings from our qualitative study, part of the @OsirisProgramme, on shared decision making👇

@rupert_pearse
@GemHughes
@NFBrenman

[Brigitta Fazzini @fazzini_b]

@fowler Shared-decision making is a MDT sport. We need multi-modal interventions measuring also patients reported outcomes @_tim_stephens https://t.co/ZVCUzOIj1s

[Brigitta Fazzini @fazzini_b]

Epidemiology is key to understand how we are doing @fowler https://t.co/CSgIcWb1u0

[Brigitta Fazzini @fazzini_b]

Important discussion this afternoon at #SOA23 by @rupert_pearse. Chronic disease are associated with 10-fold increase in risk of postoperative death. It is the time for quality shared-decision making using patients reported outcome and multi-method research.

[Sara Shaw @SaraShawX2]

Headlines:

Different types of consultation - resolution-focused, evaluative and deliberative - provided different opportunities for shared decision-making

Decisions about major surgery were not always shared between patients and doctors

[Sara Shaw @SaraShawX2]

Our new paper, focused on shared decision-making about major surgery with high-risk patients

Great to get this out - thanks @GemHughes @rupert_pearse @_tim_stephens @drjimday @Wee_JennyEd, Mark Edsell, Ester Evagliano and Leslie Everest

@BJAJournals

https://t.co/quLVTjDGhT

[Sara Shaw @SaraShawX2]

This was the first study from the @OsirisProgramme, conducted in 5 UK hospitals

We analysed video recordings of consultations involving decision making about major orthopaedic, colorectal or cardiac surgery, plus interviews with patients/clinicians, observations and documents

[OSIRIS programme @OsirisProgramme]

@ResearchTim @StudySapphire Well done Pan..much deserved

[Zudin @Zudin_P]

We are recruiting! Come work with us on critical care follow-up, linking remote assessments to faster attainment of patient goals. https://t.co/nzIbSy4iLW

[OPTIMISE II team @OPTIMISE2trial]

Third last patient randomised to the @OPTIMISE2trial at Royal London Hospital! Who will randomise the last two patients? Watch this space...

[OPTIMISE II team @OPTIMISE2trial]

Congratulations and well done to our fantastic OPTIMISE II sites who have recruited some great numbers in August 🇬🇧Croydon University Hospitals
@croydonhealth ⭐️ Hospital Sao Domingos

Its now only 18 to go! Thank you to all our brilliant teams for your sincere efforts!

[OSIRIS programme @OsirisProgramme]

Does 'nudge theory' work after all? https://t.co/xMUhHaSLPq via @BBC_Future