J. Scurr - Academia.edu (original) (raw)
Papers by J. Scurr
Phlebology, 2011
The aim of this study was to evaluate the training experience of current UK vascular trainees in ... more The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the survey between June and October 2009 with regular email reminders being sent out to non-responders. One hundred and twenty-three trainees (85% response rate) representing all 17 UK training Deaneries responded. Seventy-eight per cent reported having received no formal venous duplex training either for diagnosis of venous disease or to guide endovenous therapy. Operative experience of great and small saphenous vein surgery improved with years of training. Surgical experience for recurrent varicose veins was poor. Experience with endovenous techniques was limited and variable. No experience of endovenous laser ablation or radiofrequency ablation was reported by 39% and 67% of trainees, respectively. Experience and/or training with foam sclerotherapy was limited to <40%. Many of those reporting no experience with endovenous ablation techniques were within the final two years of their training. Less than 25% of trainees reported having had any experience (assisted/performed) of advanced venous interventions such as thrombolysis techniques for deep venous thrombosis, inferior vena cava filter placement/removal, venous stenting or deep venous reconstruction. Less than a quarter of trainees are currently involved in the acute management of deep venous thrombosis. The majority (76%) of current trainees would like a formal approved UK venous training course to be offered. The current level of training in the management of venous disease will not allow UK vascular trainees to become the competent all round vascular specialists of the future.
British Journal of Surgery, 1991
Journal of the Royal Society of Medicine, 2006
... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My ... more ... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My surgeon's name is... ... Ibery and colleagues 3 have clearly shown that one group of British surgeons would not want to drop their honorary title of Mr (Master) or the female equivalent. ...
Journal of the Royal Society of Medicine, 2006
... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My ... more ... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My surgeon's name is... ... Ibery and colleagues 3 have clearly shown that one group of British surgeons would not want to drop their honorary title of Mr (Master) or the female equivalent. ...
Annals of The Royal College of …, 1983
Clinical experience with the Kimray Greenfield vena cava filter in 24 patients, most of whom suff... more Clinical experience with the Kimray Greenfield vena cava filter in 24 patients, most of whom suffered recurrent pulmonary embolism despite heparin treatment, is presented. The advantages of this filter over previous trans-venous filters is discussed. Initial results show the filter to be both safe and effective.
Phlebology / Venous Forum of the Royal Society of Medicine, Jan 6, 2015
To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow an... more To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow and its role in thromboprophylaxis. Systematic review of randomised and non-randomised studies evaluating neuromuscular electrical stimulation, and reporting one or more of the following outcomes: incidence of venous thromboembolism, venous blood flow and discomfort profile. Twenty-one articles were identified. Review of these articles showed that neuromuscular electrical stimulation increases venous blood flow and is generally associated with an acceptable tolerability, potentially leading to good patient compliance. Ten comparative studies reported DVT incidence, ranging from 2% to 50% with neuromuscular electrical stimulation and 6% to 47.1% in controls. There were significant differences, among included studies, in terms of patient population, neuromuscular electrical stimulation delivery, diagnosis of venous thromboembolism and blood flow measurements. Neuromuscular electrical stimula...
British Journal of Surgery, 2007
The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surg... more The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surgically.
Phlebology, 2011
The aim of this study was to evaluate the training experience of current UK vascular trainees in ... more The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the survey between June and October 2009 with regular email reminders being sent out to non-responders. One hundred and twenty-three trainees (85% response rate) representing all 17 UK training Deaneries responded. Seventy-eight per cent reported having received no formal venous duplex training either for diagnosis of venous disease or to guide endovenous therapy. Operative experience of great and small saphenous vein surgery improved with years of training. Surgical experience for recurrent varicose veins was poor. Experience with endovenous techniques was limited and variable. No experience of endovenous laser ablation or radiofrequency ablation was reported by 39% and 67% of trainees, respectively. Experience and/or training with foam sclerotherapy was limited to <40%. Many of those reporting no experience with endovenous ablation techniques were within the final two years of their training. Less than 25% of trainees reported having had any experience (assisted/performed) of advanced venous interventions such as thrombolysis techniques for deep venous thrombosis, inferior vena cava filter placement/removal, venous stenting or deep venous reconstruction. Less than a quarter of trainees are currently involved in the acute management of deep venous thrombosis. The majority (76%) of current trainees would like a formal approved UK venous training course to be offered. The current level of training in the management of venous disease will not allow UK vascular trainees to become the competent all round vascular specialists of the future.
Phlebology, 2011
The aim of this study was to evaluate the training experience of current UK vascular trainees in ... more The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the survey between June and October 2009 with regular email reminders being sent out to non-responders. One hundred and twenty-three trainees (85% response rate) representing all 17 UK training Deaneries responded. Seventy-eight per cent reported having received no formal venous duplex training either for diagnosis of venous disease or to guide endovenous therapy. Operative experience of great and small saphenous vein surgery improved with years of training. Surgical experience for recurrent varicose veins was poor. Experience with endovenous techniques was limited and variable. No experience of endovenous laser ablation or radiofrequency ablation was reported by 39% and 67% of trainees, respectively. Experience and/or training with foam sclerotherapy was limited to <40%. Many of those reporting no experience with endovenous ablation techniques were within the final two years of their training. Less than 25% of trainees reported having had any experience (assisted/performed) of advanced venous interventions such as thrombolysis techniques for deep venous thrombosis, inferior vena cava filter placement/removal, venous stenting or deep venous reconstruction. Less than a quarter of trainees are currently involved in the acute management of deep venous thrombosis. The majority (76%) of current trainees would like a formal approved UK venous training course to be offered. The current level of training in the management of venous disease will not allow UK vascular trainees to become the competent all round vascular specialists of the future.
British Journal of Surgery, 1991
Journal of the Royal Society of Medicine, 2006
... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My ... more ... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My surgeon's name is... ... Ibery and colleagues 3 have clearly shown that one group of British surgeons would not want to drop their honorary title of Mr (Master) or the female equivalent. ...
Journal of the Royal Society of Medicine, 2006
... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My ... more ... PMCID: PMC1484552. Copyright © 2006, The Royal Society of Medicine. Miss, Mister, Doctor: My surgeon's name is... ... Ibery and colleagues 3 have clearly shown that one group of British surgeons would not want to drop their honorary title of Mr (Master) or the female equivalent. ...
Annals of The Royal College of …, 1983
Clinical experience with the Kimray Greenfield vena cava filter in 24 patients, most of whom suff... more Clinical experience with the Kimray Greenfield vena cava filter in 24 patients, most of whom suffered recurrent pulmonary embolism despite heparin treatment, is presented. The advantages of this filter over previous trans-venous filters is discussed. Initial results show the filter to be both safe and effective.
Phlebology / Venous Forum of the Royal Society of Medicine, Jan 6, 2015
To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow an... more To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow and its role in thromboprophylaxis. Systematic review of randomised and non-randomised studies evaluating neuromuscular electrical stimulation, and reporting one or more of the following outcomes: incidence of venous thromboembolism, venous blood flow and discomfort profile. Twenty-one articles were identified. Review of these articles showed that neuromuscular electrical stimulation increases venous blood flow and is generally associated with an acceptable tolerability, potentially leading to good patient compliance. Ten comparative studies reported DVT incidence, ranging from 2% to 50% with neuromuscular electrical stimulation and 6% to 47.1% in controls. There were significant differences, among included studies, in terms of patient population, neuromuscular electrical stimulation delivery, diagnosis of venous thromboembolism and blood flow measurements. Neuromuscular electrical stimula...
British Journal of Surgery, 2007
The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surg... more The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surgically.
Phlebology, 2011
The aim of this study was to evaluate the training experience of current UK vascular trainees in ... more The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the survey between June and October 2009 with regular email reminders being sent out to non-responders. One hundred and twenty-three trainees (85% response rate) representing all 17 UK training Deaneries responded. Seventy-eight per cent reported having received no formal venous duplex training either for diagnosis of venous disease or to guide endovenous therapy. Operative experience of great and small saphenous vein surgery improved with years of training. Surgical experience for recurrent varicose veins was poor. Experience with endovenous techniques was limited and variable. No experience of endovenous laser ablation or radiofrequency ablation was reported by 39% and 67% of trainees, respectively. Experience and/or training with foam sclerotherapy was limited to <40%. Many of those reporting no experience with endovenous ablation techniques were within the final two years of their training. Less than 25% of trainees reported having had any experience (assisted/performed) of advanced venous interventions such as thrombolysis techniques for deep venous thrombosis, inferior vena cava filter placement/removal, venous stenting or deep venous reconstruction. Less than a quarter of trainees are currently involved in the acute management of deep venous thrombosis. The majority (76%) of current trainees would like a formal approved UK venous training course to be offered. The current level of training in the management of venous disease will not allow UK vascular trainees to become the competent all round vascular specialists of the future.