Functional braces are effective alternatives to plaster casts for ruptured Achilles tendons
Early weight-bearing in a below-knee rigid boot, a functional brace, following ruptured Achilles tendon can achieve similar results to traditional plaster casting. This NIHR-funded trial included 540 people, and after nine months there appeared to be no difference between the two treatments in terms of how well patients recovered from their injury. The functional brace was preferred by patients.
Functional bracing is an alternative to traditional plaster casting that allows earlier weight-beari...
Eplerenone does not improve vision in people with central serous chorioretinopathy
Eplerenone, a drug used for people with central serous chorioretinopathy, is no more effective than placebo. Neither visual acuity nor the build-up of fluid in the eye shows an important improvement.
Central serous chorioretinopathy is a serious eye condition that causes blurred and distorted vision. Fluid collects underneath the macula, which is the central area of the retina. The condition mostly affects men aged 20–45 years, although it can affect women too. A specific cause is rarely ...
Plasma and blood cell injections have not shown a benefit for Achilles tendon injury
Injecting a ruptured Achilles tendon with a small sample of a person’s own plasma, without the red blood cells, has no functional or other benefit. Plasma rich in platelets and white blood cells for the acute injury was compared with placebo.
The NIHR-funded trial involved 230 adults with acute Achilles tendon rupture (the tendon which connects the calf muscles to the heel). All were attending UK hospitals within 12 days of injury. The trial found no difference in function at 24 weeks aft...
Using wires to fix wrist fracture has good long-term outcome
Fixing a displaced broken wrist with wires is as effective as fixation with locking plates in the long term. Wrist function and pain continueto improve in the five years following either operation, with no evidence of a difference between the two treatments.
In 2014, a trial comparing the use of Kirschner wires and locking plates for displaced fractures of the distal radius reported that patients treated with either operation did equally well after 12 months. This follow-up study allays fears t...
Conventional fillings may not add much to standard prevention for decay in baby teeth
Sealing in decay, improving tooth hygiene and using conventional fillings all work to prevent future dental pain and infection for children with decay in baby teeth. The approaches are equally acceptable to children and parents.
Researchers tested three methods of managing decay in the primary molars of children aged three to seven:
best practice prevention (advice on cutting down on sugar, twice-daily tooth brushing with fluoride, application of fluoride varnish)
best practice prevention p...
5 Ways Research Could Save the NHS Money
In this highlight, we have carefully selected five NIHR Signals that show how research could help to save the NHS money. This collection covers a range of treatments and initiatives that are cost effective for the NHS.
A lifestyle change programme not effective for those at risk of heart disease or stroke
A package of extra support, including motivational interviewing, did not add value in terms of boosting weight loss or physical activity in people at high risk of cardiovascular disease, a new study has found.
This NIHR-funded trial recruited 1,220 people deemed at high risk of heart disease or stroke. Researchers compared the clinical and cost-effectiveness of the enhanced support, which was based on cognitive theory, in either a group or individual format. A third group was referred to commun...
Decision aids including leaflets and computer programs help patients make treatment choices
Decision aids help patients choose between treatment options in obstetrics and gynaecology, and reduce uncertainty.
A systematic review of trials of decision aids used for choices of contraception, caesarean section and menopause treatment found that patients who used them felt more confident in their ability to make the decision that was right for them, and less uncertain about this decision. This was compared with usual care or an information aid.
Decision aids set out information about medi...
MySignals - Depression
In My Signals, health and social care staff and service users tell us what research is important to them and why they feel others need to know about it.
In this collection, we asked nine mental health practitioners and members of the public to tell us which Signals have interested them most and explain why they feel the findings are worth sharing.
Structured nurse ward rounds support accountability and risk management but not nurse-patient communication
Scheduling regular nurse bedside ward rounds (called ‘intentional rounding’) may not improve nurse-patient communication, as most interactions occur outside of these rounds. The rounds are intended to improve accountability and provide evidence that risks are being managed when correctly documented.
Intentional rounding was introduced as a UK Government policy imperative to facilitate regular interactions between nurses and patients following high profile care failures at the Mid St...