Dr Antonio Rojas-Garcia

Antonio holds a BSc in Psychology and an MSc in Research Methods and Implementation in Psychology and Health, both from the University of Granada, Spain. He has also been awarded a Ph.D. from the University of Granada, for his work in the Andalusian School of Public Health. During this time, he was part of several research projects, mostly focused on health inequalities and health systems, prior to joining UCL.  Antonio has particular interest in research methods in health, mostly systematic reviews and meta-analysis.

NIHR CLAHRC North Thames funded PhD studentships launched

NIHR CLAHRC North Thames is now recruiting to its 2019 PhD studentships. NIHR CLAHRC North Thames is funded to conduct high quality applied health research, focused on the needs of patients and the public to produce a direct impact on health and the way health care and public health is organised and delivered.

Led by Professor Rosalind Raine (UCL), we are a collaboration of 50+ partners, including leading universities, NHS trusts, local authorities, clinical commissioning groups, UCLPartners, industry and organisations representing patients and the public.

We invite applications for these 3-year PhD studentships starting October 2019 (exact date dependent on the individual university). Studentships will be based at one of the following Universities: London School of Hygiene and Tropical Medicine, Queen Mary University of London, University College London. Details of the individual projects and supervisors are given below. The studentships include a stipend and full UK/EU fees.

Read more about how to apply on this page;

http://clahrc-norththames.nihr.ac.uk/nihr-clahrc_north-thames-academy/phds/ 

The PHDs on offer are below:

Cancer and comorbidity: impact of comorbid conditions on equity of access and safety and outcomes of cancer treatments

CLAHRC Research area: Health Economics and Data

Developing and evaluating an online community of practice for public health decision-makers

CLAHRC Research area: Health Economics and Data

Addressing the polypharmacy challenge in working-age adults

CLAHRC Research Area: Multimorbidity

Optimising resources from the internet in primary care consultations

CLAHRC Research area: Innovation and Implementation Science

Somatic and psychotropic polypharmacy: Understanding sociodemographic factors and the effects of polypharmacy in people with mental health problems

CLAHRC Research Area: Multimorbidity

Mapping Complex CAre Pathways for Personality Disorder (MACCA-PD)

CLAHRC Research area: Mental health

Understanding and facilitating self-management in child and youth mental health for socially excluded populations

CLAHRC Research area: Mental health

Evaluating services for older adults with multimorbidity across health and social care

CLAHRC Research area: Multimorbidity

Patient experiences on inpatient psychiatric wards: does this information get used to improve outcomes?

CLAHRC Research area: Mental health

Equity in service provision for people newly diagnosed with dementia and their family

CLAHRC Research area: Mental health

Implications of digital health innovations on the demand, use, cost and experiences of health and social care services

CLAHRC Research area: Innovation and Implementation Science

 

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Mechanical thrombectomy is cost-effective up to 24 hours from stroke

CLAHRC researchers demonstrate the value of intervention beyond the current recommended 6 hours

Ischaemic stroke is the most common type of stroke, occurring when a blood clot blocks an artery cutting blood flow to part of the brain. Stroke can lead to coma, severe disability and eventually death if not treated promptly. 

Mechanical clot retrieval (thrombectomy) is an intervention to remove clots when the current medical treatment (thrombolysis) is not sufficient to dissolve them.

Thrombectomy to remove a clot

Current guidance from NHS England and the National Institute for Health and Care Excellence (NICE) (see below) only supports this intervention within 6 hours from stroke onset.

NHS England – Clinical Commissioning Policy on Mechanical Thrombectomy for Acute Ischaemic Stroke.

NICE – Mechanical thrombectomy devices for acute ischemic stroke. Guidance MIB153. 30 July 2018 

Our researchers compared the cost-utility of mechanical thrombectomy (MT) in addition to medical treatment versus medical treatment alone performed beyond 6 hours from stroke onset in the NHS.

Our research, published in the International Journal of Stroke, shows that MT is still cost-effective if performed up to 24 hours. The publication is now cited as health economics evidence in the latest NICE evidence review (Stroke (Update). Evidence review D: thrombectomy- Draft for consultation). and has been used to recommend the offer of MT up to 24 hours. 

The work demonstrates mechanical thrombectomy is cost-effective up to 24 hours from acute ischemic stroke symptom onset – we propose the NHS implements this intervention on the basis of improvement in the quality of life of patients as well as economic grounds.

Pizzo, E., Dumba, M., & Lobotesis, K. (2019).
Cost-utility analysis of mechanical thrombectomy between 6 and 24 hours in acute ischemic stroke.
International Journal of Stroke
https://doi.org/10.1177/1747493019830587