Helen is a consultant in public health medicine and a health services researcher. She is a member of the CLAHRC research partnership team, and Deputy Director of the CLAHRC Academy. Her research uses qualitative and quantitative methods to evaluate health care and public health services.
Silvie is a Teaching Fellow at the CLAHRC Academy. She has a PhD in Health Sociology from the University of the Witwatersrand in South Africa, where she also lectured and tutored while conducting her research. Before joining UCL, she completed a Research Fellowship at the University of Michigan, USA and was the Research Lead at a child health charity in London, UK. Her research interests include management of chronic pain, digital health, and patient education, using qualitative, mixed methods, and translational research approaches
New CLAHRC research looks at how comorbidities – multiple conditions experienced by patients – influence referrals to, and outcomes of hip and knee replacement surgery.
Taking a 360-degree view of the referral and treatment process our researchers, led by Bélène Podmore, investigated current evidence in this area for patients with multiple conditions undergoing surgery. We examined;
- the short-term outcomes relating to the safety of the hip or knee replacement surgery
- long-term outcomes relating to the benefits of undergoing hip and knee replacement surgery.
We found comorbidities predominantly impact the safety of hip and knee replacement surgery but have little impact on its effectiveness.
Bélène also interviewed a variety of health professionals and therapists for their take on referring and selecting patients with comorbidities for joint replacement surgery. We found some disagreement among professionals – ranging from GPs to surgeons – on roles and responsibilities in the management of these patients.
The two pieces of research are presented in handy new “BITE-sized” summaries with links to full papers and further reading –