Mr Justin Clark
Research & Audit
Birmingham Womens Hospital, Birmingham<
We are currently supporting four portfolio RCTs funded by the NIHR:
PRE-EMPT – Preventing Recurrence of Endometriosis
by Means of long acting Progestogen Therapy (recruiting in 6 pilot sites)
HEALTH – Laparoscopic subtotal
hysterectomy vs. endometrial ablation for HMB (recruitment opened in all core sites, expanding to 20 sites).
UCON – Ulipristal vs LNG-IUS for HMB
GAPP – Gabapentin vs placebo for chronic pelvic pain.
We have also supported three other portfolio studies. The OPT trial (Outpatient vs. day-case polypectomy) is accepted and awaiting publication in the BMJ subsequent to which the full HTA report will be available on line from the NIHR website.
The MEdAL trial (Can MRI replace laparoscopy in the diagnosis of pelvic pain?) is being analysed and the FEMME trial (UAE
vs. myomectomy) will finish recruiting shortly. I plan to survey members again as I did in 2011 both suggesting and touting for some new benign gynaecology and MAS research ideas.
We have developed an electronic database of laparoscopic hysterectomy to be used on a computer, tablet or smart phone. This is currently being piloted. The database records procedure details, complexity and complications. We hope that the database will be a useful tool for BSGE members and help provide quality assurance and inform annual job appraisals and revalidation. In time, as data accumulates, the norms for outcomes stratified by complexity will be established.
Any feedback would be gratefully received at my email address
We also plan to develop similar databases for a suite of common MAS techniques in laparoscopy and hysteroscopy. I have developed an e-database for hysteroscopic sterilization, which will shortly be available. If you are interested in helping develop some of these applications then please contact me on the above email or come and speak to me at the ASM.