League tables, Nits, Feeling the cold, Language - Surrogate marker
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 15 September 2015
⏱️ 28 minutes
🧾️ Download transcript
Summary
Are league tables listing surgical outcomes the best way to assess your surgeon or are high risk patients being turned away as surgeons keep an eye on their figures? New data published this week list the clinical outcomes for heart surgery - cardiac surgeons are just one speciality from an ever expanding list of doctors whose performance is now published in league tables and subject to public scrutiny. But what impact has their introduction had on patient care? Sam Nashef, a consultant cardiac surgeon at Papworth Hopsital, discusses this issue with Mark Porter.
Recent research in schools in Wales suggest that as many as one in 12 primary school children get them at this time of year - and that compares favourably with Australian research, which suggests the figure's much higher - closer to one in five. Resident sceptic Dr Margaret McCartney explains which treatments are supported by evidence.
Lyn e-mailed Inside Health to understand why she often feels colder than other people. How, she asked, do we regulate our body temperature and are some people better at it than others? George Havenith is Professor of Environmental Physiology and Ergonomics at Loughborough University, and Mike Tipton, Professor of Human and Applied Physiology at the University of Portsmouth, provide answers.
And in the next of our special series demystifying the language of research and statistics Carl Heneghan, Professor of Evidence Based Medicine at the University of Oxford and Dr Margaret McCartney unpack the concept of surrogate markers. These feature increasingly in medical research and can involve everything from blood test results, to the pattern on your heart trace or ECG.
Transcript
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| 0:00.0 | Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very |
| 0:21.7 | quickly knocked down. And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Rihalina. |
| 0:26.9 | I'm excited. You're dead to me, the comedy podcast that takes history seriously. Listen first on BBC |
| 0:32.1 | Sounds. Hello, coming up in today's program, NITS. They used to be every parent's nightmare, |
| 0:38.8 | but of new treatments guaranteeing to get rid of the little bloods |
| 0:42.6 | changed all that. |
| 0:44.4 | Feeling the cold, autumnal weather has finally arrived |
| 0:47.8 | and there's a definite chill in the air. |
| 0:50.0 | But why are some people so much more sensitive to drops in temperature than others? |
| 0:54.7 | There is a physiological basis for the complaints that we get, |
| 0:59.1 | particularly going into the autumn, |
| 1:01.3 | where women want to have the central heating switched on, |
| 1:04.1 | and men, thinking of the bank account, want to keep it switched off. |
| 1:06.9 | And baffling terminology, Margaret McCartney and Carl Hennigan are back to demystify the terms |
| 1:13.1 | bandied around by researchers and the journals they publish in. |
| 1:17.3 | But first, how good is your surgeon? |
| 1:20.3 | New data published this week lists the clinical outcomes for heart surgery. |
| 1:24.7 | Cardiac surgeons are just one speciality from an ever expanding list of doctors |
| 1:29.0 | whose performance is now published in league tables and subject to public scrutiny. But what |
| 1:35.1 | impact has their introduction had on patient care? Sam Ne Sheff is a consultant cardiac surgeon |
| 1:41.1 | at Papworth Hospital as well as an expert on risk assessment, |
| 1:44.9 | and he's in our Cambridge studio. Sam, I think the potential benefits of greater transparency in NHS |
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