W Weston, H Garrett, J Spencer, L Filipe, V Benedetto
{"title":"Cost-effectiveness of paediatric rapid genomic testing: a commentary.","authors":"W Weston, H Garrett, J Spencer, L Filipe, V Benedetto","doi":"10.12968/ijap.2025.0007","DOIUrl":"10.12968/ijap.2025.0007","url":null,"abstract":"<p><p>Genetic disorders affecting children can lead to complex clinical pathways, fast clinical deterioration and infant mortality. Rapid genomic testing (RGT) can provide an early diagnosis and trigger appropriate clinical trajectories for children, ultimately improving health outcomes while potentially reducing costs. In this commentary we critically appraised an existing economic evaluation of different RGT strategies which was set in an Australian hospital care setting. We highlighted how the authors suitably set the decision problem, perspective, model structure, costs and interpretation of the results of the economic evaluation. However, limitations associated with the short-term horizon employed and the lack of clinical and quality-of-life outcomes emerged. Building on the economic evaluation's limitations, we formulated implications for practice reflecting recent developments on RGT and suggested avenues for future research. Addressing these limitations would further strengthen the economic case for RGT, provided that barriers and facilitation of its wide-scale implementation are taken into account. Ensuring wide-scale accessibility, effective systemic coordination and communication, offering education training opportunities to practitioners, reaping economies of scale to exploit likely changes in costs and differential cost-effectiveness of RGT for specific disorders and severity levels could be pursued in order for RGT to become part of the paediatric diagnostic toolbox.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"4 1","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7619261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J Botton, C Hill, S Hill, S Jones, M Mccarney, M Goodall, J E Hill
{"title":"A critical appraisal evaluating the efficacy of extracorporeal shock wave therapy in coccydynia.","authors":"J Botton, C Hill, S Hill, S Jones, M Mccarney, M Goodall, J E Hill","doi":"10.12968/ijap.2024.0066","DOIUrl":"10.12968/ijap.2024.0066","url":null,"abstract":"<p><p>Coccydynia is referred to as pain in the region of the coccygeal bone. It is usually managed conservatively with physiotherapy, education and medication. Symptoms can last a couple of weeks or up to five years. For severe cases, invasive interventions such as injections or surgery are currently the main options. The use of extracorporeal shock wave therapy (ESWT) is emerging as a successful, non-invasive treatment for a variety of musculoskeletal conditions. A systematic review by Nikouei et al., (2022) aimed to establish if ESWT was effective at alleviating pain for patients with coccydynia. This commentary provides a critical evaluation of the methods employed in this review and discusses the findings of the review in context to the four pillars of advanced practice: clinical practice, leadership and management, education, and research in physiotherapy.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"3 4","pages":"196-202"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7619416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary: The Effect of Corticosteroid Injection in the Treatment of Greater Trochanter Pain Syndrome.","authors":"M McCarney, C Brennan, S Bunting, S Hill, J Hill","doi":"10.12968/ijap.2023.0056","DOIUrl":"10.12968/ijap.2023.0056","url":null,"abstract":"<p><p>Greater Trochanteric Pain Syndrome is a broad term employed to characterize lateral hip pain originating from the structures attached to the greater trochanter of the femur. The documented decrease in work participation, elevated levels of pain and dysfunction impeding physical activity, and diminished quality of life align with those observed in individuals with severe hip osteoarthritis. Effectively managing Greater Trochanteric Pain Syndrome can present considerable challenges. Generally, patients with Greater Trochanteric Pain Syndrome tend to respond favourably to conservative management. However, regarding the conservative approach of using corticosteroid injections there is still some debate regarding the specific estimation of effect. A recent systematic review by Wang et al. (2022) was undertaken to explore the effect of corticosteroid injection in the treatment of Greater Trochanteric Pain Syndrome. This commentary seeks to critically assess the methodologies employed in the review conducted by Wang et al. (2022) and provide a broader understanding of the findings in the context of the four pillars of advanced practice; clinical practice, leadership, education and research.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"2 4","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha Febrey, Julia Frost, Abi J Hall, Naomi Morley, Julie Whitney, Vicky Johnston, Payal Wilson, Cliff Kilgore, Victoria A Goodwin
{"title":"Advanced practitioners working with older people in primary care and community settings: a survey of roles and use of technology.","authors":"Samantha Febrey, Julia Frost, Abi J Hall, Naomi Morley, Julie Whitney, Vicky Johnston, Payal Wilson, Cliff Kilgore, Victoria A Goodwin","doi":"10.12968/ijap.2023.0048","DOIUrl":"10.12968/ijap.2023.0048","url":null,"abstract":"<p><strong>Background: </strong>Advanced practitioner (AP) roles are becoming increasingly common in primary care and community settings for supporting older people and those living with frailty.</p><p><strong>Aims: </strong>The aim of this study was to explore health and social work AP roles in primary care and community settings in the UK, and understand how they support older people and factors that may impact on APs use of technology in practice.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was adopted to explore the views and perspectives of APs.</p><p><strong>Results: </strong>The survey received 111 responses. There were different views as to whether technology was suitable for older people. Although digital exclusion was a concern, it was perceived that this would change in the future as generations become more digitally literate. Respondents suggested that using technology brought about efficiencies and the ability to respond sooner to symptom changes, with some concerns mentioned regarding the accuracy of technology that may miss signs and symptoms.</p><p><strong>Conclusion: </strong>This is the first national survey to explore advanced practice roles with older people in non-hospital settings. While APs have wide-ranging skills, few currently use technology in their practice. Findings will inform a future study on digitally enhanced comprehensive geriatric assessments.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"2 4","pages":"191-198"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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