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Albertsen A, Knight C. A framework for luck egalitarianism in health and healthcare. JOURNAL OF MEDICAL ETHICS 2015; 41:165-9. [PMID: 24505116 DOI: 10.1136/medethics-2013-101666] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Several attempts have been made to apply the choice-sensitive theory of distributive justice, luck egalitarianism, in the context of health and healthcare. This article presents a framework for this discussion by highlighting different normative decisions to be made in such an application, some of the objections to which luck egalitarians must provide answers and some of the practical implications associated with applying such an approach in the real world. It is argued that luck egalitarians should address distributions of health rather than healthcare, endorse an integrationist theory that combines health concerns with general distributive concerns and be pluralist in their approach. It further suggests that choice-sensitive policies need not be the result of applying luck egalitarianism in this context.
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Chu E, Knight C, O'Neill M, Das Purkayastha D. H17 Huntington's Disease And Forensic Risk Factors In Females. Journal of Neurology, Neurosurgery and Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Rathod KS, Jones DA, Gallagher SM, Bromage DI, Rathod VS, Mathur A, Jain AK, Wragg A, Knight C. Out of hours primary PCI is not associated with increased adverse outcomes compared to in-hour procedures. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Akhtar MM, Jones DA, Ding N, Gallagher S, Rathod KS, Jain A, Knight C, Mathur A, Weerackody R, Wragg A. Eptifibatide and abciximab are associated with similar outcomes when used during primary percutaneous coronary intervention for ST-elevation myocardial infarction. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Koganti S, Fung K, Jones D, Rathod K, Gallagher S, Weerackody R, Amersey R, Mathur A, Knight C, Wragg A. No difference in mortality between immediate vs delayed staged intervention of non culprit vessel in patients with multivessel disease following primary angioplasty. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p4816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Lim VG, Jones DA, Gallagher S, Rathod KS, Jain A, Knight C, Mathur A, Wragg A. 064 LONG-TERM OUTCOME AMONG PATIENTS WITH EARLY, LATE, AND VERY LATE STENT THROMBOSIS FOLLOWING PREVIOUS PCI FOR ST-ELEVATION MYOCARDIAL INFARCTION. BRITISH HEART JOURNAL 2013. [DOI: 10.1136/heartjnl-2013-304019.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Rathod KS, Jones DA, Bromage DI, Gallagher SM, Mathur A, Jain AK, Wragg A, Knight C. 065 OUT OF HOURS PRIMARY PCI IS NOT ASSOCIATED WITH INCREASED ADVERSE OUTCOMES COMPARED TO IN-HOUR PROCEDURES. BRITISH HEART JOURNAL 2013. [DOI: 10.1136/heartjnl-2013-304019.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Knight C, Marbaix S, Annemans L, Prignot J, Bowrin K. The cost-effectiveness of an extended course (12+12 weeks) of varenicline plus brief counselling compared with other reimbursed smoking cessation interventions in Belgium, from a public payer perspective. Acta Clin Belg 2013; 67:416-22. [PMID: 23340147 DOI: 10.2143/acb.67.6.2062706] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To evaluate the cost-effectiveness of an extended (12+12 weeks) course of varenicline plus brief counselling compared with the currently reimbursed smoking cessation interventions (in combination with brief counselling) in Belgium, from a public payer perspective. METHODS The previously published version of the BENESCO model which included the extended course of varenicline was updated with recent publically available demographic and cost data from Belgium. RESULTS The extended course of varenicline plus brief counselling has an incremental cost per quality adjusted life year gained of 1101€ compared with a nonextended 12-week course of varenicline (plus brief counselling). The extended course of varenicline dominates all other comparators in this analysis. CONCLUSIONS The extended course of varenicline (12 weeks followed by 12 weeks maintenance therapy in successful quitters) plus brief counselling is a highly cost-effective alternative to a non-extended (12 weeks only) course of varenicline plus brief counselling. This strategy dominates the other alternative smoking cessation interventions currently reimbursed in Belgium.
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Long C, Knight C, Bradley L, Thomas M. Effective therapeutic milieus in secure services for women: The service user perspective. J Ment Health 2012; 21:567-78. [DOI: 10.3109/09638237.2012.734649] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Gallagher S, Hassan S, Jones DA, Lovell MJ, Ahktar A, Kapur A, Knight C, Mathur A, Yaqoob MM, Wragg A. 124 Impact of contrast-induced nephropathy upon short and long-term outcomes of patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Akhtar MM, Jones DA, Gallagher S, Weerackody R, Sammut E, Rathod KS, Jain A, Knight C, Mathur A, Wragg A. 035 Thrombectomy and platelet glycoprotein IIb/IIIa blockade for stent thrombosis. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.35] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Guttmann OP, Jones D, Rathod K, Weerackody R, Jain A, Knight C, Mathur A, Wragg A. 037 Drug eluting stents (DES) offer benefit over bare metal stents (BMS) inserted during vein graft PCI: Abstract 037 Figure 1. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Rathod KS, Gallagher SM, Hassan S, Lovell MJ, Jones DA, Rathod VS, Bromage D, Uppal R, Knight C, Mathur A, Wragg A, Kapur A. 148 Insulin dependent diabetes results in worse outcomes compared to non-insulin dependent diabetes following coronary artery bypass graft surgery (CABG): Abstract 148 Figure 1. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bromage DI, Rathod KS, Jones DA, Jain A, Knight C, Mathur A, Wragg A. 038 Drug eluting stent implantation is associated with lower mace rates than bare metal stent implantation in primary PCI for ST elevation myocardial infarction. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hamshere SM, Jones DA, Akhtar M, Rathod KS, Graham A, Guttmann O, Gallagher S, Jain A, Knight C, Mathur A, Wragg A. 130 Prior coronary artery bypass graft patients treated with primary percutaneous coronary intervention have higher long-term adverse event rates. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Howard JP, Jones DA, Gallagher S, Rathod K, Jain A, Mohiddin S, Knight C, Mathur A, Smith EJ, Wragg A. 048 Is it safe to discharge patients 24 h after uncomplicated successful primary percutaneous coronary intervention?: Abstract 048 Table 1. BRITISH HEART JOURNAL 2012. [DOI: 10.1136/heartjnl-2012-301877b.48] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Jones DA, Rathod KS, Sekhri N, Junghans C, Gallagher S, Rothman MT, Mohiddin S, Kapur A, Knight C, Archbold A, Jain AK, Mills PG, Uppal R, Mathur A, Timmis AD, Wragg A. Case fatality rates for South Asian and Caucasian patients show no difference 2.5 years after percutaneous coronary intervention. Heart 2011; 98:414-9. [PMID: 22128203 DOI: 10.1136/heartjnl-2011-300130] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To compare short and medium-term prognosis in South Asian and Caucasian patients undergoing percutaneous coronary intervention (PCI) to determine if there are ethnic differences in case death rates. DESIGN Retrospective cohort study. SETTING A cardiology referral centre in east London. PATIENTS 9771 patients who underwent PCI from October 2003 to December 2007 of whom 7966 (81.5%) were Caucasian and 1805 (18.5%) were South Asian. MAIN OUTCOME MEASURES In-hospital major adverse cardiac events (MACE; death, myocardial infarction, stroke and target vessel revascularisation), subsequent revascularisation rates (PCI and coronary artery bypass grafting; CABG) and all-cause mortality during a median follow-up of 2.5 years (range 1.5-3.6 years). RESULTS South Asian patients were younger than Caucasian patients (59.69±0.27 vs 64.69±0.13 years, p<0.0001), and more burdened by cardiovascular risk factors, particularly type II diabetes mellitus (45.9%±1.2% vs 15.7%±0.4%, p<0.0001). The in-hospital rates of MACE were similar for South Asians and Caucasians (3.5% vs 2.8%, p=0.40). South Asians had higher rates of clinically driven PCI for restenosis and subsequent CABG, although Kaplan-Meier estimates of all-cause mortality showed no significant differences; this was regardless of whether PCI was performed post-acute coronary syndrome or as an elective procedure. The adjusted hazard of death for South Asians compared with Caucasians was 1.00 (95% CI 0.81 to 1.23). CONCLUSION In this large PCI cohort, the in-hospital and longer-term mortality of South Asians appeared no worse than that of Caucasians. South Asians had higher rates of restenosis and CABG during follow-up. Data suggest that the excess coronary mortality for South Asians compared with Caucasians is not explained by differences in case-fatality rates.
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Sammut EC, Graham A, Jones DA, Rathod K, May S, Jain A, Mohiddin S, Knight C, Mathur A, Wragg A. 16 Acute stent thrombosis resulting in ST elevation myocardial infarction (STEMI) is associated with worse clinical outcomes than STEMI due to native coronary thrombosis. Heart 2011. [DOI: 10.1136/heartjnl-2011-300198.16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Rathod KR, Jones DA, Rathod B, Graham A, Sammut E, Gallagher S, Behar J, Jain AK, Knight C, Mathur A, Wragg A, Amersey R. 18 Patients presenting with anaemia undergoing primary PCI appear at significantly higher risk of an adverse outcome. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Guttmann O, Jones DA, Rathod KS, Akhtar M, Ludman A, Jain AK, Knight C, Mathur A, Mohiddin S, Wragg A, Smith EJ. 9 Early hospital discharge at 48 h following primary PCI for myocardial infarction is both safe and feasible. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Rathod KS, McGill LA, Sammut E, Rathod VS, Jones DA, Weerackody R, Jain A, Knight C, Mathur A, Wragg A. 19 Treatment of multivessel coronary artery disease in primary PCI for ST elevation myocardial infarction: culprit only revascularisation is associated with higher mace rates. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Guttmann OP, Rathod K, Rathod B, Wicks E, Gallagher S, Jones DA, Jain A, Knight C, Mathur A, Kapur A, Wragg A. 46 Prognostic value of baseline renal function on long term outcome in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.46] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abu-Own H, Sammut E, Rathod K, McGill LA, Jones DA, Jain A, Knight C, Mathur A, Wragg A. 36 In-stent restenosis presents as an acute coronary syndrome (ACS) in 40% of cases: not simply a benign clinical entity. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Gallagher SM, Lovell MJ, Jones D, Ferguson E, Antoniou S, Mohiddin S, Westwood M, Mathur A, Archbold RA, Knight C, Jain AK. 2 A "direct" transfer protocol for patients with non ST-elevation myocardial infarction reduces time to coronary angiography. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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