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More than 240,000 people with kidney failure are treated with peritoneal dialysis (PD) worldwide. Cardiff University pioneered novel test methods that identified deleterious dialysis solution components, leading directly to manufacturers introducing more biocompatible dialysis fluids that improve patient outcomes. Cardiff investigators designed and ran the early clinical studies on these new fluids, which now lead the PD solutions market worldwide, and are recommended in European clinical guidelines. Recent evidence suggests that their use reduces peritonitis severity, decreases peritonitis incidence by 40% and mortality by 30%, resulting in reduced hospitilsation and significant healthcare savings.
Peritoneal dialysis (PD) is used to treat kidney failure in 250,000 individuals worldwide, a figure growing at 20% per annum in developing economies. Critical to this therapy is the removal of adequate salt, water and uraemic toxins by the peritoneal membrane. Our research has shown how variability in peritoneal membrane function impacts on clinical outcomes, how the treatment itself affects this function over time and how the design of dialysis solutions can improve membrane performance. This knowledge has informed changes in dialysis prescription practice and fluid design contributing to the sustained improvement in patient outcomes observed over the last 20 years.
People with personality disorders (PD) have enduring and serious difficulties in relating to others and their treatment remains one of the most challenging areas in psychiatry. Until recently, service provision for such individuals was extremely variable in both quality and quantity. Research at King's College London (KCL) has helped highlight the considerable public health and economic impacts of personality disorders and has had a significant impact on current treatment guidelines in the UK. KCL research also led to the development of a brief and simple screening test for personality disorders — the Standard Assessment of Personality Abbreviated Scale (SAPAS) — which is now recommended for use in the UK Government's Improving Access to Psychological Therapies initiative, under which nearly a million patients a year are seen.
Research by Professors John Stein and Tipu Aziz at the University of Oxford has had a significant impact on advanced Parkinson's disease patients affected by freezing of gait and loss of balance. Since 2008 deep brain stimulation of the pedunculopontine nucleus has resulted in major improvements in both gait and posture in Parkinson's disease patients who have been treated with dopaminergic drugs for several years, but who had suffered the return of severely disabling movement problems. Around two hundred patients have been successfully treated worldwide through this pioneering surgery, with associated improvements in quality of life.
Condition monitoring instrumentation for high voltage plant has been developed at GCU under contract research for Doble Engineering (Headquarters in MA, USA), a global service provider for the electric power industry. The instruments are an important new line of products for Doble providing increased sales revenue and service provision. The instruments have been widely adopted by Doble's global client base to provide improved asset management. Other beneficiaries of the work include global contract electronic manufacturing companies. In 2012 Doble invested £1.2 million in an Innovation Centre at GCU to support their product development road map.
Research conducted by Glasgow Caledonian University (GCU) has changed the way power cables and motors are monitored in EDF Energy's nuclear power stations in the UK and Wuhan Electrical Power Company, China, providing the companies with innovative techniques enabling them to identify insulation defects and improve their maintenance programme. Application of the research output has helped the companies to enhance practice in PD testing, reduce maintenance and repair costs by millions of pounds whilst reliably supplying over 20% of the UK's power generation, and an area with over 10 million people in China.
UK and international government and healthcare institutes have incorporated Cardiff University research findings relating to the management of intervention for individuals post-trauma into public healthcare policy, strategy and services. Results from a randomized controlled clinical trial of psychological debriefing (PD) following traumatic events delivered strong evidence against the (then) standard approach of advocating these one-off interventions post-trauma. The Cardiff findings led to the global understanding that by not providing PD post-trauma many tens of thousands would benefit, resulting in better patient care and reduced healthcare costs.
Dose selection for antimicrobial drug (AMD) use is fundamentally important in avoiding the emergence and subsequent spread of antimicrobial resistance (AMR), as well as for ensuring a successful clinical outcome. RVC's pioneering research and expertise in pharmacokinetic/ pharmacodynamic (PK/PD) integration and modelling for veterinary applications has introduced a novel, rigorous scientific method to dosage regimen design, which has been implemented in veterinary AMD registration, guiding national and international licensing authorities. Work on AMD dosages for livestock species, frequently undertaken in collaboration with industry, has contributed substantially to this understanding and consequent changes in drug registration practices worldwide.
Over the past ten years, the prescription of cholesterol-lowering statins has soared and they are now the most prescribed drugs in the UK and the US. However, this has raised concerns about inappropriate prescribing. University of Glasgow research has been pivotal in addressing this issue and has triggered revision of major international guidelines to stratify patients in the general population for statin therapy and guide statin use in the rheumatoid arthritis patient population. The identification of a statin-associated risk for diabetes prompted the European Medicines Agency and the US Food & Drug Administration to revise safety labelling for all classes of statins. This risk is now communicated to the 27 million patients in the UK and US who are prescribed statins.
Over the past 20 years, the University of Oxford's Clinical Trial Service Unit (CTSU), within the Nuffield Department of Population Health (NDPH), has conducted some of the world's largest trials and collaborative meta-analyses of trials of antiplatelet therapy, including aspirin, that have together had a major ongoing and incremental impact on the treatment and prevention of cardiovascular disease. They have helped ensure that antiplatelet therapy is widely used both in the acute care of patients with heart attacks and for the secondary prevention of heart attacks and strokes in high-risk patients. This research has been recognised as the gold standard for international guidelines, and has been instrumental in changing prescribing labelling for aspirin.