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Vascular Surgery Research

From the early years of vascular surgery in Australia, Concord Repatriation General Hospital has a reputation for innovative surgical research.

In recent years, our research has focused on cross-discipline collaborative research and population-wide surgical outcomes. Our population-based research evaluates the impact of age-related illness on vascular outcomes. Collaborating with the geriatric medicine department, we have designed and evaluated the Geri-CoV service, a shared-care model designed to enhance surgical outcomes and decrease complications in older patients admitted for vascular issues.

Our focus on patient centred outcomes is developed through qualitative research projects evaluating patient experiences with chronic-limb threatening ischaemia and amputation. We also are active in a number of translational research projects, evaluating new and innovative therapies to treat vascular disease. Concord has been the lead site for multicentre trainee collaborative research trials in vascular illness, in particular the Australian lead site for the COVID-19 Vascular sERvice (COVER) study.

The unit is very engaged in teaching, both at medical student and for doctors in training. We have research projects related to medical education and development. Members of our research team have active teaching roles with the University of Sydney and Royal Australasian College of Surgeons. 

Our Research Team

Dr Richard Kerdic Vascular Surgeon, Clinical Researcher, Head of Department
Dr Sarah Aitken Vascular Surgeon, Clinical Academic, Clinical Researcher, Co-chair Concord Institute of Academic Surgery
Dr Robert Tang Vascular Surgeon, Clinical Researcher, Coordinator University of Sydney MS vascular unit
Dr Saissan Rajendran Vascular Surgeon, Clinical Researcher, MPhil candidate
Dr Sue Monaro Vascular Clinical Nurse Consultant, Clinical Researcher

Our Publications

2021

Aitken SJ, Lujic S, Randall DA, Noguchi N, Naganathan V, Blyth F. Response to Correspondence re 'Predicting outcomes in older patients undergoing vascular surgery using the Hospital Frailty Risk Score' by Guijuri et al. British Journal of Surgery 108 (2):e96; DOI: 10.1093/bjs/znaa135
Bubb KJ, Harmer JA, Finemore M, Aitken SJ, Ali ZS, Billot L, Chow C, Golledge J, Mister R, Gray MP, Grieve SM, Hamburg N, Keech AC, Patel S, Puttaswamy V, Figtree GA. Protocol for the Stimulating β3-Adrenergic Receptors for Peripheral Artery Disease (STAR-PAD) trial: a double-blinded, randomised, placebo-controlled study evaluating the effects of mirabegron on functional performance in patients with peripheral arterial disease. BMJ Open. 2021; 28;11(9):e049858. DOI: 10.1136/bmjopen-2021-049858.
Choy OS, Manewell S, Rajendran S, Aitken SJ. Variation in treatment and outcomes for patients with chronic limb‐threatening ischaemia in New South Wales, Australia. ANZ Journal of Surgery 2021; DOI 10.1111/anz.16886
Farah S, Kwok R, Dean A, Sivakumaran Y, Khoo S, Joret M, Jansen S, Aitken SJ. The prescription of best medical therapy following infrainguinal bypass grafting in Australia and New Zealand: a multicentre Australasian audit. ANZ Journal of Surgery 91 (1-2) 2021;  DOI: 10.1111/ans.16469
Lahoud J, Fong V, Rajendran S, Tse V. Desmoid fibromatosis involving the ureter: A rare presentation with intraoperative challenges. Urol Case Rep. 2021 Oct 13;40:101883. doi: 10.1016/j.eucr.2021.101883.
Monaro, S., Pinkova, J., Ko, N., Stromsmoe, N., & Gullick, J. (2021). Chronic wound care delivery in wound clinics, community nursing and residential aged care settings: a qualitative analysis using Levine's Conservation Model. Journal of Clinical Nursing, 30(9-10), 1295-1311. DOI: https://doi.org/10.1111/jocn.15674
Monaro, S., West, S., & Gullick, J. (2021). Chronic limb‐threatening ischaemia and reframing the meaning of 'end'. Journal of Clinical Nursing, 30(5-6), 687-700. DOI: https://doi.org/10.1111/jocn.15591
Rajendran S, Brown KGM, Solomon MJ, Austin KKS, Lee PJ, Robinson D, Steffens D. Complete resection of the iliac vascular system during pelvic exenteration: an evolving surgical approach to lateral compartment excision. Br J Surg. 2021 Aug 19;108(8):885-887. doi: 10.1093/bjs/znab070.
Schasser, S., Monaro, S., & West, S. (2021). Linking hospital and residential aged care: A Nurse-led Vascular-Geriatric Model of Care. Contemporary Nurse, 1-20. DOI: https://doi.org/10.1080/10376178.2021.1991414
STARSurg Collaborative and COVIDSurg Collaborative, Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic, British Journal of Surgery, 108 (12) 2021: 1448-1464, DOI: 10.1093/bjs/znab336 *Aitken SJ Concord Hospital Site Lead
Stavert B, Aitken SJ. Editorial- Reducing the number of unplanned returns to hospital after treatment for peripheral artery disease. Medical Journal of Australia, 2021; DOI 10.5694/mja2.51369
Tan JWC, Chew DP, Brieger D, Eikelboom J, Montalescot G, Ako J, Kim B, Quek D, Aitken SJ, Chow CK, Chour S, Tse H, Kaul U, Firdaus I, Kubo T, Liew BW, Chong TT, Sin KYK, Yeh H, Buddhari W, Chunhamaneewat N, Hasan F, Fox KAA, Nguyen QN, Lo STH. 2020 Asian Pacific Society of Cardiology Consensus Recommendations on Antithrombotic Management for High-risk Chronic Coronary Syndrome. European Cardiology Review 2021; 16:e26. DOI:https://doi.org/10.15420/ecr.2020.45
Thillainadesan J, Hilmer S, Cullen J, Aitken SJ, Kerdic R, Monaro S, Naganathan V. GeriCO-V reduces delirium in older vascular inpatients. Australasian Journal on Ageing 2021; 40 (1):24
Thillainadesan J, Hilmer S, Cullen J, Aitken SJ, Monaro S, Kerdic R, Naganathan V. Geriatric Co-management of Older Vascular Surgery Inpatients Reduces Hospital-Acquired Geriatric Syndromes. J Am Med Dir Assoc, 2021;S1525-8610(21)00903-8. DOI: 10.1016/j.jamda.2021.09.037
Thillainadesan J, Hilmer S, Mudge A, Aitken SJ, Kearney L, Monaro S, Li SJ, Schasser S, Kerdic R, Tang R, Naganathan V. Understanding the role and value of process quality indicators in older vascular surgery inpatients.  Journal of Surgical Research 2021; 267: 91-101 doi.org/10.1016/j.jss.2021.05.003.
VERN Collaborative*. Outcomes of Vascular and Endovascular Interventions Performed During the Coronavirus Disease 2019 (COVID-19) Pandemic: The Vascular and Endovascular Research Network (VERN) Covid-19 Vascular Service (COVER) Tier 2 Study. Annals of Surgery Dec 2020; DOI: 10.1097/SLA.0000000000004722  *Aitken SJ Australian International Lead
Waird, A., & Monaro, S. (2021). Reducing the incidence and severity of pressure injuries in a high level care residential aged facility: A quality improvement project. Wound Practice & Research: Journal of the Australian Wound Management Association, 29(2), 77-85. DOI: 10.3316/informit.893413724048964