Professor Jonathan Michaels
BA (Cantab), MB BChir MA (Cantab), FRCS (Ed), MChir (Cantab)
Population Health, School of Medicine and Population Health
Honorary Professor of Clinical Decision Science
Full contact details
Population Health, School of Medicine and Population Health
1011
Regent Court (ScHARR)
30 Regent Street
ºù«Ӱҵ
S1 4DA
- Profile
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I have had close links with the School of Health and Related Research in ºù«Ӱҵ since moving to ºù«Ӱҵ as a Consultant Vascular Surgeon in 1994. I was appointed to an Honorary Chair at the School of Health and Related Research in 2003 and to a Chair of Professor of Vascular Surgery in 2004. I stopped my clinical practice in 2011 but have continued with a number of research projects related to technology appraisal and decision science.
I recently completed an extensive research programme looking at The Design, Development, Commissioning and Evaluation of Patient Focused Vascular Services, funded by a six-year NIHR Programme Grant for Applied Research.
Recent and ongoing projects
- Studies of the effectiveness and cost effectiveness of treatments for peripheral arterial disease.
- Studies of the effectiveness and cost effectiveness of new treatments for varicose veins.
- Studies relating to clinical decision making in areas of vascular disease including aortic aneurysm and carotid disease.
- Studies of the drivers to the configuration of sub-specialist vascular services.
- Studies of patient and societal preferences for various aspects of service provision and delivery.
- The development of Patient Reported Outcome Measures (PROMs) for vascular disease.
- Studies of disparities in access treatment and outcomes of vascular services based upon socioeconomic factors and ethnicity.
- Research interests
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My research interests include clinical decision science, economic and decision analytic modelling, technology appraisal, the organisation and delivery of sub-specialist services and the ethics of evidence-based healthcare policy. Due to my previous clinical experience many of these projects relate to areas of vascular disease, although I also have wider interests relating to a range of technologies and issues around outcome assessment, decision science and the ethics of policy decisions in healthcare.
- Publications
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Show: Featured publications All publications
Featured publications
Journal articles
- . Health Policy, 131.
- . British Journal of Surgery, 109(10), 958-967.
- . BJS Open, 6(4).
- . British Journal of Surgery, 108(5), 521-527.
- . Programme Grants for Applied Research, 9(5), 1-150.
- . Journal of Medical Ethics.
- . BMJ Open, 10(8).
- . Journal of Medical Ethics.
- . British Journal of Surgery.
- . BMC Health Services Research, 19(1).
- . British Journal of Surgery, 106(13), 1775-1783.
- . British Journal of Surgery, 106(13), 1719-1722.
- . Health Technology Assessment, 22(43).
- . The European Journal of Health Economics, 20(3), 427-438.
- . European Journal of Vascular and Endovascular Surgery, 56(6), e30-e30.
- . British Journal of Surgery.
- . Annals of Vascular Surgery, 45, 271-286.
Chapters
- Interdisciplinary perspectives on practice-based research In Vear C (Ed.), The Routledge International Handbook of Practice-Based Research
- , Core Topics in General and Emergency Surgery (pp. 1-22). Elsevier
Reports
All publications
Journal articles
- . Journal of Vascular Nursing.
- . BJS Open, 8(5).
- . Journal of Obstetrics and Gynaecology, 44(1).
- . BJS Open, 8(1).
- . BJS Open, 7(4).
- . Health Policy, 131.
- . British Journal of Surgery, 109(10), 958-967.
- . BJS Open, 6(4).
- . Surgical Infections, 23(1), 73-83.
- . British Journal of Surgery, 108(5), 521-527.
- . Programme Grants for Applied Research, 9(5), 1-150.
- . Journal of Medical Ethics.
- . Value in Health Regional Issues, 22, S105-S105.
- . BMJ Open, 10(8).
- . Journal of Medical Ethics.
- . British Journal of Surgery.
- . British Journal of Surgery, 107(5), 613-614.
- . BMC Health Services Research, 19(1).
- . British Journal of Surgery, 106(13), 1775-1783.
- . International Wound Journal, 16(6), 1559-1569.
- . British Journal of Surgery, 106(13), 1719-1722.
- . Journal of Vascular Surgery: Venous and Lymphatic Disorders, 7(6), 915-915.
- . Health Technology Assessment, 22(43).
- . The European Journal of Health Economics, 20(3), 427-438.
- . European Journal of Vascular and Endovascular Surgery, 56(6), e30-e30.
- . Journal of Clinical Nursing.
- . British Journal of Surgery.
- . Patient.
- . The Patient - Patient-Centered Outcomes Research, 11(5), 489-502.
- . International Wound Journal, 15(5), 822-828.
- . The Lancet, 392(10146), 487-495.
- . Annals of Vascular Surgery, 50, 275-283.
- . Journal of Clinical Epidemiology, 99, 75-83.
- . British Journal of Dermatology, 178(5), 1072-1082.
- . European Journal of Applied Physiology, 118(2), 321-329.
- . British Journal of Surgery, 1(5), 138-147.
- . Annals of Vascular Surgery, 45, 271-286.
- . British Journal of Surgery, 104(12), 1656-1664.
- . Journal of Advanced Nursing.
- . British Journal of Surgery, 104(11), 1424-1432.
- . British Journal of Surgery, 104(10), 1273-1283.
- . The Lancet, 389(10088), 2482-2491.
- . European Journal of Vascular and Endovascular Surgery, 53(1), 77-88.
- . British Journal of Surgery, 104(4), 317-327.
- . Health and Quality of Life Outcomes, 14(1), 161-161.
- The relationship between hospital or surgeon volume and outcomes in lower limb vascular surgery in Europe. HTAi 2016 Abstract Book (ISUU), 131-`32.
- . Trials, 16(1).
- . Vascular Medicine, 20(4), 348-357.
- Randomized controlled pilot study of a pragmatic structured education programme to increase walking in people with intermittent claudication. BRITISH JOURNAL OF SURGERY, 102, 8-8.
- . British Journal of Surgery, 101(9), 1040-1052.
- Clinical and cost-effectiveness of minimally invasive techniques for the treatment of varicosis: Systematic review and economic evaluation. Vasomed, 26(4), 210-211.
- . Angiology, 65(3), 190-197.
- . Health Technology Assessment, 18(10), 1-252.
- . British Journal of Surgery, 101(6), 632-632.
- . British Journal of Surgery, 100(13), 1838-1839.
- . European Journal of Vascular and Endovascular Surgery, 46(6), 707-714.
- . Journal of Vascular Surgery, 58(6), 1723-1723.
- . British Journal of Surgery, 100(9), 1128-1137.
- . British Journal of Surgery, 100(9), 1180-1188.
- . British Journal of Surgery, 99(12), 1630-1638.
- . BMJ, 345(aug08 1), e4947-e4947.
- . COCHRANE DATABASE OF SYSTEMATIC REVIEWS(1).
- . J Clin Nurs, 19(19-20), 2673-2703.
- . Eur J Appl Physiol, 109(6), 1221-1224.
- . Vascular, 18(1), 28-33.
- Effects of upper-limb exercise on lower-limb cutaneous microvascular function in post-surgical varicose-vein patients. European Journal of Applied Physiology, 1-4.
- . Health Technol Assess, 13(56), 1-iii.
- . Br J Surg, 96(10), 1147-1156.
- . Microvascular Research, 78(1), 67-70.
- . Microvascular Research, 77(2), 158-162.
- . British Journal of Surgery, 96(Supplement_1), 15-15.
- . Phlebology, 24 Suppl 1, 13-33.
- . British Journal of Surgery, 95(2), 183-190.
- . BMJ, 335(7613), 244.
- . J Adv Nurs, 58(5), 458-467.
- . Health Economics, 16(4), 395-405.
- . British Journal of Surgery, 94(4), 441-448.
- . European Journal of Vascular and Endovascular Surgery, 34(4), 386-389.
- . Nursing Standard, 21(45), 57-69.
- . EUR J VASC ENDOVASC, 32(2), 217-221.
- . Health Technol Assess, 10(13), 1-iv.
- . Br J Surg, 93(2), 182-186.
- . Br J Surg, 93(2), 175-181.
- . BRIT J SURG, 93(2), 250-250.
- . BMJ, 332(7532), 48-50.
- . Cochrane Database Syst Rev(3), CD001103.
- An update on the progress of the VULCAN trial. Wounds UK, 2(2), 35-44.
- . EUR J VASC ENDOVASC, 30(6), 664-669.
- . EUR J VASC ENDOVASC, 30(4), 437-440.
- Screening for abdominal aortic aneurysm (AAA) reduced mortality caused by AAA in Danish men 64 to 73 years of age.. ACP J Club, 143(2), 39.
- . Br J Surg, 92(8), 937-946.
- . Br J Surg, 92(8), 960-967.
- . European Journal of Vascular and Endovascular Surgery, 30(2), 115-118.
- . Praxis, 94(21), 874-874.
- . Evidence-Based Medicine, 10(5), 142.
- . J Clin Nurs, 13(3), 332-340.
- . Cochrane Database Syst Rev(4), CD004980.
- . Br J Surg, 90(7), 827-831.
- Screening for abdominal aortic aneurysms was cost-effective for prolonging survival from AAA-related death in older men.. ACP J Club, 139(1), 24.
- Implications of the proposed new consultant contract on the provision of vascular services. ANN ROY COLL SURG, 85(2), 134-134.
- The outcome of varicose vein surgery at 10 years: clinical findings, symptoms and patient satisfaction. ANN ROY COLL SURG, 85(1), 52-57.
- . Evidence-Based Medicine, 8(4), 125.
- . New England Journal of Medicine, 346(19), 1445-1452.
- Systematic review of stripping of the long saphenous vein in varicose vein surgery. BRIT J SURG, 89(4), 507-507.
- Case mix in recruitment to a randomized controlled trial of varicose vein treatment. BRIT J SURG, 89(4), 507-507.
- . Cochrane Database Syst Rev(4), CD001486.
- . BMC News and views, 1(S3).
- . Br J Surg, 88(7), 964-968.
- . Journal of Health Services Research & Policy, 6(3), 151-157.
- . ACP Journal Club, 134(3), 105-105.
- . British Journal of Surgery, 88(4), 610-611.
- . Phlebology: The Journal of Venous Disease, 16(1), 29-33.
- A new pragmatic classification system for varicose veins. PHLEBOLOGY, 16(1), 29-33.
- Evidence-based guidelines for the configuration of vascular services. Journal of Clinical Excellence, 3(3), 145-153.
- Pragmatic system for the grading of evidence and recommendations in clinical guidelines. Journal of Clinical Excellence, 3(3), 139-143.
- . European Journal of Vascular and Endovascular Surgery, 20(4), 326-335.
- . European Journal of Vascular and Endovascular Surgery, 20(4), 326-335.
- . British Journal of Surgery, 87(4), 515-515.
- . Eur J Vasc Endovasc Surg, 19(2), 143-157.
- Smoking, lung function and the prognosis of abdominal aortic aneurysm. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 19(6), 636-642.
- . Health Technology Assessment, 4(11).
Chapters
- Interdisciplinary perspectives on practice-based research In Vear C (Ed.), The Routledge International Handbook of Practice-Based Research
- , Core Topics in General and Emergency Surgery (pp. 23-40). Elsevier
- , Core Topics in General and Emergency Surgery (pp. 1-22). Elsevier
- Indications for treatments of varicose veins In Labropoulos N & Stansby G (Ed.), Venous and Lymphatic Diseases (pp. 245-256). New York: Informa Healthcare.
Conference proceedings papers
- . Value in Health, Vol. 21 (pp S392-S392)
- RISK ADJUSTMENT FOR COMORBIDITIES IN AORTIC ANEURYSM SURGERY. BRITISH JOURNAL OF SURGERY, Vol. 105 (pp 8-8)
- . International Journal of Technology Assessment in Health Care, Vol. 33(S1) (pp 12-13), 17 June 2017 - 21 June 2017.
- Is there any valid patient reported outcome measures (PROMs) for patients undergoing carotid artery revascularisation?. BRITISH JOURNAL OF SURGERY, Vol. 104 (pp 13-13)
- How to measure patient reported outcome measures (PROMs) in patients with peripheral arterial disease (PAD): mixed methods. BRITISH JOURNAL OF SURGERY, Vol. 104 (pp 12-12)
- How to measure patient reported outcome measures (PROMs) for patients with venous leg ulcers (VLU): a mixed method study. BRITISH JOURNAL OF SURGERY, Vol. 104 (pp 14-14)
- Trends in aortic aneurysm treatment from Hospital Episode Statistics (HES). BRITISH JOURNAL OF SURGERY, Vol. 103 (pp 20-20)
- . Quality of Life Research, Vol. 24 (pp 77-77), 21 October 2015 - 24 October 2015.
- . Medicine & Science in Sports & Exercise, Vol. 46 (pp 372-372)
- . 13th IEEE International Conference on BioInformatics and BioEngineering, 10 November 2013 - 13 November 2013.
- . Value in Health, Vol. 15(7) (pp A633-A633)
- A prospective clinical trial of the management and outcome of uncomplicated varicose veins. BRITISH JOURNAL OF SURGERY, Vol. 92(4) (pp 506-506)
- Randomized trial of treatment for uncomplicated varicose veins: surgery is clinically and cost effective. BRITISH JOURNAL OF SURGERY, Vol. 92(4) (pp 506-507)
- Decision and cost-effectiveness analysis of endovascular abdominal aortic aneurysm repair: defining an evidence-based management strategy pending randomized trial results. BRITISH JOURNAL OF SURGERY, Vol. 92(4) (pp 513-513)
- Intermittent claudication: should more patients receive invasive treatment?. BRITISH JOURNAL OF SURGERY, Vol. 92 (pp 26-26)
- . Value in Health, Vol. 7(6) (pp 775-775)
- Mitochondrial DNA depletion syndrome causing Spinal Muscle Atrophy. NEUROLOGY, Vol. 62(7) (pp A21-A22)
- COMPARISON OF PATIENT AND GENERAL POPULATION VALUES: THE CASE OF VARICOSE VEINS. QUALITY OF LIFE RESEARCH, Vol. 13(9) (pp 1557-1557)
- Mortality following aortic surgery: the potential value of league tables. BRITISH JOURNAL OF SURGERY, Vol. 90(4) (pp 495-495)
- Implications of the proposed new consultant contract on the provision of vascular services. BRITISH JOURNAL OF SURGERY, Vol. 90(4) (pp 501-501)
- Ruptured aortic aneurysm: how do we get the experience?. BRITISH JOURNAL OF SURGERY, Vol. 90(4) (pp 493-494)
Reports
- Explaining national differences in the mortality of Covid-19 : individual patient simulation model to investigate the effects of testing policy and other factors on apparent mortality
- Understanding the experience and impact of living with a vascular condition from the patients perspective: a qualitative evidence synthesis protocol
Posters
- Living with vascular disease: A qualitative study. The Royal College of Nursing International Research Conference 2017.
- Searching for evidence for systematic reviews of volume outcome relationship in peripheral vascular surgery. 2016 HTAi Annual meeting, Tokyo Japan.
- Volume-outcome relationships in the treatment of AAA in Europe: a systematic review. Health Technology Assessment International (Tokyo).
- Volume-outcome relationships in peripheral vascular surgery: an overview of reviews. Health Technology Assessment International (Tokyo).
- Patient-reported outcome measures in patients with peripheral artery disease: A systematic review. Health Technology Assessment international.
- Patient-reported outcome measures in patients with abdominal aortic aneurysm – A systematic review. Health Technology Assessment International.
Presentations
- . Oxford.
- Development of an electronic personal assessment questionnaire to capture the impact of living with a vascular condition;the ePAQ-VAS. University of Oxford Examination Schools.
Other
- Teaching interests
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In the past I have been closely involved in teaching of both clinical trainees and post graduate students on the masters programmes. I was involved in the development and running of the masters programme in clinical research and have supervised and examined for higher degrees.
- Professional activities and memberships
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- Chair of Steering Committee for BASIL 2 and BASIL 3 Trials
- Member of Steering Committee for the UK-COMPASS Trial
- Previous Chair of a Research Special Interest Group for Vascular Service Provision and Access for The Vascular Society for Great Britain and IrelandPrevious Vice Chair of NICE Appraisal Committee
- Previous Chair of NICE Guideline Development Group for Peripheral Arterial Disease
- Previous Chair of Interventional Procedures Priorities Panel and Member of Prioritisation Group and Strategy and Oversight Group for the NIHR HTA Programme
- Recent Blog Posts and Podcast
- Podcast: Mason Institute Investigates Episode 5: Clinical decision making: Evidence based, or Values based?
- Michaels, J. A. (2021). 'Paying more for highly specialised technologies: equity or profligacy?' The Journal of Medical Ethics Blog. 3 June 2021; Available from:
- Michaels, J. A. (2020). ‘Valuing the care in healthcare: priorities and trade-offs', The Journal of Medical Ethics Blog. 16 March 2021; Available from:
- Michaels, J. A. (2020). ‘NICE’s wrong turns: opportunity costs and missed opportunities', The Journal of Medical Ethics Blog. 30 November 2020; Available from:
- Michaels, J. A. (2020). ‘Covid-19: Value-based decision making', The Journal of Medical Ethics Blog. 8 July 2020; Available from:
- Michaels, J. A. (2020). 'Don’t blame the science', The Journal of Medical Ethics Blog. 4 June 2020; Available from:
- Michaels, J. A. (2020). 'Evidence-based injustices', The Journal of Medical Ethics Blog. 29 May 2020; Available from:
- Michaels, J. A. (2016). 'Bridging the gap between academics and practitioners', The BMJ Opinion. Available from:
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