DR. THOMAS R. DOWNES III, M.D.

FORT COLLINS, CO

Research Active
Internal Medicine - Interventional Cardiology NPI registered 21+ years 23 publications 1993 – 2023 NPI: 1245236371
Augmented RealityQuality ImprovementSurgeonsElective Surgical ProceduresAgingTask Performance and AnalysisDelivery of Health CareDecision MakingFeedback, SensoryPeriodicals as TopicGlobal HealthHealth Services for the AgedGeneral PracticeHealth Services ResearchComputer Graphics

Practice Location

2121 E HARMONY RD
FORT COLLINS, CO 80528-3400

Phone: (970) 221-1000

What does THOMAS DOWNES research?

Dr. Downes studies the intersection of healthcare and technology, particularly how innovations can improve care for older adults and those with specific health conditions. His research on surgical tasks highlights how augmented reality technology can enhance precision in the operating room. Additionally, he investigates how healthcare delivery can be optimized for elderly patients, such as transforming discharge processes to ensure faster and more effective recoveries. His studies also address the health conditions affecting older adults, including foot osteoarthritis and the management of atrial fibrillation, working to ensure safer and more effective treatment options.

Key findings

  • Discharge assessments for frail older patients were successfully shortened from an average of 5.5 days to just 1.2 days by changing the discharge process.
  • In a study of older adults with foot osteoarthritis, it was found that 15% had OA in multiple joints, leading to more pain and limitations, emphasizing the need for targeted treatments.
  • A study comparing warfarin to aspirin for stroke prevention in octogenarians found that only 6% of those on warfarin experienced serious complications, compared to 33% on aspirin.

Frequently asked questions

Does Dr. Downes study aging-related healthcare?
Yes, Dr. Downes focuses significantly on healthcare improvements for elderly patients, including management of their discharge from hospitals.
What treatments has Dr. Downes researched for older patients?
He has researched the use of colonic stenting as a safer treatment alternative for elderly patients facing colon obstructions.
Is Dr. Downes's work relevant to patients with foot osteoarthritis?
Yes, his research on foot osteoarthritis helps identify the different forms of the condition and suggests targeted treatments for affected patients.

Publications in plain English

Understanding Effects of Visual Feedback Delay in AR on Fine Motor Surgical Tasks.

2023

IEEE transactions on visualization and computer graphics

Khan T, Zhu TS, Downes T, Cheng L, Kass NM +2 more

Plain English
This study looked at how delays in visual feedback from augmented reality (AR) systems affect surgeons while they perform precise tasks. The researchers found that higher delays made it harder for surgeons using the Microsoft HoloLens 2 to complete tasks accurately, compared to traditional monitor displays, but the cognitive load didn't change much based on the type of display or delay. Understanding these effects helps improve AR systems, ensuring they support surgical performance effectively. Who this helps: Surgeons using augmented reality in operating rooms.

PubMed

Parents' beliefs about and associations to their elementary children's home technology usage.

2020

Education and information technologies

Downes T, Di Cesare DM, Gallagher TL, Rowsell J

Plain English
This study looked at how parents, particularly newcomers and immigrants, view and interact with technology in relation to their elementary school children. Researchers surveyed 70 parents from two low-income schools in Ontario and found that many parents had strong beliefs about how much and what type of technology their children should use, often influenced by their backgrounds. The findings highlight the need to help these parents better understand modern technology and literacy so they can more effectively support their children's learning. Who this helps: This helps immigrant and newcomer parents understand technology's role in their children's education.

PubMed

Age and Ageing to introduce a new category of paper: healthcare improvement science.

2019

Age and ageing

Parker SG, Downes T, Godfrey M, Matthews R, Martin FC

Plain English
This paper discusses a new type of research that focuses on improving healthcare for older people. The authors highlight important aspects such as sustainability, the need for evaluation, and the involvement of patients in the improvement process. Resources and reference materials are provided to help those looking to contribute to this area of research. Who this helps: This benefits older patients, healthcare providers, and researchers in geriatric healthcare.

PubMed

Staring into the crystal ball.

2019

Future healthcare journal

Downes T

PubMed

Corrigendum: Staring into the crystal ball.

2019

Future healthcare journal

Downes T

PubMed

Transformative change requires statistical evidence.

2018

Future healthcare journal

Downes T

PubMed

Discharge to assess: transforming the discharge process of frail older patients.

2017

Future hospital journal

Offord N, Harriman P, Downes T

Plain English
This study looked at how changing the way frail older patients are discharged from the hospital can make the process quicker and more effective. By moving patients to their homes for assessments rather than completing them in the hospital, the average time to get home after treatment dropped from 5.5 days to just 1.2 days. This is important because it helps patients return to their familiar environment sooner and receive more tailored support as they recover. Who this helps: Frail older patients and their families.

PubMed

Investigations of Potential Phenotypes of Foot Osteoarthritis: Cross-Sectional Analysis From the Clinical Assessment Study of the Foot.

2016

Arthritis care & research

Rathod T, Marshall M, Thomas MJ, Menz HB, Myers HL +4 more

Plain English
This study looked at different types of foot osteoarthritis (OA) by analyzing how the joints were affected in older adults who reported foot pain. Out of 533 participants aged about 65, researchers found that 64% had little to no OA, 22% had OA mainly in the big toe joint, and 15% had OA in multiple joints. The study shows that people with multiple joint involvement experienced more pain and limitations, which highlights the need for targeted treatments for these different types of OA. Who this helps: Patients with foot osteoarthritis and their doctors.

PubMed

Improving quality.

2016

Future hospital journal

Downes T

PubMed

Introducing quality improvement as an intrinsic part of healthcare.

2016

Future hospital journal

Silvester K, Harriman P, Downes T

Plain English
This study looked at how healthcare systems can better recognize and improve safety, efficiency, and overall quality. It found that healthcare providers need specific skills, opportunities, and motivation to make improvements, such as the ability to understand and innovate healthcare processes. By focusing on these areas, hospitals can create a better environment for staff to learn and adapt, which leads to healthier outcomes for patients. Who this helps: This helps healthcare workers and, ultimately, patients who receive care.

PubMed

Frailsafe: from conception to national breakthrough collaborative.

2016

Acute medicine

Offord N, Wyrko Z, Downes T, Hopper A, Harriman P +1 more

Plain English
This study focuses on the increasing number of older adults worldwide, with projections showing that by 2050, there will be nearly 2 billion people over 60, and 395 million over 80. It highlights that two-thirds of people admitted to hospitals in the UK are over 65, and many elective surgeries involve patients who are getting older. Addressing this aging population is crucial for improving healthcare systems and ensuring that they can effectively support older patients as their numbers keep rising. Who this helps: This helps patients, doctors, and health care policymakers.

PubMed

Improving self-efficacy in spinal cord injury patients through "design thinking" rehabilitation workshops.

2014

BMJ quality improvement reports

Wolstenholme D, Downes T, Leaver J, Partridge R, Langley J

Plain English
This study explored how "design thinking" workshops could help people with spinal cord injuries feel more confident in their rehabilitation process. Out of 20 participants, those who attended the workshops showed significant improvements in self-reported health and activation scores, with 65% being male and averaging 37 years old. These findings matter because they suggest that creative problem-solving workshops may enhance the emotional and psychological well-being of spinal injury patients, even if they don't affect hospital stay length or readmission rates. Who this helps: This helps patients recovering from spinal cord injuries.

PubMed

A randomised controlled trial of warfarin versus aspirin for stroke prevention in octogenarians with atrial fibrillation (WASPO).

2007

Age and ageing

Rash A, Downes T, Portner R, Yeo WW, Morgan N +1 more

Plain English
This study compared the effectiveness of warfarin and aspirin for preventing strokes in people aged 80 to 90 with a heart condition called atrial fibrillation. Researchers found that those taking warfarin experienced fewer serious complications (only 6% of patients) compared to those taking aspirin (33% of patients had issues), showing that warfarin is a safer option for this age group. This is important because it highlights a better choice for stroke prevention in the elderly, a group that often faces higher risks. Who this helps: This helps elderly patients with atrial fibrillation and their doctors in making safer treatment decisions.

PubMed

Colonic stenting: an alternative to surgery in the elderly.

2007

Age and ageing

Rosario BH, Hurlstone P, Lee F, Downes T

Plain English
This study looks at using colonic stenting as a way to treat an elderly patient who had a blockage in the right side of their colon. The patient was frail and had multiple health issues, making surgery risky. The findings highlight that colonic stenting can be a safer option than surgery for older patients with similar problems. Who this helps: This helps elderly patients with colon obstructions and their healthcare providers.

PubMed

Scene-based nonuniformity corrections for optical and SWIR pushbroom sensors.

2005

Optics express

Leathers R, Downes T, Priest R

Plain English
This study looked at new ways to improve the accuracy of images taken by certain types of cameras that capture visible light and near-infrared light. The researchers tested different techniques for correcting image errors and found that the best method depends on the quality of the images and the scenes being photographed. These improvements matter because they can help produce clearer and more reliable images in various applications, leading to better results in fields like remote sensing and environmental monitoring. Who this helps: This benefits researchers and professionals who rely on high-quality imaging for analysis and decision-making.

PubMed

Self-shading correction for oceanographic upwelling radiometers.

2004

Optics express

Leathers R, Downes T, Mobley C

Plain English
Researchers developed a new mathematical model to fix a common problem with ocean radiation sensors known as self-shading, which affects their accuracy in measuring light coming from the ocean. Their model works well in various water conditions and offers better results than older methods, improving how we understand ocean light data. This is important because accurate light measurements are crucial for studying marine environments. Who this helps: This benefits oceanographers and researchers studying marine ecosystems.

PubMed

Ethical problems in clinical practice.

2003

Postgraduate medical journal

Downes T, Channer KS

Plain English
This research paper discusses the tough ethical decisions that doctors regularly face in their work. The authors describe eight real-life scenarios they've encountered, emphasizing the value of guidelines from the General Medical Council to help them make the right choices. Understanding these ethical challenges is important because it can lead to better patient care and decision-making in healthcare settings. Who this helps: This helps doctors and healthcare providers in making ethical decisions for their patients.

PubMed

Bio-available testosterone levels fall acutely following myocardial infarction in men: association with fibrinolytic factors.

2002

Endocrine research

Pugh PJ, Channer KS, Parry H, Downes T, Jone TH

Plain English
This study looked at how levels of testosterone change in men after a heart attack. Researchers found that men who had a heart attack had significantly lower levels of bio-available testosterone (2.07 nmol/L compared to 5.3 nmol/L in healthy controls) and higher levels of another hormone, 17beta-estradiol. This matters because lower testosterone levels and higher estrogen levels may increase the risk of complications after a heart attack. Who this helps: This helps doctors better understand hormonal changes in men after a heart attack, potentially improving patient care.

PubMed

Derivative analysis of absorption features in hyperspectral remote sensing data of carbonate sediments.

2002

Optics express

Louchard E, Reid R, Stephens C, Davis C, Leathers R +2 more

Plain English
This study analyzed how well remote sensing technology can identify different types of seafloor sediment, focusing on carbonate sediments mixed with microbial pigments. The researchers found that while some minor pigment signals got lost in the water, the major pigments, chlorophyll a and fucoxanthin, could still be detected and their amounts matched up with the actual sediment concentrations. This is important because it shows that remote sensing can effectively monitor sediment types, which is useful for understanding underwater environments. Who this helps: This benefits researchers and environmental scientists studying marine ecosystems.

PubMed

Do not resuscitate decisions. Rigid discussion process before making these decisions may cause distress.

2001

BMJ (Clinical research ed.)

Downes T, Liddle J

PubMed

Plight of elderly people who are made homeless in hospital.

2001

BMJ (Clinical research ed.)

Downes T, Channer KS

PubMed

A highly discriminating octoplex short tandem repeat polymerase chain reaction system suitable for human individual identification.

1995

Electrophoresis

Oldroyd NJ, Urquhart AJ, Kimpton CP, Millican ES, Watson SK +2 more

Plain English
This study developed a new testing method that can identify individuals with a very high level of accuracy, using a technique that amplifies DNA from seven specific genetic markers in a single test. The researchers found that this method has a discrimination power of about 1 in 1 billion, and it can even tell apart samples that differ by just 2 base pairs, making it better than traditional tests. This is important because it improves forensic identification and can help solve crimes more effectively. Who this helps: This helps forensic scientists and law enforcement agencies.

PubMed

Liver transplantation in patients with situs inversus.

1993

Transplant international : official journal of the European Society for Organ Transplantation

Colomb K, Mizrahi S, Downes T, Hayes DH, Hussey JL +1 more

Plain English
This research looked at liver transplantation in patients with situs inversus, a condition where organs are arranged in a mirror image. The study found two new successful cases of liver transplants in patients with this condition, adding to the three previously reported cases. This is important because it shows that with careful evaluation, these surgeries can be done, overcoming challenges linked to unusual anatomy. Who this helps: This benefits patients with situs inversus who need a liver transplant.

PubMed

Frequent Co-Authors

Paul Harriman Robert Leathers Natalie Offord Kevin S Channer K S Channer Talha Khan Toby S Zhu Lucille Cheng Nicolas M Kass Edward G Andrews

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.