ADVANCE is a collaboration between the Defence Medical Rehabilitation Centre (DMRC), Imperial College London and King’s College London.
At present, ADVANCE is funded by a direct LIBOR grant from the Chancellor of the Exchequer, the UK Ministry of Defence and Help for Heroes.
The study investigates both the physical and psycho-social outcomes of battlefield casualties in the long-term, and is the first prospective cohort study in this area. Previous studies into war veterans have been done involving military personnel from the Vietnam and World Wars; they were of retrospective or cross-sectional design and had inconclusive results.
Due to the world-leading battlefield trauma care provided by the UK Defence Medical Services, there was a significant increase in the survival rates of severely injured military personnel who served in the Afghanistan War of 2002-2014. This necessitated a comprehensive long-term study of the surviving casualties. ADVANCE aims to study, prospectively, the incidence of a very wide variety of physical and psycho-social outcomes. It will facilitate learning for future conflicts and enable appropriate support to be given to injured servicemen and their families.