Shoulder replacement surgery is an effective intervention that can relieve pain and improve function for people with severe shoulder disorders. The use of shoulder replacement has been steadily increasing over time worldwide because of the expanding range of clinical indications, including osteoarthritis, which is most [...]
We compared the impact of accessing healthcare (1) by telehealth (via telephone or video) vs face-to-face; and (2) by telephone vs video telehealth care, on escalation to emergency care. We searched Medline, Embase and Cochrane CENTRAL to 24 July 2023; and conducted a citation analysis [...]
Residential aged care facilities (RACF) are sites of high antibiotic use in Australia. Misuse of antimicrobial drugs in RACF contributes to antimicrobial resistance (AMR) burdens that accrue to individuals and the wider public, now and in the future. Antimicrobial stewardship (AMS) practices in RACF, e.g. [...]
Patient outcomes following low-trauma hip fracture are suboptimal resulting in increased healthcare costs and poor functional outcomes at 1 year. Providing early and intensive in-hospital physiotherapy could help improve patient outcomes and reduce costs following hip fracture surgery. The HIP fracture Supplemental Therapy to Enhance [...]
This randomised case vignette study showed that having access to a chart that graphs percentile kidney function (eGFR) by age was associated with more appropriate management review periods for the patient cases with reduced kidney function. In the case of the older woman with stable [...]
Diagnostic uncertainty, risk perceptions, time constraints, and pressure from resident/family members and nurses have been identified as potential barriers to reducing antibiotic prescribing in residential aged-care facilities. The current study investigated the relationship between nurses’ anxiety, clinical tolerance of uncertainty, and behaviors that favor antimicrobial [...]
Prescribers perceive interprofessional tensions and specifically, pressure from nurses to prescribe antibiotics as a significant barrier to reducing overprescribing in RACFs. The primary aim of the current study was to develop a scale that measures nursing behaviours related to antibiotic initiation in RACF. As expected, [...]
Deprescribing is the process of a healthcare professional reducing or stopping an inappropriate medication. Statins, commonly prescribed to prevent cardiovascular events, pose uncertain benefits and potential harms for older adults, making deprescribing a preference-sensitive decision. Deprescribing studies typically ask general questions about deprescribing preferences; however, [...]
Older women receive no information about why Australia’s breast screening program (BreastScreen) invitations cease after 74 years. We tested how providing older women with the rationale for breast screening cessation impacted informed choice (adequate knowledge; screening attitudes aligned with intention).
There is little evidence on the balance between potential benefits and harms of mammography screening in women 75 years and older. The aim of this systematic review was to synthesise the evidence on the outcomes of mammography screening in women aged 75 years and older.