Given the cost differential between surgical and non-surgical management of distal radius fractures, we aimed to evaluate the cost-effectiveness of surgical compared with non-surgical treatment of distal radius fractures in a cohort of older patients.
Osteoarthritis (OA) is the most common form of arthritis and has been estimated to affect over 2.2 million Australians. While mild to moderate forms of the condition can be managed via non-surgical means (e.g. with guideline-recommended education, exercise, weight management and pharmacological treatments), more severe [...]
Deprescribing can be an appropriate intervention when a person’s medications shift towards an unfavourable benefit-to-harm ratio due to changes in an older adult’s medications, health conditions, preferences and treatment goals. To elicit an individual’s preferences and to understand their goals of care, it is essential [...]
Older adults should be supported to make informed decisions about cancer screening. However, it is unknown how general practitioners (GPs) in Australia communicate about cancer screening with older people.
Hip fractures are devastating for older people. The incidence of hip fracture declined in Australia by 9.5% between 2006–07 and 2015–16. However, the number of older people with hip fractures is expected to increase as the population ages, particularly among the oldest old (aged 80 years [...]
This systematic review of 21 studies identified that positive screening attitudes and gaining knowledge and reassurance were associated with the decision to undergo screening, whereas negative screening attitudes and not wanting to know whether one has cancer were associated with the decision to forgo screening. [...]
Genetic testing is used to optimise the management of inherited cardiovascular disorders that can cause sudden cardiac death. Yet more genotype–phenotype correlation studies from populations not ascertained on clinical symptoms or family history of disease are required to improve understanding of gene penetrance. We performed [...]
Active patient involvement in medical decision making has become increasingly important. This can be particularly challenging for older people, who face many, often complex, health-related decisions. Clinical guidelines need to place emphasis on both benefits and harms, to enhance a careful consideration of treatment options [...]
This paper set out to assess different strategies for communicating to older adults about stopping cancer screening. We found that older adults may reduce their screening intention without reporting increased cancer anxiety when clinicians use a more confronting strategy communicating they may not live long [...]
There’s a need to better balance clinicians’ evidence-based bias and older patients’ value-based preferences in shared decision-making, write a collaborative of researchers and advocates from Queensland and New South Wales...