Publications

Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics – Simon P Vella et al.

2024-04-07T13:51:47+10:00Clinical guidelines, Emergency Department, Health literacy, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Pain, Physiotherapy, Publications, Treatment|

Internationally, non-traumatic low back pain (LBP) is an increasingly common presentation to ambulance services. Consequently, paramedics are often the first providers of care for people with LBP. Australian guidelines for paramedic management of LBP recommend the use of simple analgesia, hot/cold therapy and for people [...]

RECITAL: a non-inferiority randomised control trial evaluating a virtual fracture clinic compared with in-person care for people with simple fractures (study protocol) – Min Jiat Teng et al.

2024-04-07T13:15:38+10:00Imaging, Musculoskeletal, Pain, Physiotherapy, Publications, Surgery, Treatment, Virtual Care/Telehealth|

Most simple undisplaced fractures can be managed without surgery by immobilising the limb with a splint, prescribing medication for pain, and providing advice and early rehabilitation. Recent systematic reviews based on retrospective observational studies have reported that virtual fracture clinics can deliver follow-up care that [...]

Are clinically unimportant findings qualified as benign in lumbar spine imaging reports? A content analysis of plain X-ray, CT and MRI reports – Caitlin Farmer et al.

2024-04-07T13:09:31+10:00Disease labels, Imaging, Low back pain, Musculoskeletal, Overdiagnosis, Overtreatment, Overuse, Pain, Publications, Radiology reports, Spinal|

Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign. Our primary aim was to determine the frequency that common, benign findings are reported in lumbar spine plain X-ray, computed tomography (CT) and magnetic [...]

Clinical care standards for the management of low back pain: a scoping review – Gabriel S. Alves et al.

2024-04-07T13:01:17+10:00Clinical guidelines, Clinical quality, Imaging, Low back pain, Musculoskeletal, Opioids, Pain, Publications, Spinal, Treatment|

The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care standards for the management of low back [...]

Benefits and harms of prostate specific antigen testing according to Australian guidelines – Michael Caruana et al.

2024-04-07T12:52:52+10:00Cancer, Overdiagnosis, Prostate cancer, Publications, Risk, Screening, Tests|

Guidelines for prostate specific antigen (PSA) testing in Australia recommend that men at average risk of prostate cancer who have been informed of the benefits and harms, and who decide to undergo regular testing, should be offered testing every 2 years from 50 to 69 years. This [...]

Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis – Jason A Wallis et al.

2024-04-07T12:50:24+10:00Ageing, Emergency Department, Health professionals, Health system, Publications, Shared decision making, Virtual Care/Telehealth|

Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost‐effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to [...]

Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney – Sumathy Ravi et al.

2024-04-05T15:56:55+11:00COVID-19, Diabetes, Primary Care, Publications, Shared decision making, Virtual Care/Telehealth|

Integrated care models such as this Community Diabetes Clinic can be feasible when enabled by virtual care. This case study demonstrated a promising integrated model that was acceptable to both health providers and patient with improved clinical outcomes. Future research could investigate the feasibility of [...]

Gestational diabetes mellitus screening and diagnosis criteria before and during the COVID-19 pandemic: a retrospective pre–post study – Paul P Glasziou & Jenny A Doust

2024-04-05T15:49:44+11:00COVID-19, Diabetes, Disease labels, Gestational diabetes, Overdiagnosis, Publications, Screening, Women's health|

To the Editor: Meloncelli and colleagues1 have provided clear evidence that a fasting venous plasma glucose (FVPG) assessment may be used to decrease the number of unnecessary oral glucose tolerance tests (OGTTs) for low risk women. This would be a very welcome step forward. However, it does [...]

Models for delivery and co‐ordination of primary or secondary health care (or both) to older adults living in aged care facilities – Polina Putrik et al.

2024-04-05T15:32:18+11:00Ageing, Clinical guidelines, Health system, Primary Care, Publications|

The number of older people is increasing worldwide and public expenditure on residential aged care facilities (ACFs) is expected to at least double, and possibly triple, by 2050. Co‐ordinated and timely care in residential ACFs that reduces unnecessary hospital transfers may improve residents' health outcomes [...]

Methods to include environmental impacts in health economic evaluations and health technology assessments: a scoping review – Jake T.W. Williams et al.

2024-04-05T15:20:05+11:00Carbon footprint, Carbon neutral, Climate change, Publications, Sustainable health care|

The environmental impacts of healthcare are an important factor that should be considered during health technology assessments. This study aims to summarise the evidence that exists about methods to include environmental impacts in health economic evaluations and health technology assessments.

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