Although clinicians acknowledged the limitations of the AMH test in predicting natural conception and would not offer the AMH test in the hypothetical scenario, many reported having used the test in their clinical practice for reasons not supported by the evidence (e.g. reproductive planning). Further, [...]
The objective of this study is to examine referral patterns for people with musculoskeletal complaints presenting to Australian general practitioners (GPs). This longitudinal analysis from the POpulation Level Analysis Reporting (POLAR) database includes 133,279 patients with low back (aged ≥18) or neck, shoulder and/or knee [...]
Health care is a major contributor to climate change, and critical care is one of the sector’s highest carbon emitters. Health economic evaluations form an important component of critical care and may be useful in identifying economically efficient and environmentally sustainable strategies. The purpose of [...]
We report a series of patients attending a specialized cardiac genetic clinic with a putative loss-of-function FLNCtv. The phenotype is characterized by left-sided ACM in the presence of fibro-fatty infiltration of the myocardium with high risk of severe cardiac outcomes including end-stage heart failure and SCD. This [...]
Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder [...]
We aimed to investigate the immediate effect of best practice education (with and without pain science messages) and structure-focused education on reassurance among people with rotator cuff–related shoulder pain. We conducted a 3-arm, parallel-group, randomised experiment. People with rotator cuff–related shoulder pain were randomised (1:1:1) [...]
The growing number of Direct To Consumer (DTC) tests available for direct purchase online in Australia purport to empower consumers with choice and convenience of access. The categorisation of clinical utility developed in this study shows the majority of currently available products lack clear benefits [...]
To the Editor: Good clinical decisions should weigh benefits against harms. The recent JAMA Insights article on gestational diabetes mellitus (GDM) focused on the potential benefits of increased detection and treatment of GDM and subsequent promotion of cardiovascular health.1 Unmentioned were the potential detrimental effects of overdiagnosis [...]
This study used a large longitudinal community-based population cohort to identify the fertility treatment pathways used by participants with and without PCOS and investigate whether any pathways were more likely to result in a birth. Our findings are in line with previous studies showing that [...]
The capacity to meet anticipated growth in joint replacement demand requires safe, efficient models of care. While short-stay joint replacement programs are being used internationally, they have not been widely implemented in many countries. Importantly, the critical challenges that need to be addressed ahead of [...]