Publications

Health benefits and harms of mammography screening in older women (75+ years)-a systematic review – Erin Mathieu et al.

2023-12-04T13:33:17+11:00Ageing, Breast cancer, Cancer, Overdiagnosis, Publications, Screening, Women's health|

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. [...]

General practitioners’ decision-making process to prescribe pain medicines for low back pain: a qualitative study – Giovanni E Ferreira et al.

2023-12-04T13:22:01+11:00Back pain, General Practice, Low back pain, Musculoskeletal, Opioids, Pain, Primary Care, Publications|

Pain medicines are widely prescribed by general practitioners (GPs) when managing people with low back pain (LBP), but little is known about what drives decisions to prescribe these medicines. The aim of this study was to investigate what influences GPs' decision to prescribe pain medicines [...]

Clinical Observation, Management and Function Of low back pain Relief Therapies (COMFORT): A cluster randomised controlled trial protocol – Christina Abdel Shaheed et al.

2023-12-04T13:11:20+11:00Back pain, Low back pain, Musculoskeletal, Opioids, Pain, Prescribing, Publications|

Low back pain (LBP) is commonly treated with opioid analgesics despite evidence that these medicines provide minimal or no benefit for LBP and have an established profile of harms. International guidelines discourage or urge caution with the use of opioids for back pain; however, doctors [...]

“We’re trained to trust our patients”: a qualitative study on the general practitioners’ trust in patients for colorectal cancer shared care – Faith R Yong et al.

2023-12-04T13:08:51+11:00Cancer, General Practice, Primary Care, Publications, Shared decision making|

In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be [...]

Improving the accuracy of blood pressure measuring devices in Australia: a modelled return on investment study – Zachary Desson et al.

2024-04-05T14:31:16+11:00Cardiovascular disease, Diagnostic system, Hypertension, Low-value care, Overdiagnosis, Overtreatment, Publications, Underdiagnosis|

The VALID BP project was initiated to increase the availability of validated blood pressure measuring devices (BPMDs). The goal is to eliminate non validated BPMDs and minimise over- and underdiagnosis of hypertension caused by inaccurate readings. This study was undertaken to assess the potential return [...]

Preoperative breast MRI positively impacts surgical outcomes of needle biopsy-diagnosed pure DCIS: a patient-matched analysis from the MIPA study – Andrea Cozzi et al.

2023-12-04T13:02:27+11:00Breast cancer, Cancer, Imaging, Publications, Surgery, Women's health|

Objectives: To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). The MIPA observational study database (7245 patients) was searched for patients aged 18-80 years with pure unilateral DCIS diagnosed at core needle or [...]

Evidence of shared genetic factors in the etiology of gastrointestinal disorders and endometriosis and clinical implications for disease management – Fei Yang et al.

2023-12-04T12:57:26+11:00Genetic testing, Prescribing, Publications, Treatment, Women's health|

In clinical practice, the co-existence of endometriosis and gastrointestinal symptoms is often observed. Using large-scale datasets, we report a genetic correlation between endometriosis and irritable bowel syndrome (IBS), peptic ulcer disease (PUD), gastro-esophageal reflux disease (GORD), and a combined GORD/PUD medicated (GPM) phenotype. Mendelian randomization analyses [...]

“It’s not a one operation fits all”: A qualitative study exploring fee setting and participation in price transparency initiatives amongst medical specialists in the Australian private healthcare sector – Hana Sabanovic et al.

2023-12-04T12:53:51+11:00Ethical considerations, Health policy, Health professionals, Health system, Insurance, Low-value care, Publications|

The Australian government, through Medicare, defines the type of medical specialist services it covers and subsidizes, but it does not regulate prices. Specialists in private practice can charge more than the fee listed by Medicare depending on what they feel ‘the market will bear’. This [...]

The burden of splice-disrupting variants in inherited heart disease and unexplained sudden cardiac death – Emma S. Singer et al.

2023-12-04T12:43:18+11:00Cardiovascular disease, Genetic testing, Inherited Heart Disease, Publications|

There is an incomplete understanding of the burden of splice-disrupting variants in definitively associated inherited heart disease genes and whether these genes can amplify from blood RNA to support functional confirmation of splicing outcomes. We performed burden testing of rare splice-disrupting variants in people with [...]

Exploring anaesthetists’ views on the carbon footprint of anaesthesia and identifying opportunities and challenges for reducing its impact on the environment – Matilde Breth-Petersen et al.

2023-12-04T12:38:35+11:00Carbon footprint, Carbon neutral, Climate change, Publications, Sustainable health care|

A shift in practice by anaesthetists away from anaesthetic gases with high global warming potential towards lower emission techniques (e.g. total intravenous anaesthesia) could result in significant carbon savings for the health system. The purpose of this qualitative interview study was to understand anaesthetists’ perspectives [...]

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