Risk

‘Integrating Ethics and Equity with Economics and Effectiveness for newborn screening in the genomic age: A qualitative study protocol of stakeholder perspectives – Didu S. Kariyawasam et al.

2024-04-05T14:50:00+11:00Ethical considerations, Genetic testing, Genomics, Health policy, Publications, Risk, Screening|

Newborn bloodspot screening is a well-established population health initiative that detects serious, childhood-onset, treatable conditions to improve health outcomes. With genomic technologies advancing rapidly, many countries are actively discussing the introduction of genomic assays into newborn screening programs. While adding genomic testing to Australia’s newborn [...]

First implantable cardiac defibrillator insertions in New South Wales, 2005–2020: an analysis of linked administrative data – Lin Zhu et al.

2024-04-05T14:44:05+11:00Ageing, Cardiovascular disease, Publications, Risk, Surgery|

Our population-based analysis of linked administrative data found that the annual number of first insertions of ICDs steadily increased in NSW during 2005–2016. Most ICD recipients were men, especially in older age groups, and the rise in annual number was most marked for men aged [...]

Implementing decision aids for cardiovascular disease prevention: stakeholder interviews and case studies in Australian primary care – Carissa Bonner et al.

2024-04-05T14:38:40+11:00Cardiovascular disease, Decision aids, Primary Care, Primary Health Networks, Publications, Risk|

Australian cardiovascular disease (CVD) prevention guidelines recommend absolute CVD risk assessment, but less than half of eligible patients have the required risk factors recorded due to fragmented implementation over the last decade. Co-designed decision aids for general practitioners (GPs) and consumers have been developed that [...]

Patterns of computed tomography utilisation in injury management: latent classes approach using linked administrative data in Western Australia – Ninh T. Ha et al.

2024-02-13T14:09:24+11:00Imaging, Insurance, Overuse, Publications, Radiology reports, Risk, Screening|

Whilst computed tomography (CT) imaging has been a vital component of injury management, its increasing use has raised concern regarding ionising radiation exposure. This study aims to identify latent classes (underlying patterns) of CT use over a 3-year period following the incidence of injury and [...]

Cardiovascular disease risk communication and prevention: a meta-analysis – Mina Bakhit et al.

2024-02-13T13:13:50+11:00Cardiovascular disease, Decision aids, Primary Care, Publications, Risk, Shared decision making|

For decades, clinicians and researchers have implemented effective measures to reduce, diagnose, and treat CVD. This includes implementing public education campaigns aimed at improving awareness of the potential preventability of CVDs and accessibility to management. Cardiovascular disease risk calculators to estimate individualized risk have also played a [...]

Ecological study estimating melanoma overdiagnosis in the USA using the lifetime risk method – Adewole S. Adamson et al.

2024-02-11T15:27:31+11:00Cancer, Melanoma, Overdiagnosis, Publications, Risk|

The objective of this study is to quantify the proportion of melanoma diagnoses (invasive and in situ) in the USA that might be overdiagnosed. In this ecological study, incidence and mortality data were collected from the Surveillance, Epidemiology and End Results 9 registries database. DevCan [...]

Can evidence drive health equity in the COVID-19 pandemic and beyond? – Katy Bell et al.

2024-02-11T15:23:27+11:00COVID-19, Health policy, Health system, Patient-led surveillance, Policy, Publications, Risk|

Using scoping review methods, we systematically searched multiple online databases for publications in the first year of the pandemic that proposed pragmatic population or health system-level solutions to health inequities. We found 77 publications with proposed solutions to pandemic-related health inequities. Most were commentaries, letters, [...]

Challenges of conducting a randomised placebo-controlled trial of spinal surgery: the SUcceSS trial of lumbar spine decompression – Emma Kwan-Yee Ho et al.

2024-02-11T13:58:00+11:00Musculoskeletal, Placebos, Publications, Research ethics, Risk, Shared decision making, Spinal, Surgery|

Although placebo-controlled trials are considered the gold standard for evaluating the efficacy of healthcare interventions, they can be perceived to be controversial and challenging to conduct for surgical treatments. The SUcceSS trial is the first placebo-controlled trial of lumbar decompression surgery for symptomatic lumbar canal [...]

A systematic review and meta-analysis of short-stay programmes for total hip and knee replacement, focusing on safety and optimal patient selection – Danielle Berkovic et al.

2024-02-11T13:55:49+11:00Hip, Knee, Musculoskeletal, Publications, Risk, Treatment|

Short-stay joint replacement programmes are used in many countries but there has been little scrutiny of safety outcomes in the literature. We aimed to systematically review evidence on the safety of short-stay programmes versus usual care for total hip (THR) and knee replacement (KR), and [...]

The Impact of Surgical Approach on 90-Day Prosthetic Joint Infection After Total Hip Replacement — A Population-Based, Propensity Score-Matched Cohort Study – Gregory C. Wernecke et al.

2024-02-09T15:55:32+11:00Hip, Musculoskeletal, Publications, Risk, Surgery|

Prosthetic joint infection (PJI) is a devastating complication of total hip arthroplasty (THA). This study aimed to determine if the anterior approach (AP) influenced the incidence of early PJI in THA compared to posterior approach (PP). Record linkage was performed between state-wide hospitalization data and [...]

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