Publications by authors named "Anthony Nettleship"

Article Synopsis
  • The study looked for ways to help older women with breast cancer make better treatment choices by testing two decision support tools.
  • The tools included an online risk predictor, a decision guide, and an information booklet to help with choices like surgery or chemotherapy.
  • Researchers found that many doctors and patients didn’t always use the online tools due to reasons like lack of internet access or patients already having made decisions.
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Background: Self-directed and internet-based care are key elements of eHealth agendas. We developed a complex online clinical and public health intervention, the eSexual Health Clinic (eSHC), in which patients with genital chlamydia are diagnosed and medically managed via an automated online clinical consultation, leading to antibiotic collection from a pharmacy. Partner notification, health promotion, and capture of surveillance data are integral aspects of the eSHC.

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Introduction: While breast cancer outcomes are improving steadily in younger women due to advances in screening and improved therapies, there has been little change in outcomes among the older age group. It is inevitable that comorbidities/frailty rates are higher, which may increase the risks of some breast cancer treatments such as surgery and chemotherapy, many older women are healthy and may benefit from their use. Adjusting treatment regimens appropriately for age/comorbidity/frailty is variable and largely non-evidence based, specifically with regard to rates of surgery for operable oestrogen receptor-positive disease and rates of chemotherapy for high-risk disease.

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