Publications by authors named "Chethana Mudunna"

Background: Rare disease registries (RDRs) facilitate monitoring of rare diseases by pooling small datasets to increase clinical and epidemiological knowledge of rare diseases and promote patient centred best practice. The aim of this study was to understand the current state of RDRs in Australia, data captured, impact on patient outcomes, funding models, and barriers and enablers regarding their establishment and maintenance.

Methods: An exploratory sequential mixed methods study design was adopted.

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Background: Rare diseases (RDs) affect approximately 8% of all people or > 400 million people globally. The Australian Government's National Strategic Action Plan for Rare Diseases has identified the need for a national, coordinated, and systematic approach to the collection and use of RD data, including registries. Rare disease registries (RDRs) are established for epidemiological, quality improvement and research purposes, and they are critical infrastructure for clinical trials.

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Article Synopsis
  • The study explores the response rates (RR) of Patient Reported Outcome Measures (PROMs) in clinical registries, highlighting trends influenced by registry types, regions, and specific health conditions.
  • Through a review of multiple databases, 121 registries were identified, revealing a significant decline in RR from 71% at baseline to 56% after 10+ years, with Asian and chronic condition registries showing the highest initial rates.
  • The findings indicate a need for standardized practices in collecting and reporting PROMs to enhance patient care and guide future research efforts.
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Background: Sri Lankans, as part of the South Asian diaspora, comprise one of the largest migrant groups in Australia. Although few data are available, South Asian migrants appear to experience higher rates of mental health problems, but seek help at lower rates than other migrant groups. Understanding factors that underpin mental health care seeking is necessary to inform mental health promotion strategies, including access to care.

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