446 results match your criteria: "St Vincent's Private Hospital[Affiliation]"

Article Synopsis
  • - A systematic review and meta-analysis of studies focused on the incidence and risk factors for orthostatic intolerance (OI) events in patients after hip and knee surgery was conducted, revealing a significant occurrence of these events during hospital stays.
  • - The review included 21 studies with over 14,000 patients, showing that OI events occurred in 2% to 52% of patients, with some identifying female sex, high pain levels, gabapentin use, and lack of postoperative dexamethasone as potential risk factors.
  • - The findings highlight the need for better-defined criteria and high-quality prospective studies to accurately assess the incidence and risk factors for OI events post-surgery, as there was no agreement on
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Background: Chemical peeling is the controlled wounding of the epidermis and dermis for skin rejuvenation, involving the application of ablative agents to induce keratolysis and regeneration of damaged cell layers. Prolonged erythema is one complication of this procedure. We report the prevalence and probable etiology of prolonged facial erythema in a cohort of patients treated with medium-depth chemical peels.

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Establishment and initial implementation of the Australasian Pelvic Floor Procedure Registry.

Int Urogynecol J

August 2023

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.

Article Synopsis
  • Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are common pelvic floor disorders, prompting the establishment of the Australasian Pelvic Floor Procedure Registry (APFPR) to track and improve the outcomes of surgeries involving these conditions.
  • The registry follows national standards for clinical quality, using a modified Delphi process to create a dataset and collects data primarily from participating surgeons, while also incorporating patient-reported outcome measures (PROMs).
  • As of January 2023, the APFPR has 32 active sites across Australia for patient recruitment, with some sites already collecting data and others in the governance approval process.
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Background: Malignant polyps represent the early development of colorectal adenocarcinoma. During 2020, there was widescale rationing of health-care resources in response to the COVID-19 pandemic. In particular there was deferral of some colonoscopy procedures required for timely malignant polyp detection.

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Prognosis of a new episode of low-back pain in a community inception cohort.

Eur J Pain

May 2023

Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia.

Background: Most studies investigating the prognosis of low back pain (LBP) enrol people presenting for care, rather than all people who have an episode of LBP. We aimed to describe the prognosis of an acute episode of LBP in a community inception cohort.

Methods: We used data from two previous studies investigating recurrence of LBP.

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Corticosteroids for the management of cancer-related fatigue in adults with advanced cancer.

Cochrane Database Syst Rev

January 2023

Department of Palliative and Supportive Care, Mater Health Services, Brisbane, Australia.

Background: Fatigue is the most commonly reported symptom in people with advanced cancer. Cancer-related fatigue (CRF) is pervasive and debilitating, and can greatly impact quality of life (QoL). CRF has a highly variable clinical presentation, likely due to a complex interaction of multiple factors.

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Backgrounds: Robotic colorectal surgery is a method of performing complex surgery in a minimally invasive manner. In diverticular disease, chronic inflammation obscures tissues planes and increases difficulty of resection. This study aims to assess feasibility and safety of application of a robotic approach to diverticular disease, by reviewing short-term outcomes from a series of diverticular resections.

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Importance: Pulmonary vein isolation (PVI) alone is less effective in patients with persistent atrial fibrillation (AF) compared with paroxysmal AF. The left atrial posterior wall may contribute to maintenance of persistent AF, and posterior wall isolation (PWI) is a common PVI adjunct. However, PWI has not been subjected to randomized comparison.

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Aims: To compare (a) the change in radiological bony morphology between participants with femoroacetabular impingement (FAI) syndrome who underwent arthroscopic hip surgery compared to physiotherapist-led non-surgical care and (b) the change in radiological bony morphology between participants with FAI syndrome who underwent arthroscopic hip surgery involving cam resection or acetabular rim trimming or combined cam resection and acetabular rim trimming.

Methods: Maximum alpha angle measurements on magnetic resonance imaging and Hip Norm standardized hip measurements on radiographs were recorded at baseline and at 12 months postoperatively. One-way analysis of covariance and independent T tests were conducted between participants who underwent arthroscopic hip surgery and physiotherapist-led non-surgical care.

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Moderators, Mediators, and Prognostic Indicators of Treatment With Hip Arthroscopy or Physical Therapy for Femoroacetabular Impingement Syndrome: Secondary Analyses From the Australian FASHIoN Trial.

Am J Sports Med

January 2023

Kolling Institute of Medical Research, Sydney Musculoskeletal Health, University of Sydney, St Leonards, Australia; Department of Rheumatology, Royal North Shore Hospital, St Leonards, Australia.

Background: Although randomized controlled trials comparing hip arthroscopy with physical therapy for the treatment of femoroacetabular impingement (FAI) syndrome have emerged, no studies have investigated potential moderators or mediators of change in hip-related quality of life.

Purpose: To explore potential moderators, mediators, and prognostic indicators of the effect of hip arthroscopy and physical therapy on change in 33-item international Hip Outcome Tool (iHOT-33) score for FAI syndrome.

Study Design: Cohort study; Level of evidence, 2.

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Purpose: To determine whether cannabidiol (CBD) oil can improve symptom distress in patients with advanced cancer receiving palliative care.

Methods: Participants were adults with advanced cancer and symptom distress (Edmonton Symptom Assessment Scale [ESAS] total score of ≥ 10/90) who received titrated CBD oil 100 mg/mL, 0.5 mL once daily to 2 mL three times a day, or matched placebo for 28 days.

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Objectives: To detail important lessons learnt while conducting several large, medicinal cannabis (MC) randomised clinical trials in a palliative cancer population.

Methods: Investigators involved in these trials had several meetings to agree on the major lessons learnt and how the various challenges could be mitigated in the future.

Results: The lessons were sorted into separate categories: patient confidentiality, family dynamics, driving, cost, unfounded beliefs, accessing specific MC products, trial funding, telehealth and COVID-19, and miscellaneous issues.

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Background: Older adults (≥ 65 years) with cancer receiving palliative care often have other health conditions requiring multiple medications.

Aim: To describe and assess the appropriateness of prescribing for older adults with cancer in the last seven days of life in an inpatient palliative care setting.

Method: Retrospective observational study of medical records for 180 patients (60.

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Objectives: To identify whether synchronous reading of multiparametric magnetic resonance imaging (mpMRI) and Ga-PSMA-11 positron emission tomography (PET)/computed tomography (prostate-specific membrane antigen [PSMA-PET]) images can improve diagnostic performance and certainty compared with mpMRI/PSMA-PET reported independently and synthesized, while also assessing concordance between imaging modalities and agreement with histopathology.

Methods: This was a retrospective analysis of 100 patients randomly selected from the PRIMARY trial, a prospective Phase II multicentre imaging trial. Three dual-trained radiologist/nuclear medicine physicians re-reported the mpMRI and PSMA-PET both independently and synchronously for the same patients in random order, blinded to previous results.

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Background: Cancer cachexia (CC) is highly prevalent and associated with significant morbidity and mortality, yet underrecognized. In 2011, an international cachexia consensus (ICC) proposed a definition, assessment framework, and stages for classification: cancer precachexia, cachexia, and refractory cachexia. The authors anticipated that a "more practical classification approach for clinical practice" would be required, which we interpreted as a bedside assessment based on clinical data.

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Introduction: Following 2016 legislation permitting limited access to cannabis for research and medicinal purposes, the number of randomized clinical trials (RCTs) investigating the effectiveness of medicinal cannabis (MC) on symptom burden relief in cancer contexts has increased in Australia. This study aimed to understand the perceptions, hopes and concerns of people with advanced cancer regarding the future availability and regulation of MC in Australia.

Methods: This qualitative study draws on semistructured interviews conducted between February 2019 and October 2020 in Brisbane, Australia, as part of an MC RCT substudy.

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Defining Reference Values for the Normal Adult Lisfranc Joint Using Weightbearing Computed Tomography.

J Foot Ankle Surg

February 2023

Musculoskeletal Radiologist, Victoria House Medical Imaging, South Yarra, Victoria, Australia.

The uninjured contralateral feet of consecutive patients undergoing cone-beam weightbearing computed tomography for acute Lisfranc injury between July 2017 and October 2019 were retrospectively analyzed. Of these, any cases with history or radiological evidence of trauma to the Lisfranc interval were excluded. The area of the non-weightbearing (NWBA) and weightbearing (WBA) Lisfranc joint was calculated (in mm) using a novel technique.

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Vitamin E, along with other vitamins and micronutrients play a range of physiologic roles in the homeostasis of the body. Moreover, they also have postulated therapeutic roles that are often incompletely studied and understood. In this scoping review, we explored the recent randomized control trials (RCTs) of Vitamin E in the context of cancer, to investigate whether Vitamin E has a therapeutic role.

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The Cost Effectiveness of Unicompartmental versus Total Knee Arthroplasty.

J Knee Surg

January 2024

Orthopaedic Research Unit, School of Mechanical, Medical & Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.

Article Synopsis
  • * The results showed that raUKA costs significantly less, averaging AU$7,179 saved per case, despite longer operating times (86 vs. 75.9 minutes).
  • * Patients who underwent raUKA also had shorter hospital stays (1.8 vs. 4.8 days) and used significantly fewer opioids compared to those who had cTKA.
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Association of KCNJ6 rs2070995 and methadone response for pain management in advanced cancer at end-of-life.

Sci Rep

October 2022

Stem Cell and Neurogenesis Group, Genomics Research Centre, Centre for Genomics and Personalised Health, Queensland University of Technology, 60 Musk Ave, Kelvin Grove, Brisbane, QLD, 4059, Australia.

Article Synopsis
  • Opioids are drugs used to help relieve moderate to severe pain in people with advanced cancer, but different patients react to them in unexpected ways.
  • Researchers want to understand how a specific gene, KCNJ6, affects how well patients respond to a type of opioid called methadone for pain relief.
  • In a study with 54 cancer patients, they found no clear link between the KCNJ6 gene and how much methadone was needed or the level of pain relief, which is similar to other research in this area.
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