A5052443574- Nutrition and Health in Aging
- Enhanced Recovery After Surgery
- Frailty in Older Adults
- Esophageal and GI Pathology
- Colorectal Cancer Surgical Treatments
- Stoma care and complications
- Cancer survivorship and care
- Clinical Nutrition and Gastroenterology
- Pancreatic and Hepatic Oncology Research
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Screening and Detection
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Dietetics, Nutrition, and Education
- Healthcare Systems and Challenges
- Health Literacy and Information Accessibility
- Social Media in Health Education
- Gastrointestinal Tumor Research and Treatment
- Blood transfusion and management
- Inflammatory Biomarkers in Disease Prognosis
- Child Nutrition and Feeding Issues
- Esophageal Cancer Research and Treatment
- Erythropoietin and Anemia Treatment
- Genetic factors in colorectal cancer
Western Health
2018-2023
The University of Melbourne
2019-2023
Footscray Hospital
2018-2023
Malnutrition is highly prevalent in people with head and neck cancer (HCN) associated poorer outcomes. However, variation malnutrition diagnostic criteria has made translation of the most effective interventions into practice challenging. This study aimed to determine prevalence a HNC population according Global Leadership Initiative on (GLIM) assess inter-rater reliability predictive validity. A secondary analysis data available for 188 patients extracted from two point studies was...
Identification and treatment of malnutrition are essential in upper gastrointestinal (UGI) cancer. However, there is limited understanding the nutritional status UGI cancer patients at time curative surgery. This prospective point prevalence study involving 27 Australian tertiary hospitals investigated resection, as well presence preoperative nutrition impact symptoms, associations with length stay (LOS) surgical complications.Subjective global assessment, hand grip strength (HGS) weight...
Background: Preoperative nutrition intervention is recommended prior to upper gastrointestinal (UGI) cancer resection; however, there limited understanding of interventions received in current clinical practice. This study investigated type and frequency preoperative dietetics support demographic factors associated with receipt intervention. Associations between weight loss, surgical length stay (LOS), complications were also investigated. Methods: The NOURISH Point Prevalence Study was...
Malnutrition is independently associated with poor outcomes in colorectal cancer (CRC) surgery including increased complications and length of stay (LOS). The purpose this study was to identify changes perioperative nutritional management surgical post implementation an enhanced recovery after (ERAS) protocol.Data on LOS adherence the ERAS protocol, preoperative fasting time, assessment supplementation prospectively collected for pre-ERAS group who underwent CRC between February August 2019....
Abstract Background Equipment to assess muscle mass is not available in all health services. Yet we have limited understanding of whether applying the Global Leadership Initiative on Malnutrition (GLIM) criteria without an assessment affects ability predict adverse outcomes. This study used machine learning determine which combinations GLIM phenotypic and etiologic are most important for prediction 30‐day mortality unplanned admission using including excluding low mass. Methods In a cohort...
Perioperative nutrition support is recommended for patients undergoing upper gastrointestinal (UGI) cancer surgery; however, limited evidence exists regarding implementation of a care pathway in clinical practice. The aims this pilot study were to determine whether standardised perioperative UGI surgery improves access dietetics care, as well evaluate feasibility, fidelity, resource requirements and effect on outcomes.Patients with newly diagnosed from four major metropolitan hospitals...
Malnutrition and low muscle mass are independently associated with poor outcomes in colorectal cancer (CRC). However, tools to identify limited the clinical setting. We investigated ability of existing malnutrition screening assessment assessed by computed tomography (CT). Secondary aims were determine feasibility CT analysis handgrip strength (HGS).An exploratory study patients who underwent curative surgery for CRC between February September 2019. Nutrition used included body index (BMI),...
Colorectal cancer (CRC) is commonly treated with surgery and its success frequently defined by cure rates. Impact on other aspects of health wellbeing are less considered in clinical practice. Patient-reported outcome measures (PROMs) provide a useful means assessing such impacts. This study examines changes health-related quality life (HRQoL) after surgical resection using PROMs.A prospective, longitudinal was undertaken 49 adults receiving curative for CRC. Participants completed the...
Introduction Nutritional intervention and prevention of malnutrition is significantly important for patients with upper gastrointestinal oesophageal, pancreatic gastric cancer. However, there limited information regarding nutritional status, perioperative interventions that receive when undergoing curative surgery. Methods analysis Patients diagnosed cancer, planned intent resection across 27 Australian hospitals will be eligible to participate in this point prevalence study. The primary aim...
Implementation studies of complex interventions such as nutrition care pathways are important to health services research, they support translation research into practice. There is limited regarding implementation a pathway in an upper gastrointestinal (UGI) cancer population. The aim this study was comprehensively evaluate the process perioperative UGI surgery using Consolidated Framework for Research (CFIR).This mixed methods conducted during pilot standardised across four major hospitals...
The present study aimed to investigate health service nutrition practices of sites providing care patients undergoing surgery for upper gastrointestinal cancer within Australia, including the provision perioperative support services and outpatient clinics, as well use evidence-based pathways/protocols. Secondary aims were associations between a pathway/protocol patient outcomes.Principal investigator dietitians (n = 27) participating in NOURISH point prevalence participated purpose-built...
Abstract Background Anaemia is a common manifestation of colorectal cancer (CRC). However, appropriate workup prior to surgery and the effect anaemia on outcomes have not been well defined. This study aimed describe preoperative incidence, investigations performed, treatment associated complications in CRC surgical population at single large tertiary institution Australia. Methods Patients who received with curative intent for between 2012 2017 were identified from prospectively maintained...
Colorectal cancer surveillance is an essential part of care and should include clinical review follow-up investigations. There limited information regarding postoperative survivorship in the Australian context. This study investigated patterns colorectal at a large tertiary institution.A retrospective hospital records was conducted for all patients treated with curative surgery between January 2012 June 2017. Provision surveillance, colonoscopy, computed tomography (CT), carcinoembryonic...
Background: Our study aimed to identify the search engines and terms commonly used by inflammatory bowel disease (IBD) patients assess quality readability of these resources.Methods: Patients attending IBD clinic were surveyed, regarding engines, number websites viewed. Websites according predetermined criteria identified. Website content was described assessed using DISCERN. Readability graded Flesch Reading Ease Score (FRES).Results: From 33 survey responses, Google universally utilised....