A5013950863- Health Systems, Economic Evaluations, Quality of Life
- Neutropenia and Cancer Infections
- Healthcare Policy and Management
- Peripheral Artery Disease Management
- Economic and Financial Impacts of Cancer
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Sepsis Diagnosis and Treatment
- Orthopaedic implants and arthroplasty
- Clinical practice guidelines implementation
- Childhood Cancer Survivors' Quality of Life
- Total Knee Arthroplasty Outcomes
- Stroke Rehabilitation and Recovery
- Healthcare cost, quality, practices
- Pharmaceutical Economics and Policy
- Bacterial Identification and Susceptibility Testing
- Colorectal Cancer Surgical Treatments
- Minimally Invasive Surgical Techniques
- Ethics in Clinical Research
- Antibiotics Pharmacokinetics and Efficacy
- Vascular Procedures and Complications
- Hematological disorders and diagnostics
- Blood disorders and treatments
- Diabetes Management and Research
- Pain Management and Treatment
Melbourne Health
2018-2025
The University of Melbourne
2016-2025
Victorian Comprehensive Cancer Centre
2023
Peter MacCallum Cancer Centre
2018-2023
University of Chicago
2016
University of Michigan
2016
McMaster University
1990-2004
Karolinska Institutet
1991
Swedish Council on Technology Assessment in Health Care
1991
The University of Texas Health Science Center at Houston
1991
A randomized trial of family caregiver support for the home management older people suffering from moderate to severe progressive irreversible dementia was conducted in an urban center southern Ontario. Thirty caregivers were allocated receive experimental intervention consisting of: caregiver‐focused health care, education about and caregiving, assistance with problem solving, regularly scheduled in‐home respite, a self‐help group. control subjects received conventional community nursing...
A recent study demonstrated widespread substitution of analog for human insulin and rising out-of-pocket costs in privately insured people with type 2 diabetes the United States.1 Medicaid reimbursements have increased both more costly insulins.2 Although studies described per-person changes excess medical spending US adults on prescription medications,3 they not reported trends expenditures different classes antihyperglycemic medications that simultaneously consider use price.
BACKGROUND The objective of this study was to examine the physical and emotional health status, self-perceived problems, needs newly diagnosed cancer patients determine plan supportive care strategies. METHODS A cross-sectional survey attending a regional center during 6-month period performed. Patients with breast, colorectal, head neck, lung, prostate carcinoma as well nonmelanoma skin were selected randomly. interviewed prior their first appointment at clinic. Physical status assessed...
Infection and sepsis are common problems in cancer management affecting up to 45% of patients associated with significant morbidity, mortality healthcare utilisation.To develop implement a whole hospital clinical pathway for the (SP) specialised measure impact on patient outcomes utilisation.A multidisciplinary working party was established. Process mapping practices recognition undertaken across all areas. A document that supported nurse-initiated care, prompt antibiotic fluid resuscitation...
Abstract Background Haematological cancer affects more than 1.3 million people around the world annually and accounted for almost 800,000 deaths globally in 2020. The number of patients with these cancers undergoing bone marrow transplant is increasing. Of note, this intensive treatment associated complex multifactorial side effects, often impacting nutritional status, physical functioning overall health-related quality life. primary aim study to investigate effectiveness an eight-week...
Abstract An economic evaluation was undertaken concurrently with a randomized trial comparing Caregiver Support Program (CSP) existing conventional community nursing care for those caring elderly relatives at home. The differences in resource consumption were compared changes caregiver quality of life, as measured by the Quality Life Instrument (CQLI). A 20% difference from baseline CQLI favored experimental group, although this did not reach levels statistical significance. comparison...
Transparency in health economic decision modelling is important for engendering confidence the models and reliability of model-based cost-effectiveness analyses. The Mount Hood Diabetes Challenge Network has taken a lead promoting transparency through validation with biennial conferences which diabetes groups meet to compare simulated outcomes pre-specified scenarios often based on results pivotal clinical trials. Model registration potential method transparency, while also reducing...
See related analysis article by Preibisch and Hennebry on page [1033][1] at [www.cmaj.ca/cgi/doi/10.1503/cmaj.090736][2]. José, a migrant farm worker from Mexico, presents with one-month history of low back pain. Through broken English Spanish, he tells you that has been in Canada for
Abstract Background Recruitment of participants is crucial to the success randomised control trials (RCTs) but can be challenging and expensive. Current research on trial efficiency often focused at patient-level with an emphasis effective recruitment strategies. Less known about selection study sites optimise recruitment. We examine site-level factors that are associated patient cost using data from RCT conducted across 25 general practices (GP) in Victoria, Australia. Methods Data number...
Objectives To investigate associations between maternal body mass index (BMI) at delivery (using pregnancy-specific BMI cut-off values 5 kg/m 2 higher in each of the WHO groups) and clinical, theatre utilisation health economic outcomes for women undergoing caesarean section (CS). Design A prospective multicentre observational study. Setting Seven secondary or tertiary referral obstetric hospitals. Participants One thousand four hundred fifty-seven all categories CS. Data collection Height...
Although several studies compare the clinical outcomes and costs of laparoscopic robotic proctectomy, most them reflect utilisation older generation platforms. The aim this study is to financial proctectomy within a public healthcare system, utilising multi-quadrant platform.Consecutive patients undergoing between January 2017 June 2020 in quaternary centre were included. Demographic characteristics, baseline clinical, tumour operative variables, perioperative, histopathological compared...
Improved understanding of quality-of-life (QoL) outcomes can provide valuable information on intervention effectiveness and guide better patient care. The aim this study was to examine whether QoL trajectories differ between patients with without diabetes identify what extent characteristics are related poor after total joint replacement (TKR). Multilevel modelling used analyse long-term patterns undergoing TKR 2006 2011. Patient-reported at baseline up 5 years post-surgery were included. Of...
Abstract Introduction Home‐based treatment of febrile neutropenia (FN) in children with cancer oral or intravenous antibiotics is safe and effective. There are limited data on the economic impact this model care. We evaluated cost‐effectiveness implementing an FN programme, incorporating home‐based for carefully selected patients, a tertiary paediatric hospital. Methods A decision analytic was constructed to compare costs outcomes usual in‐hospital antibiotics. The programme included...
Cancer patients are at significant risk of developing sepsis due to underlying malignancy and necessary treatments. Little is known about the economic burden in this high-risk population. We estimate short- long-term healthcare costs care cancer with without using individual-level linked-administrative data.We conducted a population-based matched cohort study aged ≥18, diagnosed between 2010 2017. Cases were identified if during period, 1:1 by age, sex, type other variables controls sepsis....