A5058174904- COVID-19 and healthcare impacts
- Breast Implant and Reconstruction
- Cardiac, Anesthesia and Surgical Outcomes
- Global Cancer Incidence and Screening
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Breast Cancer Treatment Studies
- Autoimmune and Inflammatory Disorders
- Hip and Femur Fractures
- Economic and Financial Impacts of Cancer
- Healthcare cost, quality, practices
- Healthcare Systems and Public Health
- BRCA gene mutations in cancer
- Clinical practice guidelines implementation
- Respiratory Support and Mechanisms
- Pelvic and Acetabular Injuries
- Colorectal Cancer Surgical Treatments
- Ultrasound in Clinical Applications
- Enhanced Recovery After Surgery
- Hernia repair and management
- PARP inhibition in cancer therapy
- Dermatological and COVID-19 studies
- Surgical site infection prevention
- Cancer Genomics and Diagnostics
- Lung Cancer Diagnosis and Treatment
Coffs Harbour City Council
2020-2024
Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie
2020-2022
University of Birmingham
2020-2021
NIHR Birmingham Biomedical Research Centre
2021
Yorkshire Cancer Research
2021
Urology Foundation
2021
Association for Cancer Surgery
2021
University of Oxford
2020-2021
St Vincent's Clinic
2021
UNSW Sydney
2021
Early recovery after surgery (ERAS) protocols in breast optimizes resources and reduces healthcare costs by facilitating early discharges. These are well established tertiary centres, but not commonly adopted regional centres. ERAS implementation potentially impacts smaller hospitals significantly, where limited persistent bed shortages with mounting waitlist pressures exist. Our study evaluates the feasibility of discharge application our protocol to mastectomies a resource-constrained...
AimTo evaluate BreastSurgANZ members' compliance at various threshold rates for 4 evaluable High-Quality Performance Indicators (HQPIs) introduced to improve patient care. To benchmark global best practice assist in determining the eventual standards.MethodBreastSurgANZ Quality Audit data 2012–2016 & 2018 was used determine of attainment through a range thresholds HQPI's. Rates were assessed different volume surgeons and comparison made international standards.Results1.3761 patients needing...
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Abstract Background Guidelines for referral to cancer genetics service women diagnosed with triple negative breast have changed over time. This study was conducted assess the changing patterns and outcomes across three regional centres during years 2014–2018. Methods Following ethical approval, a retrospective electronic medical record review performed identify those cancer, whether they were referred if so, outcome of that assessment and/or genetic testing. Results There 2441 newly seen at...
Abstract Background For patients with breast cancer who decline recommended treatments, available data examining survival outcomes are sparse. We compared overall and relapse‐free between declined primary treatments those received treatments. Methods Using from the BreastSurgANZ Quality Audit database, a retrospective cohort study was performed for diagnosed carcinoma (stage 0–IV) 2001 2014 were treated in our integrated centre. A propensity score‐matched analysis to compare either or...
Evidence-based Australian guidelines (eviQ) recommend adjuvant supraclavicular fossa irradiation after axillary lymph node dissection (ALND) in node-positive breast cancer patients. Disparity between surgically determined versus computed tomography (CT) nodal volumes may result discontiguous and untreated tissue. We examine the extent of tissue women with post-level II or III ALND radiation therapy (RT) using ESTRO contouring guidelines.Female patients who underwent level apical clip...
Aim To evaluate members' compliance at suggested threshold recommendation rates for 4 evaluable High-Quality Practice Indicators (HQPIs) introduced by BreastSurgANZ to improve patient care. benchmark our standards against global best practice. Method Using Quality Audit data 2012-2016 & 2018 of attainment HQPI's were documented including results different volume surgeons. Outcomes where compared international standards. Results If the rate was set > 40% a surgeon' patients having immediate...
Background Skin sparing (SSM) and nipple mastectomy (NSM) techniques have been critiqued for higher local recurrence rate (LRR) in patients with extensive DCIS, rates of 5-11% reported. Reported predictors include younger age, high-grade, comedo necrosis present, involved margins1. This study aimed to identify frequency loco-regional undergoing SSM or NSM DCIS our practice. Methods Data retrieved using BreastSurgANZ BQA from 2001 2018 >5cm. Cases microinvasion previous invasive disease...