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Metro North is committed to providing a platform to acknowledge and promote research excellence within our health service. Below is a list of research publications from across our hospitals and services.
- Sacrocolpopexy: The Way I Do It 15 October 2024CONCLUSIONS: Although SCP has become increasingly utilised for apical prolapse, its established efficacy regarding anatomical outcomes, patient satisfaction, and complications is in the context of post-hysterectomy prolapse. SCP with concomitant total hysterectomy has higher rates of mesh exposure. The efficacy and safety of SCP with sub-total hysterectomy or hysteropexy have not been clearly established and […]Usama Shahid
- Unrecognised actionability for breast cancer risk variants identified in a national-level review of Australian familial cancer centres 14 October 2024Breast cancer remains a significant global health challenge. In Australia, the adoption of publicly-funded multigene panel testing for eligible cancer patients has increased accessibility to personalised care, yet has also highlighted the increasing prevalence of variants of uncertain significance (VUS), complicating clinical decision-making. This project aimed to explore the spectrum and actionability of breast cancer […]Cristina Fortuno
- Limitations of the Inotrope Score Use as a Measure of Primary Graft Dysfunction 13 October 2024No abstractDavid M Kaye
- Serving Queensland: reflecting on geographical access to the pelvic exenteration service in Queensland 12 October 2024CONCLUSION: Awareness of the pelvic exenteration service in regional Queensland may have resulted in less referrals to the service. It is important to confirm a broad-reaching service to optimize patient care.Ashley Jenkin
- Complex end-of-life decision-making during neonatal retrieval: A retrospective cohort study 12 October 2024CONCLUSIONS: Palliation at the referring hospital should be considered as an option when escalating care is predicted to not affect outcome. In this cohort the infants least likely to be transported required significant management during stabilisation. Determining the infants for whom transport is non-beneficial remains difficult.David Cantelmi
- Characteristics and outcomes among patients with delayed orchidectomy for advanced germ cell tumours 11 October 2024No abstractPatrick Ngo
- Intrinsic functional networks for distinct sources of error in visual working memory 10 October 2024Visual working memory (VWM) is a core cognitive function wherein visual information is stored and manipulated over short periods. Response errors in VWM tasks arise from the imprecise memory of target items, swaps between targets and nontargets, and random guesses. However, it remains unclear whether these types of errors are underpinned by distinct neural networks. […]Xuqian Li
- Person-centred crisis support services as alternatives to emergency departments: a systematic scoping review 10 October 2024CONCLUSIONS: The available evidence suggests that person-centred crisis support services are perceived by stakeholders as safe and effective alternatives to EDs for people experiencing mental health crises, providing more timely and appropriate care while reducing ED mental health presentations. Due to the limited quality of the publications included, high-quality research is needed to better understand […]Danielle Postorivo
- Revisiting the concreteness effect: Non-arbitrary mappings between form and concreteness of English words influence lexical processing 10 October 2024How do we represent and process abstract and concrete concepts? The "concreteness effect", in which words with more concrete meanings are processed more quickly and accurately across a range of language tasks compared to abstract ones, suggests a differential conceptual organization of these words in the brain. However, concrete words tend to be marked by […]Elaine Kearney
- Veno-arterial extracorporeal membrane oxygenation as bridge for fluid resuscitation in a patient with acute respiratory failure and circulatory shock two years post lung transplantation 10 October 2024CONCLUSION: This case emphasizes the challenging clinical scenario of fluid resuscitation in a lung transplant patient. With adequate patient selection, a multidisciplinary team and the use of VA ECMO, success can be achieved.Ana Segura
- Bariatric surgery outcomes in patients on chronic kidney replacement therapy in Australia and New Zealand 10 October 2024No abstractShaun Chandler
- A national study of infective endocarditis models of care in Australia 10 October 2024CONCLUSIONS: Even though it is recommended in international guidelines, the MDET model is used by less than one-third of Australian specialist referral centres. Stakeholders in IE care have generally favourable attitudes towards MDET implementation but cite a lack of resources, funding, collaboration and time as barriers to this. Dedication of financial and administrative support and […]Christopher Robson
- How do geriatricians practise comprehensive geriatric assessment in the outpatient setting: an analysis of geriatricians' letters and a comparison to the Medicare benefits schedule requirement 10 October 2024CONCLUSIONS: Analysis of geriatricians' letters provides important and novel insights into usual CGA practice. The letters provide evidence of multidimensional assessments of physical, functional, social and psychological health, and most include use of standardised tools. However, less than 50% include evidence of goal setting or multidisciplinary working. The results allow consideration of how CGAs might […]Sarah T Fox
- Making sense of osteoarthritis: a narrative review 9 October 2024People make sense of osteoarthritis (OA) by drawing on information, beliefs, and knowledge. This narrative review summarises diverse qualitative and quantitative research investigating beliefs and knowledge about OA, and the impact these have on behaviour and outcomes. It synthesises evidence and highlights key actions clinicians can take to support people to make sense of OA […]Ben Darlow
- The effect of laparoscopic vertical sleeve gastrectomy and laparoscopic roux-en-Y gastric bypass on gastroesophageal reflux disease: An updated meta-analysis and systematic review of 5-year post-operative data from randomized controlled trials 9 October 2024CONCLUSIONS: The development and worsening of GERD symptoms are frequently associated with LVSG compared to LRYGB at 5 years postoperatively requiring either initiation or increase of pharmacotherapy or failing that revisional bariatric surgery. Appropriate patient/surgical selection is crucial to reduce these postoperative risks of GERD.Muhammed Ashraf Memon