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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.
- Weight Loss Outcomes Following Government-Funded Conversion Gastric Bypass: Roux-en-Y Versus One-Anastomosis-Does the Type of Bypass Matter? 8 October 2025CONCLUSION: RYGB and OAGB provide durable medium-term weight loss when performed as conversion procedures. Our results suggest that consistent, improved medium-term weight loss can be achieved in participants who undergo conversion gastric bypass in the context of reflux if they have previously received LAGB. There was no significant difference in the incidence of de-novo gastro-oesophageal […]Chiara Chadwick
- Assessing the Capability of Large Language Models for Navigation of the Australian Health Care System: Comparative Study 8 October 2025CONCLUSIONS: Generative AI tools can achieve comparable accuracy to traditional search engines for health care navigation tasks, though this did not translate into an improved user experience. Further evaluation is needed as AI technology improves and users become more familiar with its use.Joshua Simmich
- Perspectives From Alcohol and Drug Clinicians Towards the Introduction of Peer Worker Roles Within an Australian Alcohol and Other Drug Treatment Service 7 October 2025CONCLUSION: Few studies have explored the perspectives of AOD clinicians regarding introducing PW roles in an AOD treatment setting. This study highlights that although a majority of AOD clinicians have positive attitudes, many have concerns regarding PW roles, role boundaries, and the legitimacy of peer expertise. Furthermore, organizational readiness, PW well-being, and the integration of […]John Kelly
- Simulation-Based Education for Extracorporeal Membrane Oxygenation and Strategies for Implementation: A Systematic Scoping Review 7 October 2025Simulation-based education (SBE) in health care is expanding in both scope and relevance. As on-the-job training is challenging in extracorporeal membrane oxygenation (ECMO), SBE features strongly in its curricula, yet little is known regarding its efficacy. We searched 4 databases through May 13, 2022 and conducted a narrative synthesis of 28 studies investigating SBE in […]Ryan Ruiyang Ling
- Diagnosis and management of femoroacetabular impingement syndrome (FAIS): a survey of contemporary physiotherapy practice 7 October 2025CONCLUSIONS: Our findings of physiotherapy diagnosis and management of FAIS from six countries broadly aligns with contemporary expert recommendations. Physiotherapy diagnosis of FAIS in practice is guided by patient-reported symptoms, and functional and special tests. Central to physiotherapy management is exercise and advice/education. Other modalities are less frequently utilised.Peter R Lawrenson
- Improving patient reported experience in inpatients with palliative care needs: a pre-post quality improvement study 7 October 2025CONCLUSIONS: Implementation of the LEAP bundle led to improved palliative care experience within three wards in one large tertiary hospital setting. Listening to patients and empowering clinical teams to collectively reflect on data and lead change was crucial to study success and required skilled facilitation. Testing the sustainability, transferability and scalability of the intervention will […]Claudia Virdun
- A survey of the workload generated by older surgical patients referred to on-call medical registrars-SNAP-3 6 October 2025CONCLUSIONS: The findings highlight the significant workload and training gaps faced by medical registrars in managing older surgical patients. Bridging the gap between national recommendations and local services may reduce demands on on-call registrars and improve care.Claire J Swarbrick
- Communicable diseases genomics network: promoting and harmonising pathogen genomics implementation for public health in Australia 6 October 2025Globally, the utility of pathogen genomics for public health was highlighted by the COVID-19 pandemic. Approaches to enhance coordination and improve implementation of pathogen genomics for public health are needed. The Communicable Diseases Genomics Network (CDGN) was established in 2015 in Australia. The network, embedded at the public health laboratory interface and supported by the […]Chantel Lin
- The impact of a multi-component hospital avoidance programme in residential aged care homes: a stepped-wedge cluster randomised trial 6 October 2025CONCLUSIONS: Whilst not statistically significant, findings indicate that the intervention was associated with fewer ED transfers, but increased hospital admissions and overall hospital bed days. Programme implementation was impacted by major contextual barriers, notably the COVID-19 pandemic, which contributed to pressures on staffing and workload.Nicole M White
- A cost-consequence analysis of a nudge intervention to improve hospital care of older people at the end of life: results from a stepped-wedge cluster randomised trial 6 October 2025CONCLUSIONS: This cost-consequence analysis found that the intervention was not effective in reducing the cost of non-beneficial treatment, which is consistent with the broader InterACT results. This simple nudge-intervention alone may not be sufficient to impact health service resource use and costs in the complex end-of-life setting.Hannah E Carter
- Healthcare utilization for eating disorders in Australia: 10 years of health data linkage 5 October 2025CONCLUSIONS: This study covering three-quarters of the Australian population demonstrates substantial increases in rates of health service use for people with eating disorders between 2010 and 2019.Kelly M Dann
- Intensive care unit nurses' understanding and experience of clinical debriefing: A focus group 5 October 2025CONCLUSION: This study identified four themes that outlined the potential importance and meaning of clinical debriefing for ICU nurses. Despite several perceived barriers to implementing regular clinical debriefing, ICU nurses advocated for the opportunity participate in regular clinical debriefing for learning and support.Annabel Levido
- Access to compensation for Aboriginal and Torres Strait Islander people after a road transport injury in New South Wales, Australia 5 October 2025CONCLUSIONS: CTP claim rates among Aboriginal and Torres Strait Islander people in NSW are low relative to their burden of road transport injury, suggesting that they may face barriers in accessing CTP compensation.Improving support, especially for those in rural areas and young drivers, and simplifying the claims process could enhance access to compensation for Aboriginal […]Holger Möller
- Understanding factors influencing sustainability and sustainment of evidence-based bronchiolitis management of infants in Australian and New Zealand hospital settings: a qualitative process evaluation 5 October 2025CONCLUSION: This study provides insights into factors influencing the sustainability of de-implementation of low-value care in acute care settings. Fostering an evidence-based practice culture, supported by senior leadership and ongoing multimodal education, supports sustainability of improvements in this setting.Victoria Ramsden
- Comparison of army personnel with single versus multiple suicidality events 5 October 2025CONCLUSION: Repeat suicidality represents a key opportunity to reduce suicidality morbidity and mortality in the Australian Army. Enhanced data surveillance, reducing the use of alcohol and substances and targeted management and transition protocols may assist in reducing the incidence. Implications for the army and future research directions are discussed.Samantha Hodges