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Articles 1 - 6 of 6
Full-Text Articles in Medicine and Health Sciences
"What Should Happen Before Asymptomatic Men Decide Whether Or Not To Have A Psa Test?"A Report On Three Community Juries, Chris Degeling, Lucie Rychetnik, Kristen Pickles, Rae Thomas, Jennifer Doust, Robert Gardiner, Paul Glasziou, Ainsley Newson, Stacy Carter
"What Should Happen Before Asymptomatic Men Decide Whether Or Not To Have A Psa Test?"A Report On Three Community Juries, Chris Degeling, Lucie Rychetnik, Kristen Pickles, Rae Thomas, Jennifer Doust, Robert Gardiner, Paul Glasziou, Ainsley Newson, Stacy Carter
Jenny Doust
OBJECTIVES: To elicit the views of well informed community members on the ethical obligations of general practitioners regarding prostate-specific antigen (PSA) testing, and what should be required before a man undergoes a PSA test. DESIGN AND SETTING: Three community juries held at the University of Sydney over 6 months in 2014. PARTICIPANTS: Forty participants from New South Wales, of diverse social and cultural backgrounds and with no experience of prostate cancer, recruited through public advertising: two juries of mixed gender and ages; one all-male jury of PSA screening age. RESULTS: In contrast to Royal Australian College of General Practitioners guidelines, …
Is The 'Heart Age' Concept Helpful Or Harmful Compared To Absolute Cardiovascular Disease Risk? An Experimental Study, Carissa Bonner, Jesse Jansen, Ben Newell, Les Irwig, Armando Teixeira-Pinto, Paul Glasziou, Jenny Doust, Shannon Mckinn, Kirsten Mccaffery
Is The 'Heart Age' Concept Helpful Or Harmful Compared To Absolute Cardiovascular Disease Risk? An Experimental Study, Carissa Bonner, Jesse Jansen, Ben Newell, Les Irwig, Armando Teixeira-Pinto, Paul Glasziou, Jenny Doust, Shannon Mckinn, Kirsten Mccaffery
Jenny Doust
Background Cardiovascular disease (CVD) prevention guidelines are generally based on the absolute risk of a CVD event, but there is increasing interest in using ‘heart age’ to motivate lifestyle change when absolute risk is low. Previous studies have not compared heart age to 5-year absolute risk, or investigated the impact of younger heart age, graphical format, and numeracy. Objective Compare heart age versus 5-year absolute risk on psychological and behavioral outcomes. Design 2 (heart age, absolute risk) 3 3 (text only, bar graph, line graph) experiment. Setting. Online. Participants 570 Australians aged 45–64 years, not taking CVD-related medication. Intervention CVD …
Simplification Of A Scoring System Maintained Overall Accuracy But Decreased The Proportion Classified As Low Risk, S. Sanders, Dylan Flaws, Martin Than, John Pickering, Jenny Doust, Paul Glasziou
Simplification Of A Scoring System Maintained Overall Accuracy But Decreased The Proportion Classified As Low Risk, S. Sanders, Dylan Flaws, Martin Than, John Pickering, Jenny Doust, Paul Glasziou
Jenny Doust
Objectives: Scoring systems are developed to assist clinicians in making a diagnosis. However, their uptake is often limited because they are cumbersome to use, requiring information on many predictors, or complicated calculations. We examined whether, and how, simplifications affected the performance of a validated score for identifying adults with chest pain in an emergency department who have low risk of major adverse cardiac events.
Identified Health Concerns And Changes In Management Resulting From The Healthy Kids Check In Two Queensland Practices, Rae Thomas, Jenny Doust, Kartik Vasan, Bianca Rajapakse, Leanne Mcgregor, Evan Ackermann, Chris Del Mar
Identified Health Concerns And Changes In Management Resulting From The Healthy Kids Check In Two Queensland Practices, Rae Thomas, Jenny Doust, Kartik Vasan, Bianca Rajapakse, Leanne Mcgregor, Evan Ackermann, Chris Del Mar
Jenny Doust
Objectives: To determine how many children had health problems identified by the Healthy Kids Check (HKC) and whether this resulted in changes to clinical management. Design, setting and participants: A medical records audit from two Queensland general practices, identifying 557 files of children who undertook an HKC between January 2010 and May 2013. Main outcome measures: Child health problems identified in the medical records before, during and after the HKC. Results: Most children in our sample had no problems detected in their medical record (56%), 21% had problems detected during the HKC assessment, 19% had problems detected before, and 4% …
How Do General Practitioners And Patients Make Decisions About Cardiovascular Disease Risk?, Carissa Bonner, Jesse Jansen, Shannon Mckinn, Jenny Doust, Paul Glasziou, Kirsten Mccaffery
How Do General Practitioners And Patients Make Decisions About Cardiovascular Disease Risk?, Carissa Bonner, Jesse Jansen, Shannon Mckinn, Jenny Doust, Paul Glasziou, Kirsten Mccaffery
Jenny Doust
Objective: Although current guidelines around the world recommend using absolute risk (AR) thresholds to decide whether cardiovascular disease (CVD) risk should be managed with lifestyle or medication, the use of AR in clinical practice is limited. The aim of this study was to explore the factors that influence general practitioner (GP) and patient decision making about CVD risk management, including the role of risk perception. Methods: Qualitative descriptive study involving semi-structured interviews with 25 GPs and 38 patients in Australia in 2011-2012. Transcribed audio-recordings were thematically coded and a Framework Analysis method was used. Results: GPs rarely mentioned AR thresholds …
Prevalence Of Attention-Deficit/ Hyperactivity Disorder: A Systematic Review And Meta-Analysis, Rae Thomas, Sharon Sanders, Jenny Doust, Elaine Beller, Paul Glasziou
Prevalence Of Attention-Deficit/ Hyperactivity Disorder: A Systematic Review And Meta-Analysis, Rae Thomas, Sharon Sanders, Jenny Doust, Elaine Beller, Paul Glasziou
Jenny Doust
Overdiagnosis and underdiagnosis of attention-deficit/hyperactivity abstract disorder (ADHD) are widely debated, fueled by variations in prevalence estimates across countries, time, and broadening diagnostic criteria. We conducted a meta-analysis to: establish a benchmark pooled prevalence for ADHD; examine whether estimates have increased with publication of different editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM); and explore the effect of study features on prevalence. METHODS: Medline, PsycINFO, CINAHL, Embase, and Web of Science were searched for studies with point prevalence estimates of ADHD. We included studies of children that used the diagnostic criteria from DSM-III, DSM-III-R and DSM-IV in …