Monash Health

Survival among patients with systemic sclerosis‐associated pulmonary arterial hypertension in the Australian scleroderma cohort study

BACKGROUND AND AIMS: Systemic sclerosis (scleroderma; SSc) patients can develop pulmonary arterial hypertension (PAH), which is a leading cause of death. We sought to evaluate severity, therapeutic strategy and survival of SSc-PAH in the Australian Scleroderma Cohort Study (ASCS)...

Inter-Model Variability of ChatGPT, Gemini and Claude in Treatment Recommendations for Unruptured Intracranial Aneurysms

Abstract Patients increasingly consult large language models (LLMs) before specialist review, yet whether frontier models agree with one another in nuanced clinical domains such as unruptured intracranial aneurysm (UIA) management remains uncharacterised. We therefore quantified...

Health workforce retention in remote Aboriginal and Torres Strait Islander communities in high-income countries: a rapid realist review

It is vital to reduce avoidable turnover and optimise retention of healthcare staff in Australian remote Aboriginal and Torres Strait Islander health services. However, evidence informing the implementation of retention interventions is limited as existing literature inadequately...

Point‐of‐care ultrasound in general medicine: establishing a new service

Point-of-care ultrasound (POCUS) is increasingly used in general medicine to support focussed bedside diagnosis and management. However, many implementation models depend on individual clinicians scanning their own patients. This limits equity of access, slows accumulation of pro...

Stroke clinical documentation education program in Australia and New Zealand

Background: Accurate and complete clinical documentation underpins the assignment of International Classification of Disease codes used for epidemiological research, hospital activity based funding, and health service planning. Objective: To develop, implement, and evaluate an ed...

Single-dose Preoperative Glucocorticoids in Major Gastrointestinal Surgery

OBJECTIVE: To evaluate the clinical efficacy and safety of single-dose preoperative systemic glucocorticoids in adults undergoing major gastrointestinal surgery. SUMMARY OF BACKGROUND DATA: Major gastrointestinal surgery induces a systemic inflammatory response that contributes t...

A qualitative analysis to identify implementation strategies for a deprescribing clinical practice guideline using the CFIR-ERIC Matching Tool: perspectives from consumers and professional stakeholders

Abstract Introduction Deprescribing is the planned withdrawal or dose reduction of medicines when harms outweigh benefits or when they are no longer required. Following publication of the Clinical Practice Guideline for Deprescribing in Older People in September 2025, supporting...

A Modified Delphi Study on the Ethics and Governance of Live Injecting at Aesthetic Conferences. Is There a Better and Safer Alternative?

BACKGROUND: Live clinical demonstrations at aesthetic medicine conferences is common, yet concerns regarding patient safety, commercial influence, and ethical governance. This study established a consensus-based governance framework for live injecting and compared expert and atte...

How We Embedded Consumer Engagement Into Workplace Education and Continuing Professional Development: A Quality Improvement Initiative in a Tertiary Imaging Department

ABSTRACT Consumer engagement, meaning the active involvement of patients and carers with lived experience, is increasingly recognised as central to high‐quality, patient‐centred healthcare, and in Australia it is embedded in national accreditation standards. Within diagnostic ima...

Coronary Plaque Burden and Plaque Composition in Long-Term Cancer Survivors: A Comparative CCTA Study

Abstract Background The increased risk of atherosclerotic cardiovascular disease in cancer survivors is not fully elucidated. Understanding the coronary plaque burden and composition in survivors could address this gap. Objectives To determine whether cancer survivorship is assoc...

Cognitive Behavior vs Bright Light Therapy for Insomnia in Women Undergoing Chemotherapy for Breast Cancer

Importance Women receiving chemotherapy for breast cancer experience insomnia and fatigue, which impair quality of life. To date, no randomized clinical trial (RCT) has evaluated the use of cognitive behavior therapy for insomnia (CBT-I) and bright light therapy (BLT) both alone...

Women’s and health professionals’ needs and preferences informing the updated IMS recommendations

OBJECTIVE: This study aimed to identify and compare the priorities for content and accompanying resources of midlife women (MW) and health professionals (HPs) to inform the updated International Menopause Society (IMS) recommendations. METHOD: Two online multi-language surveys wi...

Integration of lipidomic and polygenic risk scores within contemporary clinical cardiovascular risk assessment pathways: a multi-cohort development and validation study

Background Guideline-recommended clinical risk scores such as AusCVDRisk underestimate cardiovascular disease (CVD) risk in a substantial proportion of individuals who later experience events, with up to 65% initially classified as low or intermediate risk. This limitation is mos...

Sonographer Clinical Skills Training: What Can We Learn From International Education and Clinical Training Models to Address the Workforce Shortage?

ABSTRACT Introduction The sonographer workforce shortage is worldwide, with limited access to clinical training positions a major contributing factor to qualified sonographers entering the workforce. Our aim is to examine sonographer training models in English‐speaking countries...

Prediagnostic circulating 25-hydroxyvitamin D and prostate cancer-specific survival: a collaborative pooled analysis of 13 prospective studies

Abstract Background Previous research suggests higher risk of prostate cancer diagnosis in men with high vitamin D serology, but there are limited data related to prostate cancer survival. In this study, we examine the associations between prediagnostic circulating levels of 25-h...

P1.139. Advancing Risk Prediction After Esophagectomy: A Systematic Review of Machine Learning Models

Abstract Topic Esophageal Cancer: Other Background Esophagectomy is associated with substantial morbidity, mortality, and resource utilization. Traditional regression-based risk tools may inadequately capture complex nonlinear interactions. Contemporary evidence on machine learni...

P1.172. Comparison of Intraoperative Complications in Obese vs Non-Obese in Oesophageal Cancer Surgery

Abstract Topic Esophageal Cancer: Surgical Treatment of Esophageal Cancer Background Obesity is a substantial public health issue. A high body mass index (BMI) can increase surgical technical challenges, resulting in higher rates of intraoperative and postoperative complications....

Scaling up Genomics

Introduction: Genomic testing has substantial diagnostic and clinical value in nephrology, yet integrating testing into routine care requires service-level changes to ensure timely and equitable access. Methods: We conducted an observational cohort study at four tertiary centres,...

Following the rules: which type 1 diabetes guidelines, protocols and recommendations are tertiary clinics in Australia following? A quantitative study

OBJECTIVES: This study characterises the use of type 1 diabetes (T1D) guidelines and protocols in Australian T1D clinics working with paediatric patients, and determines if management practices align with T1D-specific guidelines. METHODS: T1D clinic service leaders responded to a...

Stroke survivors’ health priorities and targeted interventions in home-based post-discharge rehabilitation

<title>Abstract</title> Background This study aimed to describe health problems of the stroke survivors and the corresponding nursing interventions implemented during 12-week home-based post-discharge rehabilitation. Methods This was a descriptive secondary analysis within the co...