Long-term health care costs for patients with prostate cancer: a population-wide longitudinal study in New South Wales, Australia

2016 ◽  
Vol 13 (3) ◽  
pp. 160-171 ◽  
Author(s):  
Paula Cronin ◽  
Brent Kirkbride ◽  
Albert Bang ◽  
Bonny Parkinson ◽  
David Smith ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Longitudinal Study ◽  
Health Care Costs ◽  
New South ◽  
New South Wales ◽  
South Wales ◽  
Care Costs

scholarly journals Fifteen year quality of life outcomes in men with localised prostate cancer: population based Australian prospective study

BMJ ◽  
2020 ◽  
pp. m3503
Author(s):  
Carolyn G Mazariego ◽  
Sam Egger ◽  
Madeleine T King ◽  
Ilona Juraskova ◽  
Henry Woo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
New South ◽  
Short Form ◽  
New South Wales ◽  
Population Based ◽  
South Wales ◽  
Mean Differences

Abstract Objective To assess treatment related changes in quality of life up to 15 years after diagnosis of localised prostate cancer. Design Population based, prospective cohort study with follow-up over 15 years. Setting New South Wales, Australia. Participants 1642 men with localised prostate cancer, aged less than 70, and 786 controls randomly recruited from the New South Wales electoral roll into the New South Wales Prostate Cancer Care and Outcomes Study (PCOS). Main outcome measures General health and disease specific quality of life were self-reported at seven time points over a 15 year period, using the 12-item Short Form Health Survey scale, University of California, Los Angeles prostate cancer index, and expanded prostate cancer index composite short form (EPIC-26). Adjusted mean differences were calculated with controls as the comparison group. Clinical significance of adjusted mean differences was assessed by the minimally important difference, defined as one third of the standard deviation (SD) from the baseline score. Results At 15 years, all treatment groups reported high levels of erectile dysfunction, depending on treatment (62.3% (active surveillance/watchful waiting, n=33/53) to 83.0% (non-nerve sparing radical prostatectomy, n=117/141)) compared with controls (42.7% (n=44/103)). Men who had external beam radiation therapy or high dose rate brachytherapy or androgen deprivation therapy as primary treatment reported more bowel problems. Self-reported urinary incontinence was particularly prevalent and persistent for men who underwent surgery, and an increase in urinary bother was reported in the group receiving androgen deprivation therapy from 10 to 15 years (year 10: adjusted mean difference −5.3, 95% confidence interval −10.8 to 0.2; year 15: −15.9; −25.1 to −6.7). Conclusions Patients receiving initial active treatment for localised prostate cancer had generally worse long term self-reported quality of life than men without a diagnosis of prostate cancer. Men treated with radical prostatectomy faired especially badly, particularly in relation to long term sexual outcomes. Clinicians and patients should consider these long term quality of life outcomes when making treatment decisions.

scholarly journals Indirect Impacts of COVID-19: A Case Study of Evidence, Advice and Representation From Consumer and Community Members in New South Wales Australia

2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Tara Dimopoulos-Bick ◽  
Louisa Walsh ◽  
Kim Sutherland
Keyword(s):  
Health Care ◽  
New South ◽  
Health Care Systems ◽  
New South Wales ◽  
Direct Consequence ◽  
Community Members ◽  
South Wales ◽  
Health Consumers ◽  
Indirect Impacts

The COVID-19 pandemic continues to affect health care systems globally, and there is widespread concern about the indirect impacts of COVID-19. Indirect impacts are caused by missed or delayed health care—not as a direct consequence of COVID-19 infections. This study gathered experiences of, and perspectives on, the indirect impacts of COVID-19 for health consumers, patients, their families and carers, and the broader community in New South Wales, Australia. A series of semi-structured virtual group discussions were conducted with 33 health consumers and community members between August 24 and August 31, 2020. Data were analyzed using an inductive thematic analysis approach. The analysis identified 3 main themes: poor health outcomes for individuals; problems with how health care is designed and delivered; and increasing health inequality. This case study provides insight into the indirect impacts of COVID-19. Health systems can draw on the insights learned as a source of experiential evidence to help identify, monitor and respond to the indirect impacts of COVID-19.

The individual and health sector costs of asthma: the first year of a longitudinal study in New South Wales

2005 ◽  
Vol 29 (5) ◽  
pp. 429-435 ◽  
Author(s):  
Patricia Kenny ◽  
Emily Lancsar ◽  
Jane Hall ◽  
Madeleine King ◽  
Meredyth Chaplin
Keyword(s):  
Longitudinal Study ◽  
New South ◽  
New South Wales ◽  
Health Sector ◽  
First Year ◽  
South Wales ◽  
The Individual

Prehistoric aboriginal occupation of the rangelands: Interpreting the surface archaeological record of far western New South Wales, Australia.

2000 ◽  
Vol 22 (1) ◽  
pp. 44 ◽  
Author(s):  
SJ Holdaway ◽  
PC Fanning ◽  
DC Witter
Keyword(s):  
Arid Regions ◽  
Aboriginal People ◽  
New South ◽  
New South Wales ◽  
Landscape Archaeology ◽  
South Wales ◽  
Large Numbers ◽  
Different Parts ◽  
Stone Artefact

Recent erosion in arid regions of western NSW has exposed large areas that are scattered with stone artefacts manufactured by Aboriginal people in prehistory. These exposures offer an opportunity for archaeologists to study the artefacts abandoned by Aboriginal people through time and to compare those artefacts that accumulate in different parts of the landscape. To reconstruct the nature of prehistoric behaviour in the rangelands, two approaches are needed. First, the geomorphological context of the artefacts needs to be considered since exposure of the artefacts is a function of landscape history. Second, large areas (measured in thousands of square metres) and large numbers of artefacts need to be considered if patterns reflecting long-term abandonment behaviour by Aboriginal people are to be identified. This paper reports on the Western New South Wales Archaeological Program (WNSWAP) which was initiated in 1995 to study surface archaeology in the rangelands. Geomorphological studies are combined with artefact analysis using geographic information system software to investigate Aboriginal stone artefact scatters and associated features such as heat retainer hearths, in a landscape context. Results suggest that apparently random scatters of stone artefacts are in fact patterned in ways which inform on prehistoric Aboriginal settlement of the rangelands. Key words: Aboriginal stone artefacts; rangelands; landscape archaeology; geomorphology; GIs

Criminal mobility of outlaw motorcycle gangs in Australia

2021 ◽  
Author(s):  
Christopher Dowling ◽  
Anthony Morgan
Keyword(s):  
East Coast ◽  
New South ◽  
New South Wales ◽  
Gang Members ◽  
Opportunity Structures ◽  
Significant Challenge ◽  
Outlaw Motorcycle Gangs ◽  
South Wales

The criminal mobility of outlaw motorcycle gang (OMCG) members presents a significant challenge to Australian governments and police. Examining patterns of mobility can help to better understand the opportunity structures that underpin offending by OMCGs and to drive national collaborative responses to these gangs. This study examines the prevalence and patterns of criminal mobility in a sample of almost 4,000 OMCG members in more than 400 chapters. Around one in 10 members showed evidence of criminal mobility over the long term, while more than one-third of chapters comprised criminally mobile members. Criminally mobile gang members were heavily concentrated in a small number of chapters. Patterns of criminal mobility primarily involve movements into east coast jurisdictions. New South Wales and Queensland emerged as the most common destinations for criminally mobile OMCG members.

‘A military fervour akin to religious fanaticism’: Scottish Military Identity in the Australian Imperial Force

2016 ◽  
Author(s):  
Craig Tibbitts
Keyword(s):  
New South ◽  
New South Wales ◽  
First World War ◽  
Small Degree ◽  
World War ◽  
Peak Period ◽  
South Wales ◽  
The First World War ◽  
First World

This chapter highlights the long-term influence of Scottish military traditions and identity in Australia, dating back to the arrival of a battalion of the 73rd Highland Regiment in New South Wales in 1810. From the 1860s, several home-grown ‘Scottish’ volunteer militia units were established in the Australian colonies. This coincided with a peak period of Scottish emigration to Australia with some 265,000 settling between 1850 and 1914. With the outbreak of the First World War, Australia quickly raised a contingent to assist the Empire. Several Scottish-Australian militia regiments sought incorporation into the Australian Imperial Force (AIF) but with limited success. This chapter highlights how the existence of Scottish military identities conflicted with the desire of the AIF that its identity be entirely Australian as means of forging the identity of the new Commonwealth of Australia. At the same time, a small number of AIF units managed to maintain some small degree of Scottish flavour about them. Those such as the 4th, 5th and 56th Battalions which had many join en- masse from the pre-war ‘Scottish’ militia regiments, provide examples of how this identity survived and was influenced by some key officers and NCOs of Scots heritage.

scholarly journals Impact of hospitalizations for bronchiolitis in preterm infants on long-term health care costs in Italy: a retrospective case-control study

2016 ◽  
Vol Volume 8 ◽  
pp. 407-412 ◽  
Author(s):  
Alessandro Roggeri ◽  
Daniela Paola Roggeri ◽  
Elisa Rossi ◽  
Salvatore Cataudella ◽  
Nello Martini
Keyword(s):  
Health Care ◽  
Preterm Infants ◽  
Health Care Costs ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Care Costs ◽  
Control Study
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