Diagnostic system

Attention deficit/hyperactivity disorder (ADHD) in children: more focus on care and support, less on diagnosis – Luise Kazda et al.

2024-02-13T13:02:45+11:00ADHD, Definition complexity, Diagnostic system, Disease labels, Mental Health, Prescribing, Publications|

ADHD diagnoses continue to increase, but Luise Kazda and colleagues argue that the push for diagnosis could be hampering access to care and support for children. The prevalence of attention deficit/hyperactivity disorder (ADHD) in children has been rising for several decades, including in countries with previously [...]

Improving the accuracy of blood pressure measuring devices in Australia: a modelled return on investment study – Zachary Desson et al.

2024-04-05T14:31:16+11:00Cardiovascular disease, Diagnostic system, Hypertension, Low-value care, Overdiagnosis, Overtreatment, Publications, Underdiagnosis|

The VALID BP project was initiated to increase the availability of validated blood pressure measuring devices (BPMDs). The goal is to eliminate non validated BPMDs and minimise over- and underdiagnosis of hypertension caused by inaccurate readings. This study was undertaken to assess the potential return [...]

Evidence for overdiagnosis in non-cancer conditions was assessed: a metaepidemiological study using the ‘Fair Umpire’ framework – Sharon Sanders et al.

2023-12-04T12:23:07+11:00Diagnostic system, Overdiagnosis, Publications, Research, Tests|

The objective of this study is to evaluate the strength of the evidence for, and the extent of, overdiagnosis in non-cancer conditions. We systematically searched for studies investigating overdiagnosis in non-cancer conditions. Using the 'Fair Umpire' framework to assess the evidence that cases diagnosed by [...]

Evaluating the use of clinical decision aids in an Australian emergency department: A cross-sectional survey – Zoe A Michaleff et al.

2023-12-01T15:43:13+11:00Decision aids, Diagnostic system, Health professionals, Publications|

The objective of this study is to identify healthcare professionals' knowledge, self-reported use, and documentation of clinical decision aids (CDAs) in a large ED in Australia, to identify behavioural determinants influencing the use of CDAs, and healthcare professionals preferences for integrating CDAs into the electronic [...]

COVID-19 rapid antigen tests approved for self-testing in Australia: published diagnostic test accuracy studies and manufacturer-supplied information. A systematic review – Katy JL Bell et al.

2024-02-11T15:19:33+11:00COVID-19, Diagnostic system, Patient-led surveillance, Publications, Tests|

The objectives of this study to are review evaluations of the diagnostic accuracy of coronavirus disease 2019 (COVID-19) rapid antigen tests (RATs) approved by the Therapeutic Goods Administration (TGA) for self-testing by ambulatory people in Australia; to compare these estimates with values reported by test [...]

Genitourinary Syndrome of Menopause: Does Everyone Have It? – Jenny Doust, Annabelle Huguenin & Martha Hickey

2023-12-01T13:33:05+11:00Ageing, Diagnostic system, Expanding disease definitions, Publications, Women's health|

In 2014, the North American Menopause Society and the International Society for the Study of Women’s Sexual Health recommended using the term genitourinary syndrome of menopause (GSM) to cover a range of genital and urinary symptoms that might be experienced during and after menopause. The [...]

A call to reconsider the new diagnostic criteria for gestational diabetes mellitus – Katy J.L. Bell, Paul P. Glasziou & Jenny A. Doust

2023-12-01T13:17:17+11:00Diabetes, Diagnostic system, Gestational diabetes, Overdiagnosis, Pregnancy, Publications, Women's health|

We read the article by Nethery and colleagues with great interest, having noted a similar dramatic increase in the incidence of gestational diabetes in Australia, coincident with widespread adoption of the 1-step test using the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria. [...]

Evaluating the use of the ABCD2 score as a clinical decision aid in the emergency department: Retrospective observational study – Siddhant Wahi et al.

2023-12-01T13:05:15+11:00Decision aids, Diagnostic system, Publications|

Clinical decision aids (CDAs) can help clinicians with patient risk assessment. However, there is little data on CDA calculation, interpretation and documentation in real-world ED settings. The ABCD2 score (range 0–7) is a CDA used for patients with transient ischaemic attack (TIA) and assesses risk [...]

Incorporating a polygenic risk score-triaged coronary calcium score into cardiovascular disease examinations to identify subclinical coronary artery disease (ESCALATE): Protocol for a prospective, nonrandomized implementation trial – Michael P. Gray et al

2023-12-01T11:32:51+11:00Cardiovascular disease, Diagnostic system, Publications, Risk|

Identifying and targeting established modifiable risk factors has been a successful strategy for reducing the burden of coronary artery disease (CAD) at the population-level. However, up to 1-in-4 patients who present with ST elevation myocardial infarction do so in the absence of such risk factors. Polygenic risk scores (PRS) [...]

Inconsistent discharge diagnoses for young cardiac arrest episodes: insights from a statewide registry – Elizabeth D. Paratz et al.

2023-12-01T09:48:29+11:00Cardiovascular disease, Diagnostic system, Disease labels, Publications|

Administrative coding of out-of-hospital cardiac arrest (OHCA) is heterogeneous, with the prevalence of noninformative diagnoses uncertain. The aim of this study is to characterize the prevalence and type of non-informative diagnoses in a young cardiac arrest population.

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