CENTRE FOR RESEARCH EXCELLENCE IN TOTAL JOINT REPLACEMENT OPTIMISING OUTCOMES, EQUITY, COST EFFECTIVENESS AND PATIENT SELECTION (OPUS)

Surgery for osteoarthritis

Peter FM Choong, Michelle M Dowsey

2023-01-01

Developing and internally validating a prediction model for total knee replacement surgery in patients with osteoarthritis.

Sharmala Thuraisingam, Patty Chondros, Jo-Anne Manski-Nankervis, Tim Spelman, Peter F Choong, Jane Gunn, Michelle M Dowsey

2022-09-01

OBJECTIVE: The objective of this study was to develop and internally validate a clinical algorithm for use in general practice tha..

The role of digital health interventions to improve health literacy in surgical patients: a narrative review in arthroplasty

Myles T Davaris, Samantha Bunzli, Jason Trieu, Michelle M Dowsey, Peter F Choong

2022-08-04

BACKGROUND: Arthroplasty is a high-volume but costly treatment option for advanced osteoarthritis. Health literacy and patient edu..

Cost-effectiveness of home-based care of febrile neutropenia in children with cancer

Michelle Tew, Richard De Abreu Lourenco, Joshua Robert Gordon, Karin A Thursky, Monica A Slavin, Franz A Babl, Lisa Orme, Penelope A Bryant, Benjamin W Teh, Kim Dalziel, Gabrielle M Haeusler

2021-12-02

INTRODUCTION: Home-based treatment of febrile neutropenia (FN) in children with cancer with oral or intravenous antibiotics is saf..

Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study

Lea Ettlin

2021-11-01

BACKGROUND: In contrast to best practice guidelines for knee osteoarthritis (OA), findings from several different healthcare setti..

What influences patient satisfaction after total knee replacement? A qualitative long-term follow-up study

Nardia-Rose Klem, Anne Smith, Peter O'Sullivan, Michelle M Dowsey, Robert Schutze, Peter Kent, Peter FM Choong, Samantha Bunzli

2021-11-01

OBJECTIVES: To explore whether a conceptual model of patient satisfaction previously developed 1-2 years post-total knee replaceme..

Assessing the suitability of general practice electronic health records for clinical prediction model development: a data quality assessment

Sharmala Thuraisingam, Patty Chondros, Michelle M Dowsey, Tim Spelman, Stephanie Garies, Peter F Choong, Jane Gunn, Jo-Anne Manski-Nankervis

2021-10-30

BACKGROUND: The use of general practice electronic health records (EHRs) for research purposes is in its infancy in Australia. Giv..

Gamifying health literacy: how can digital technology optimize patient outcomes in surgery?

Myles T Davaris, Samantha Bunzli, Michelle M Dowsey, Peter F Choong

2021-04-06

The digital age is entrenched in our society, with constant innovation driving change in the way clinicians and patients manage th..

Cohort profile: the St Vincent's Melbourne Arthroplasty Outcomes (SMART) Registry, a pragmatic prospective database defining outcomes in total hip and knee replacement patients

Daniel Gould, Sharmala Thuraisingam, Cade Shadbolt, Josh Knight, Jesse Young, Chris Schilling, Peter F Choong, Michelle M Dowsey

2021-01-01

PURPOSE: The St Vincent's Melbourne Arthroplasty Outcomes (SMART) Registry is an institutional clinical registry housed at a terti..

Excess cost of care associated with sepsis in cancer patients: Results from a population-based case-control matched cohort

Michelle Tew, Kim Dalziel, Karin Thursky, Murray Krahn, Lusine Abrahamyan, Andrew M Morris, Philip Clarke

2021-01-01

BACKGROUND: Cancer patients are at significant risk of developing sepsis due to underlying malignancy and necessary treatments. Li..

Developing prediction models for total knee replacement surgery in patients with osteoarthritis: Statistical analysis plan

Sharmala Thuraisingam, Michelle Dowsey, Jo-Anne Manski-Nankervis, Tim Spelman, Peter Choong, Jane Gunn, Patty Chondros

2020-12-01

Background Approximately 12–20% of those with osteoarthritis (OA) in Australia who undergo total knee replacement (TKR) surgery do..

Risk Factors for Chronic Opioid Use Following Hip and Knee Arthroplasty: Evidence from New Zealand Population Data

Yana Pryymachenko, Ross A Wilson, J Haxby Abbott, Michelle M Dowsey, Peter FM Choong

2020-11-01

BACKGROUND: Patients awaiting total joint arthroplasty (TJA) have high rates of opioid use, and many continue to use opioid medica..

Embedding consumer and community involvement within an established research centre: moving from general recommendations to an actionable framework

T Gunatillake, C Shadbolt, D Gould, M Lam, MG Hearst, C Vleeskens, P Choong, M Dowsey

2020-10-27

Background: The value of involving consumers and community members in every stage of the research process is gaining recognition a..

Patient-Reported Outcomes Following Total Knee Replacement in Patients < 65 Years of Age-A Systematic Review and Meta-Analysis

Jason Trieu, Daniel J Gould, Chris Schilling, Tim Spelman, Michelle M Dowsey, Peter F Choong

2020-10-01

An increasing number of total knee replacements (TKRs) are being performed in response to the growing burden of osteoarthritis. Pa..

National osteoarthritis strategy brief report Advanced care

Xia Wang, David J Hunter, Michelle Dowsey, Ian Harris, Peter O'Sullivan, Bill Donnelly, Thomas Buttel, Anita Wluka, Philip Clark, Raj Anand, Yuen Leow, Jane M Gunn, Yingyu Feng, Peter Choong

2020-09-01

BACKGROUND: Osteoarthritis (OA) is one of the most common chronic joint diseases and a leading cause of pain and disability in Aus..

What Influences Patient Satisfaction after TKA? A Qualitative Investigation

Nardia-Rose Klem, Anne Smith, Peter O'Sullivan, Michelle M Dowsey, Robert Schutze, Peter Kent, Peter F Choong, Samantha Bunzli

2020-08-01

BACKGROUND: Patient satisfaction is a common measure of the success of an orthopaedic intervention. However, there is poor underst..

Early surgical complications of total hip arthroplasty related to surgical approach

Wayne Hoskins, Michelle M Dowsey, Tim Spelman, Peter FM Choong

2020-07-20

BACKGROUND: Total hip arthroplasty (THA) can be performed through a number of surgical approaches. The aim was to compare the inci..

Population growth, ageing and obesity do not sufficiently explain the increased utilization of total knee replacement in Australia

Jason Trieu, Michelle M Dowsey, Chris Schilling, Tim Spelman, Peter F Choong

2020-07-15

BACKGROUND: The utilization of total knee replacement (TKR) has increased significantly. The objective of this study was to assess..

Patient-reported outcome measures (PROMs): can they be used to guide patient-centered care and optimize outcomes in total knee replacement?

Michelle Tew, Kim Dalziel, Philip Clarke, Anne Smith, Peter F Choong, Michelle Dowsey

2020-07-10

PURPOSE: As patient-reported outcome measures (PROMs) are increasingly integrated into clinical practice, there is a need to trans..

Misconceived expectations: Patient reflections on the total knee replacement journey

Samantha Bunzli, Penny O'Brien, Nardia Klem, Ian Incoll, Jasvinder Singh, Myles Davaris, Peter Choong, Michelle Dowsey

2020-04-23

INTRODUCTION: Fifty per cent of patients consent for total knee replacement (TKR) with unrealistic expectations about what it invo..

Exploring the Impact of Quality of Life on Survival: A Case Study in Total Knee Replacement Surgery

Michelle Tew, Kim Dalziel, Michelle Dowsey, Peter F Choong, Philip Clarke

2020-04-16

Background. There is growing evidence that quality of life (QoL) has a strong association with mortality. However, incorporation o..

Arthroplasty information on the internet: quality or quantity?

Myles T Davaris, Michelle M Dowsey, Samantha Bunzli, Peter F Choong

2020-04-01

Aims: Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients' quality of life. Informed decisio..

In pursuit of enhanced recovery after total joint replacement: a narrative review of drivers of length of stay

Siddharth Rele, Michelle M Dowsey, Peter FM Choong

2020-04-01

A continual increase in the prevalence of osteoarthritis drives growing demand for total joint arthroplasty. So far, a decrease in..

Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review

Nardia-Rose Klem, Peter Kent, Anne Smith, Michelle Dowsey, Robyn Fary, Rob Schütze, Peter O'Sullivan, Peter Choong, Samantha Bunzli

2020-03-01

Objective: Patient satisfaction is considered an important outcome measure after total knee replacement, but the construct is comp..

Three steps to changing the narrative about knee osteoarthritis care: a call to action

JP Caneiro, Peter B O'Sullivan, Ewa M Roos, Anne J Smith, Peter Choong, Michelle Dowsey, David J Hunter, Joanne Kemp, Jorge Rodriguez, Stefan Lohmander, Samantha Bunzli, Christian J Barton

2020-03-01

The Surgeon's Role in the Opioid Crisis: A Narrative Review and Call to Action

Cade Shadbolt, J Haxby Abbott, Ximena Camacho, Philip Clarke, L Stefan Lohmander, Tim Spelman, Eric C Sun, Jonas B Thorlund, Yuting Zhang, Michelle M Dowsey, Peter FM Choong

2020-02-18

Over the past two decades, there has been a sharp rise in the use of prescription opioids. In several countries, most notably the ..

Patient-related risk factors for unplanned 30-day readmission following total knee arthroplasty: a narrative literature review

Daniel Gould, Michelle Dowsey, Imkyeong Jo, Peter Choong

2020-01-22

Osteoarthritis is a debilitating condition as well as a growing global health problem, and total knee arthroplasty (TKA) is an eff..

Co-Morbidities and Sex Differences in Long-Term Quality-of-Life Outcomes among Patients with and without Diabetes after Total Knee Replacement: Five-Year Data from Registry Study

Michelle Tew, Michelle M Dowsey, Annabelle Choong, Peter F Choong, Philip Clarke

2020-01-01

Improved understanding of quality-of-life (QoL) outcomes can provide valuable information on intervention effectiveness and guide ..

Long-term opioid medication use before and after joint replacement surgery in New Zealand

Ross Wilson, Yana Pryymachenko, Richard Audas, J Haxby Abbott, Peter Choong, Michelle Dowsey

2019-12-13

AIM: To describe the use of opioid analgesics over three years before and after total joint replacement surgery in New Zealand. ME..

Opioid use prior to elective surgery is strongly associated with persistent use following surgery: an analysis of 14 354 Medicare patients

Max Catchpool, Josh Knight, Jesse T Young, Philip Clarke, Michael J Barrington, Peter FM Choong, Michelle M Dowsey

2019-10-21

BACKGROUND: Persistent opioid use following total joint replacement (TJR) surgery is common; however, the association between pre-..

What are the patient factors that impact on decisions to progress to total knee replacement? A qualitative study involving patients with knee osteoarthritis

Penny O'Brien, Samantha Bunzli, Darshini Ayton, Michelle M Dowsey, Jane Gunn, Jo-Anne Manski-Nankervis

2019-09-01

OBJECTIVES: General practitioners (GPs) are often the first health professionals to assess patients with osteoarthritis (OA). Desp..

Patient-related risk factors for unplanned 30-day readmission following total knee arthroplasty: a protocol for a systematic review and meta-analysis

Daniel Gould, Michelle Dowsey, Tim Spelman, Imkyeong Jo, Wassif Kabir, Jason Trieu, Peter Choong

2019-08-22

BACKGROUND: Osteoarthritis is a debilitating condition as well as a growing global health problem, and total knee arthroplasty is ..

Incorporating Future Medical Costs: Impact on Cost-Effectiveness Analysis in Cancer Patients

Michelle Tew, Philip Clarke, Karin Thursky, Kim Dalziel

2019-07-01

BACKGROUND: The inclusion of future medical costs in cost-effectiveness analyses remains a controversial issue. The impact of capt..

Knee Arthroplasty Component Malrotation Does Not Affect Function or Quality of Life in the Short to Medium Term

Sina Babazadeh, Michelle M Dowsey, Michael G Vasimalla, James D Stoney, Peter FM Choong

2019-07-01

BACKGROUND: Component rotation in total knee arthroplasty is thought to affect patella tracking, flexion gap, and balancing and he..

ARE ILLNESS PERCEPTIONS A BARRIER TO UPTAKE OF EVIDENCE BASED INTERVENTIONS FOR KNEE OSTEOARTHRITIS? A QUALITATIVE STUDY

S Bunzli, P O'Brien, D Ayton, M Dowsey, J Gunn, J-A Manski-Nankervis

2019-04-01

HOW DO PATIENTS APPRAISE SATISFACTION, AND PAIN AND FUNCTION OUTCOMES AFTER TOTAL KNEE REPLACEMENT? A QUALITATIVE INVESTIGATION

N-R Klem, S Bunzli, M Dowsey, R Schutze, P O'Sullivan, P Kent, P Choong, A Smith

2019-04-01

Physical activity levels after hip and knee joint replacement surgery: an observational study

Lyndon J Hawke, Nora Shields, Michelle M Dowsey, Peter FM Choong, Nicholas F Taylor

2019-03-01

Usual care after hip or knee joint replacement does not adequately address the problem of low physical activity levels. We aimed t..

National cost savings from an ambulatory program for low-risk febrile neutropenia patients in Australia

Michelle Tew, Daniel Forster, Benjamin W Teh, Kim Dalziel

2019-01-01

Objective The management of low-risk febrile neutropenia (FN) patients through ambulatory programs has demonstrated comparative sa..

The impact of older age on patient outcomes following primary total knee arthroplasty

BP d'S Murphy, MM Dowsey, T Spelman, PFM Choong

2018-11-01

AIMS: As the population ages, there is projected to be an increase in the level of demand for total knee arthroplasty (TKA) in oct..

Body Mass Index Is Associated With All-cause Mortality After THA and TKA

Michelle M Dowsey, Peter FM Choong, Elizabeth W Paxton, Tim Spelman, Robert S Namba, Maria CS Inacio

2018-06-01

BACKGROUND: Both obesity and underweight are associated with a higher risk of mortality in adulthood, but the association between ..

What Is the Impact of Advancing Age on the Outcomes of Total Hip Arthroplasty?

Benjamin P d'S Murphy, Michelle M Dowsey, Tim Spelman, Peter FM Choong

2018-04-01

BACKGROUND: The global demand for total hip arthroplasty (THA) is increasing, underscoring its moniker as the "operation of the ce..

THE IMPACT OF ADVANCED AGE ON THE OUTCOMES OF PRIMARY TOTAL HIP AND KNEE ARTHROPLASTY FOR OSTEOARTHRITIS A Systematic Review

Benjamin P d'S Murphy, Michelle M Dowsey, Peter FM Choong

2018-02-01

BACKGROUND: Elective total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective options for the management of os..

Gap Balancing Sacrifices Joint-Line Maintenance to Improve Gap Symmetry: 5-Year Follow-Up of a Randomized Controlled Trial

Sina Babazadeh, Michelle M Dowsey, Michael G Vasimalla, James D Stoney, Peter FM Choong

2018-01-01

BACKGROUND: Gap balancing (GB) has been noted to sacrifice joint-line maintenance to improve gap symmetry. This study aims to dete..

Sham Surgery – Justified but practical? A systematic review of sham surgery trials in orthopaedics’

S Bunzli, Michelle Dowsey, Peter Choong

2018-01-01

Background: An increasing trend for sham surgery trials in minor orthopaedic procedures has been observed. Trial outcomes have cha..