Journal article

Trends in diagnosis of pelvic inflammatory disease in an Australian sexual health clinic, 2002-16: before and after clinical audit feedback

Jane L Goller, Christopher K Fairley, Alysha M De Livera, Marcus Y Chen, Catriona S Bradshaw, Eric PF Chow, Rebecca Guy, Jane S Hocking

SEXUAL HEALTH | CSIRO PUBLISHING | Published : 2019

Abstract

Background A 2006 Australian sexual health clinic audit of pelvic inflammatory disease (PID) diagnosis rates found variability between doctors. Doctors were given audit feedback towards increasing diagnosis and reducing variability. The clinic implemented other improvements to increase capacity. This study investigated PID diagnosis time trends before and after feedback. METHODS: Yearly PID diagnosis rates for women aged 16-49 years attending the clinic (2002-16) were calculated. Using multivariable generalised linear mixed models, adjusted for patient risk and lower genital infection (any of chlamydia, gonorrhoea, Mycoplasma genitalium, bacterial vaginosis) and stratified by before (2002-Ju..

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Grants

Funding Acknowledgements

Jane Goller is supported by an Australian Government Research Training Program Scholarship. Jane Hocking is supported by a National Health and Medical Research Council (NHMRC) Senior Research Fellowship. Eric Chow is supported by a NHMRC Early Career Fellowship. We acknowledge Afrizal Afrizal and Jun Kit Sze for their assistance with the data extraction, and James Unger for his detailed knowledge of Melbourne Sexual Health Centre.