Conjoint Professor Cate d'Este

Conjoint Professor

School of Medicine and Public Health (Public Health)

Career Summary

Biography

I am currently Professor in Biostatistics at the University of Newcastle and will soon take up a position as Chair of Biostatistics. In addition I am an Honorary Research Consultant at the Centre for Military and Veterans Health at the University of Queensland, where I was employed for 13 months during a period of leave of absence from the University of Newcastle from February 2006 to March 2007. I have accumulated some 18 years of experience and leadership skills in the fields of health, research and teaching in the national and international arena, many working in the Faculty of Health and Discipline of Statistics at the University of Newcastle. In addition to a background in Allied Health, I have an undergraduate degree in Mathematics (majoring in statistics), Post Graduate Degrees in Education and Medical Statistics and a PhD.

I have been involved in academic teaching for 20 years, including the development and delivery of at least 15 courses at both undergraduate and postgraduate level and for on campus, distance learning and international students. In total I have been an investigator on over 35 grants to the value of over $17 million, a co-author on almost 100 peer reviewed journal articles, letters, book chapters and commissioned reports, and have participated in many local, state and national committees and working parties.

Research Expertise
I was awarded a PhD from The University of Newcastle over 10 years ago, and since then have been involved in health related research and teaching in my position as an academic within the Faculty of Health.

 As a biostatistician and methodologist, I have been involved in studies with a wide variety of different content areas, designs and settings. Despite this, common themes include cardiovascular disease, randomised controlled trials and challenging methodological areas such as longitudinal studies and meta-analysis. Other themes include multidisciplinary research and capacity building.

I have a wide range of consulting experience, nationally and internationally. As a member of numerous state and national committees, and a consultant for additional government agencies and non government organizations, I have provided important input on quantitative and methodological issues. In total I have been an investigator on grants to the value of over $17 million and a co-author on almost 100 peer reviewed journal articles, letters, book chapters and commissioned reports. While my role has varied across research projects and publications, I have made a vital contribution to all of these projects. This has involved providing advice on design, conduct, analysis and interpretation, as well as the actual writing of grants, journal articles and reports. In addition I have taken the lead role in various projects. The range of different content and methodological areas of my research is indicative of the importance of and need for high quality biostatistical input in health research. I believe that my input to both research grants and publications had contributed to the quality of these products.

I have successfully supervised or co-supervised to completion six research masters students and six PhD students, with an additional PhD student currently completing corrections required by Examiners. I am supervising several other current PhD students. The topics undertaken by these students cover a range of content areas and study designs, with varying levels of statistical complexity. Students have been enrolled both full time and part time, and include off campus and international students. In addition, my roles as Deans Representative for Research Higher Degree for the Faculty of Health and Research Development Manager have given me substantial understanding of and experience in the administrative aspects of the research higher degree process, and an insight into the research training environment across the Faculty of Health and wider university.

Teaching Expertise
I have approximately 20 years of teaching experience, including the development and delivery of at least 15 courses at both undergraduate and postgraduate level and for on campus, distance learning and international students. I have taught 5 different undergraduate courses at the University of Newcastle, including the public health component of the Bachelor of Medicine Program, and 10 different post-graduate or honours courses within the University of Newcastle (Faculty of Health and Discipline of Statistics) and the University of Queensland.

My role in teaching has included the development of new courses for on-campus and distance learning delivery, modification of existing material for distance learning delivery and all aspects of course co-ordination and assessment. In addition I have been program convenor for the Post-graduate programs in Medical Statistics at the University of Newcastle. In 2003 I was the recipient of the Faculty of Health, University of Newcastle, Excellence in Teaching Award. I have also developed and delivered numerous short courses and workshops, locally and internationally on topics such as critical appraisal, sample size, survey design, meta-analysis, analysis of longitudinal data, multi-level modeling and. data analysis and writing. My experience in distance learning spans 15 years and includes local and international distance learning through the University of Newcastle, the Biostatistics Collaboration of Australia and the University of Queensland.

I have developed courses specifically for Distance Learning as well as modified on-campus courses for delivery in Distance Learning mode. In my role as Academic Co-ordinator for the Distance Learning Program managed by the Centre for Clinical Epidemiology and Biostatistics, I was responsible for providing academic advice on courses and programs, undertaking various administrative activities associated with running national and international distance learning programs, developing the program for and facilitating Distance Learning Residentials. As part of this co-ordination I was also responsible for managing a cohort of 13 distance learning students in Zimbabwe, as part of a program funded by AusAID, as well as several cohorts of students in Japan. My teaching philosophy revolves around trying to de-mystify statistics and ensure that students understand basic and important statistical concepts, rather than taking a cookbook approach involving rote learning and memorizing formulae and methods. Statistics can be a difficult to learn, as well as being difficult to teach. My teaching training obtained during my post graduate Diploma in Education provided a good grounding in teaching and learning principals. Key issues for consideration in teaching and assessment are the knowledge and skills which the students should have on completion of the course, and targeting material so that these can be met; and an awareness of the background and expertise of students undertaking the course to ensure that the level of material is appropriate. It is important, where possible to have an understanding of the expectations of the student. I seek to consult with a wide range of staff and potential students as part of curriculum development. Particularly in the early years of a new course, feedback is an essential issue.

Administrative Expertise
I have extensive experience with course and program coordination for undergraduate, postgraduate and national teaching programs in biostatistics, statistics and research methodological, including the Biostatistics Collaboration of Australia (BCA). I have also been Academic Co-ordinator for the national and international Distance Learning Program and the postgraduate training component of the NSW Department of Health Aboriginal and Torres Strait Islander Public Health Officer Training Program. In a previous role as School and Faculty Research Higher Degree Coordinator I was involved in numerous administrative activities associated with research higher degree application, supervision, candidate monitoring and management, and examination processes. I have been a member of various School and University committees, including: Centre for Clinical Epidemiology and Biostatistics (CCEB) Centre Advisory Committee, CCEB Centre Executive Committee, CCEB Centre Management Committee, CCEB Education Committee, BMed Admissions Committee, Faculty of Medicine and Health Sciences Research Management Committee, Faculty of Medicine and Health Sciences Post Graduate Education Committee, University of Newcastle Research Higher Degrees Committee I have been a member of several selection panels, in particular the Head of School of Nursing (Professorial appointment) and Professor of Statistics (2 rounds) and was chair of the Statistics and Mathematics Course and Program Rationalisation Working Party I was involved in the establishment and academic co-ordination of the Hunter Area Heart and Stroke Register for many years. Experience in national committees external to the university includes membership of the , Biostatistics Collaboration of Australia Teaching and Learning Committee, NH&MRC Regional Grant Interview Committee, Brisbane, 1997, NHMRC Grant Review panels 2000, 2002-2005, NHMRC Working Group on Toxicity and Risk Assessment, National Heart Foundation Hunter Education and Health Promotion Committee, Medicare Services Advisory Committee, 2000-2001, NSW Health Cardiovascular Disease Working Group 1997-1998, NSW Health Stroke Expert Working Group 1998-1999 and the Cancer Council Australia Occupational Cancer Risk Working Party. I have been a reviewer of grants for NH&MRC, South Australian Anti-Cancer Council, Anti-Cancer Council of Victoria, The University of Newcastle ARC/RMC project grant applications, National Heart Foundation, Healthway Western Australian Health Promotion Foundation, Statistical Reviewer for Australian and New Zealand Journal of Public Health, Medical Journal of Australia, Australian and New Zealand Journal of Medicine, Venereology, and I have recently been appointed to the editorial committee of the Journal of Clinical Epidemiology International administrative experience includes membership of the International Clinical Epidemiology Network (INCLEN) and South East Asian Clinical Epidemiology Network (SEACLEN); which required some aspects of governance of SEACLEN and provision of continuing education workshops at international meetings. I have managed statistical support staff and research staff and been responsible for initiating several collaborative research projects including putting together a team of investigators with appropriate expertise and interest required to successfully undertake the project, and managing all aspects of research projects including budgets, timelines, reporting schedules, liaising with fund bodies and stakeholders and overseeing the writing and submission of the proposals and publications. In addition I have taken on leadership roles in administration and in mentoring of research candidates and junior staff.


Qualifications

  • Bachelor of Mathematics, University of Newcastle
  • Graduate Diploma in Medical Statistics, University of Newcastle
  • Diploma in Education, University of Newcastle
  • PhD, University of Newcastle

Keywords

  • Public Health
  • biostatistics
  • clinical trials
  • epidemiology
  • indigenous health
  • public health
  • statistics

Fields of Research

Code Description Percentage
110399 Clinical Sciences not elsewhere classified 20
111799 Public Health and Health Services not elsewhere classified 60
111299 Oncology and Carcinogenesis not elsewhere classified 20

Professional Experience

Academic appointment

Dates Title Organisation / Department
1/04/2007 -  Research Consultant Centre for Military and Veterans' Health, University of Queensland
Australia
1/03/2007 -  Honorary Research Consultant The University of Queensland
Centre for Military and Veterans' Health
Australia
1/02/2006 - 1/03/2007 Research Academic The University of Queensland
Centre for Military and Veterans' Health
Australia
1/12/2001 -  Associate Professor in Biostatistics University of Newcastle
School of Medicine and Public Health
Australia
1/03/1999 - 1/12/2001 Senior Lecturer in Biostatistics University of Newcastle
Community Medicine and Clinical Epidemiology
Australia
1/08/1995 - 1/03/1999 Lecturer in Biostatistics University of Newcastle
Community Medicine and Clinical Epidemiology
Australia

Membership

Dates Title Organisation / Department
Member/ Editor - Grant Review Panel NHMRC Committee
Australia
Member - Medicare Services Advisory Committee Supporting Committee Medicare Services Advisory Committee Supporting Committee
Australia
Member - NHMRC Working Group on Toxicity and Risk Assessment NHMRC Committee
Australia
Member - Australian and New Zealand Journal of Public Health Australian and New Zealand Journal of Public Health
Australia
Member - National Heart Foundation Hunter Education and Health Promotion Committee National Heart Foundation Hunter Education and Health Promotion Committee
Australia
Member - Biostatistics Collaboration of Australia Teaching and Learning Committee Biostatistics Collaboration of Australia Teaching and Learning Committee
Australia
1/01/2007 - 31/12/2007 Member - Journal of Clinical Epidemiology Journal of Clinical Epidemiology
Australia

Invitations

Participant

Year Title / Rationale
2005 Biostatistical and epidemiological analysis using Stata
Organisation: East Asia Training Company Description: Developed and delivered 3 day workshop for small group of international audience
2005 the Study of Health Outcomes in Aircraft Maintenance Personnel
Organisation: Enrivonmental and neurodevelopmental disorders; twenty second international neurotoxicology conference Description: Invited to present results of the Study of Health Outcomes in Aircraft Maintenance Personnel, which investigated advers health outcomes, including mental health and neurological outcomes, associated with exposure to F-111 Deseal/Reseal activities
2003 Introduction to Multi-level Analysis of Health Services Data
Organisation: SEACLEN (South East Asian International Clinical Epidemiology Network) Scientific meeting Description: continuing Education workshop for international conference
2002 Workshop on Distance Education
Organisation: NCLEN (International Clinical Epidemiology Network) Scientific meeting Description: Co-facilitated workshop on academic and adminsitrative aspects of implementing and managing Distance Education
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Book (5 outputs)

Year Citation Altmetrics Link
2004 D'Este CA, Byles JE, Attia JR, Brown AM, Second Mortality and Cancer Incidence Report, -, Newcastle, Australia (2004) [A2]
Co-authors John Attia, Meredith Tavener, Julie Byles
2004 D'Este CA, Byles JE, Attia JR, Brown AM, Report on the General Health and Medical Study, -, Newcastle, Australia, 463 (2004) [A2]
Co-authors John Attia, Julie Byles, Meredith Tavener
2003 D'Este CA, Byles JE, Attia JR, Brown AM, Literature Review Report, -, Newcastle, Australia (2003) [A2]
Co-authors John Attia, Meredith Tavener, Julie Byles
2003 D'Este CA, Byles JE, Attia JR, Brown AM, Report on the qualitative interviews, -, Newcastle, Australia (2003) [A2]
Co-authors Julie Byles, John Attia, Meredith Tavener
2003 D'Este CA, Byles JE, Attia JR, Brown AM, Interim mortality and cancer incidence report, -, Newcastle, Australia (2003) [A2]
Co-authors Meredith Tavener, Julie Byles, John Attia
Show 2 more books

Chapter (2 outputs)

Year Citation Altmetrics Link
2006 Pond CD, Harris E, Magin PJ, Sutton A, Traynor V, D'Este CA, Goode S, 'Retrenchment and Health Parameters: A Short report', Unemployment and Health: international and interdisciplinary perspectives, Australian Academic Press, Bowen Hills, Queensland 99-108 (2006) [B1]
Co-authors Dimity Pond, Parker Magin
2001 Higginbotham HN, D'Este CA, Saul A, Connor L, 'Strengthening Cross-sectional Studies through Cognitive and Qualitative Methods', Health Social Science: A Transdisciplinary and Complexity Perspective, Oxford Unifversity Press, South Melbourne, Australia 266-303 (2001) [B2]
Co-authors Ann Taylor, Nick Higginbotham

Journal article (222 outputs)

Year Citation Altmetrics Link
2017 Cabello M, Miret M, Caballero FF, Chatterji S, Naidoo N, Kowal P, et al., 'The role of unhealthy lifestyles in the incidence and persistence of depression: a longitudinal general population study in four emerging countries.', Global Health, 13 18 (2017)
DOI 10.1186/s12992-017-0237-5
2017 Moffatt CRM, Glass K, Stafford R, D'Este C, Kirk MD, 'The campylobacteriosis conundrum - Examining the incidence of infection with Campylobacter sp. in Australia, 1998-2013', Epidemiology and Infection, 145 839-847 (2017)

Copyright © Cambridge University Press 2016.Campylobacter sp. are a globally significant cause of gastroenteritis. Although rates of infection in Australia are among the highest ... [more]

Copyright © Cambridge University Press 2016.Campylobacter sp. are a globally significant cause of gastroenteritis. Although rates of infection in Australia are among the highest in the industrialized world, studies describing campylobacteriosis incidence in Australia are lacking. Using national disease notification data between 1998 and 2013 we examined Campylobacter infections by gender, age group, season and state and territory. Negative binomial regression was used to estimate incidence rate ratios (IRRs), including trends by age group over time, with post-estimation commands used to obtain adjusted incidence rates. The incidence rate for males was significantly higher than for females [IRR 1.20, 95% confidence interval (CI) 1.18-1.21], while a distinct seasonality was demonstrated with higher rates in both spring (IRR 1.18, 95% CI 1.16-1.20) and summer (IRR 1.17, 95% CI 1.16-1.19). Examination of trends in age-specific incidence over time showed declines in incidence in those aged <40 years combined with contemporaneous increases in older age groups, notably those aged 70-79 years (IRR 1998-2013: 1.75, 95% CI 1.63-1.88). While crude rates continue to be highest in children, our findings suggest the age structure for campylobacteriosis in Australia is changing, carrying significant public health implications for older Australians.

DOI 10.1017/S0950268816002909
2017 Carey M, Sanson-Fisher R, Macrae F, Cameron E, Hill D, D'Este C, Doran C, 'Improving adherence to colorectal cancer surveillance guidelines: results of a randomised controlled trial.', BMC Cancer, 17 106 (2017)
DOI 10.1186/s12885-017-3095-x
Co-authors Rob Sanson-Fisher, Mariko Carey
2017 Wright CY, Albers PN, Mathee A, Kunene Z, D'Este C, Swaminathan A, Lucas RM, 'Sun protection to improve vaccine effectiveness in children in a high ambient ultraviolet radiation and rural environment: An intervention study', BMC Public Health, 17 (2017)

© 2017 The Author(s).Background: Vaccination is a mainstay of preventive healthcare, reducing the incidence of serious childhood infections. Ecological studies have demonstrated ... [more]

© 2017 The Author(s).Background: Vaccination is a mainstay of preventive healthcare, reducing the incidence of serious childhood infections. Ecological studies have demonstrated an inverse association between markers of high ambient ultraviolet (UV) radiation exposure (e.g., sunny season, low latitude of residence) and reduction in the vaccination-associated immune response. Higher sun exposure on the day prior to and spanning the day of vaccination has been associated with a reduced antigen-specific immune response independent of skin pigmentation. The South African Department of Health's Expanded Programme on Immunisation provides free vaccinations in government primary health care clinics. In some areas, these clinics may have only a small waiting room and patients wait outside in full sun conditions. In rural areas, patients may walk several kilometres to and from the clinic. We hypothesised that providing sun protection advice and equipment to mothers of children (from 18 months) who were waiting to be vaccinated would result in a more robust immune response for those vaccinated. Methods: We conducted an intervention study among 100 children receiving the booster measles vaccination. We randomised clinics to receive (or not) sun protection advice and equipment. At each clinic we recorded basic demographic data on the child and mother/carer participants, their sun exposure patterns, and the acceptability and uptake of the provided sun protection. At 3-4 weeks post-vaccination, we measured measles IgG levels in all children. Discussion: This is the first intervention study to assess the effect of sun protection measures on vaccine effectiveness in a rural, real-world setting. The novel design and rural setting of the study can contribute much needed evidence to better understand sun exposure and protection, as well as factors determining vaccine effectiveness in rural Africa, and inform the design of immunisation programmes.

DOI 10.1186/s12889-016-3966-0
2017 Moore G, Redman S, D'Este C, Makkar S, Turner T, 'Does knowledge brokering improve the quality of rapid review proposals? A before and after study', Systematic Reviews, 6 (2017)

© 2017 The Author(s).Background: Rapid reviews are increasingly being used to help policy makers access research in short time frames. A clear articulation of the review's purpos... [more]

© 2017 The Author(s).Background: Rapid reviews are increasingly being used to help policy makers access research in short time frames. A clear articulation of the review's purpose, questions, scope, methods and reporting format is thought to improve the quality and generalisability of review findings. The aim of the study is to explore the effectiveness of knowledge brokering in improving the perceived clarity of rapid review proposals from the perspective of potential reviewers. To conduct the study, we drew on the Evidence Check program, where policy makers draft a review proposal (a pre knowledge brokering proposal) and have a 1-hour session with a knowledge broker, who re-drafts the proposal based on the discussion (a post knowledge brokering proposal). Methods: We asked 30 reviewers who had previously undertaken Evidence Check reviews to examine the quality of 60 pre and 60 post knowledge brokering proposals. Reviewers were blind to whether the review proposals they received were pre or post knowledge brokering. Using a six-point Likert scale, reviewers scored six questions examining clarity of information about the review's purpose, questions, scope, method and format and reviewers' confidence that they could meet policy makers' needs. Each reviewer was allocated two pre and two post knowledge brokering proposals, randomly ordered, from the 60 reviews, ensuring no reviewer received a pre and post knowledge brokering proposal from the same review. Results: The results showed that knowledge brokering significantly improved the scores for all six questions addressing the perceived clarity of the review proposal and confidence in meeting policy makers' needs; with average changes of 0.68 to 1.23 from pre to post across the six domains. Conclusions: This study found that knowledge brokering increased the perceived clarity of information provided in Evidence Check rapid review proposals and the confidence of reviewers that they could meet policy makers' needs. Further research is needed to identify how the knowledge brokering process achieves these improvements and to test the applicability of the findings in other rapid review programs.

DOI 10.1186/s13643-017-0411-0
2017 Barker D, D'Este C, Campbell MJ, McElduff P, 'Minimum number of clusters and comparison of analysis methods for cross sectional stepped wedge cluster randomised trials with binary outcomes: A simulation study.', Trials, 18 119 (2017)
DOI 10.1186/s13063-017-1862-2
Co-authors Patrick Mcelduff
2017 Middleton S, Coughlan K, Mnatzaganian G, Low Choy N, Dale S, Jammali-Blasi A, et al., 'Mortality Reduction for Fever, Hyperglycemia, and Swallowing Nurse-Initiated Stroke Intervention: QASC Trial (Quality in Acute Stroke Care) Follow-Up', Stroke, (2017)

© 2017 American Heart Association, Inc.BACKGROUND AND PURPOSE¿: Implementation of nurse-initiated protocols to manage fever, hyperglycemia, and swallowing dysfunction decreased ... [more]

© 2017 American Heart Association, Inc.BACKGROUND AND PURPOSE¿: Implementation of nurse-initiated protocols to manage fever, hyperglycemia, and swallowing dysfunction decreased death and disability 90 days poststroke in the QASC trial (Quality in Acute Stroke Care) conducted in 19 Australian acute stroke units (2005¿2010). We now examine long-term all-cause mortality. METHODS¿: Mortality was ascertained using Australia¿s National Death Index. Cox proportional hazards regression compared time to death adjusting for correlation within stroke units using the cluster sandwich (Huber¿White estimator) method. Primary analyses included treatment group only unadjusted for covariates. Secondary analysis adjusted for age, sex, marital status, education, and stroke severity using multiple imputation for missing covariates. RESULTS¿: One thousand and seventy-six participants (intervention n=600; control n=476) were followed for a median of 4.1 years (minimum 0.3 to maximum 70 months), of whom 264 (24.5%) had died. Baseline demographic and clinical characteristics were generally well balanced by group. The QASC intervention group had improved long-term survival (>20%), but this was only statistically significant in adjusted analyses (unadjusted hazard ratio [HR], 0.79; 95% confidence interval [CI], 0.58¿1.07; P=0.13; adjusted HR, 0.77; 95% CI, 0.59¿0.99; P=0.045). Older age (75¿84 years; HR, 4.9; 95% CI, 2.8¿8.7; P<0.001) and increasing stroke severity (HR, 1.5; 95% CI, 1.3¿1.9; P<0.001) were associated with increased mortality, while being married (HR, 0.70; 95% CI, 0.49¿0.99; P=0.042) was associated with increased likelihood of survival. Cardiovascular disease (including stroke) was listed either as the primary or secondary cause of death in 80% (211/264) of all deaths. CONCLUSIONS¿: Our results demonstrate the potential long-term and sustained benefit of nurse-initiated multidisciplinary protocols for management of fever, hyperglycemia, and swallowing dysfunction. These protocols should be a routine part of acute stroke care. CLINICAL TRIAL REGISTRATION¿: URL: http://www.anzctr.org.au. Unique identifier: ACTRN12608000563369.

DOI 10.1161/STROKEAHA.116.016038
Co-authors Christopher Levi, Patrick Mcelduff
2016 Barker D, McElduff P, D'Este C, Campbell MJ, 'Stepped wedge cluster randomised trials: a review of the statistical methodology used and available', BMC MEDICAL RESEARCH METHODOLOGY, 16 (2016)
DOI 10.1186/s12874-016-0176-5
Citations Scopus - 3Web of Science - 4
Co-authors Patrick Mcelduff
2016 Campbell SJ, Nery SV, D'Este CA, Gray DJ, McCarthy JS, Traub RJ, et al., 'Water, sanitation and hygiene related risk factors for soil-transmitted helminth and Giardia duodenalis infections in rural communities in Timor-Leste', International Journal for Parasitology, 46 771-779 (2016) [C1]

© 2016 Australian Society for ParasitologyThere is little evidence on prevalence or risk factors for soil transmitted helminth infections in Timor-Leste. This study describes the... [more]

© 2016 Australian Society for ParasitologyThere is little evidence on prevalence or risk factors for soil transmitted helminth infections in Timor-Leste. This study describes the epidemiology, water, sanitation and hygiene, and socioeconomic risk factors of STH and intestinal protozoa amongst communities in Manufahi District, Timor-Leste. As part of a cluster randomised controlled trial, a baseline cross-sectional survey was conducted across 18 villages, with data from six additional villages. Stool samples were assessed for soil transmitted helminth and protozoal infections using quantitative PCR (qPCR) and questionnaires administered to collect water, sanitation and hygiene and socioeconomic data. Risk factors for infection were assessed using multivariable mixed-effects logistic regression, stratified by age group (preschool, school-aged and adult). Overall, soil transmitted helminth prevalence was 69% (95% Confidence Interval 67¿71%), with Necator americanus being most common (60%; 95% Confidence Interval 58¿62%) followed by Ascaris spp. (24%; 95% Confidence Interval 23¿26%). Ascaris-N. americanus co-infection was common (17%; 95% Confidence Interval 15%-18%). Giardia duodenalis was the main protozoan identified (13%; 95% Confidence Interval 11¿14%). Baseline water, sanitation and hygiene infrastructure and behaviours were poor. Although risk factors varied by age of participants and parasite species, risk factors for N. americanus infection included, generally, age in years, male sex, and socioeconomic quintile. Risk factors for Ascaris included age in years for children, and piped water to the yard for adults. In this first known assessment of community-based prevalence and associated risk factors in Timor-Leste, soil transmitted helminth infections were highly prevalent, indicating a need for soil transmitted helminth control. Few associations with water, sanitation and hygiene were evident, despite water, sanitation and hygiene being generally poor. In our water, sanitation and hygiene we will investigate implications of improving WASH on soil transmitted helminth infection in impoverished communities.

DOI 10.1016/j.ijpara.2016.07.005
Citations Scopus - 1
2016 Morris LJ, D'Este C, Sargent-Cox K, Anstey KJ, 'Concurrent lifestyle risk factors: Clusters and determinants in an Australian sample', Preventive Medicine, 84 1-5 (2016) [C1]

© 2015 Elsevier Inc.Objective: To examine clustering among three major lifestyle risk factors for chronic disease (smoking, alcohol, and physical inactivity) and define sociodemo... [more]

© 2015 Elsevier Inc.Objective: To examine clustering among three major lifestyle risk factors for chronic disease (smoking, alcohol, and physical inactivity) and define sociodemographic subgroups with elevated risks of multiple lifestyle risk factors. Method: Data on 6052 adults aged 28-32, 48-52, and 68-72 from wave 3 (2007-2010) of the PATH Through Life Cohort Study, Australia, were used to estimate prevalence of individual and combinations of risk factors, and multinomial regression analysis undertaken to examine demographic factors associated with number of risks. Results: Clustering of risks varied by age and gender, with more people than expected having none or all of the risk factors. Smoking clustered with harmful alcohol use, as well as physical inactivity. No relationship was observed between physical inactivity and alcohol use. Several sociodemographic characteristics were associated with the number of lifestyle risk factors including partner status, gender, age, education, and physical and mental health related quality of life. Conclusions: The tendency for lifestyle risk factors to aggregate in different subgroups has meaningful implications for health promotion strategies. Better insight in the more vulnerable subpopulations that are at higher risk of displaying multiple lifestyle risk factors is of importance if we wish to reduce the population propensity for chronic disease.

DOI 10.1016/j.ypmed.2015.12.009
Citations Scopus - 2
2016 Duchesne GM, Woo HH, Bassett JK, Bowe SJ, D'Este C, Frydenberg M, et al., 'Timing of androgen-deprivation therapy in patients with prostate cancer with a rising PSA (TROG 03.06 and VCOG PR 01-03 [TOAD]): a randomised, multicentre, non-blinded, phase 3 trial', The Lancet Oncology, 17 727-737 (2016) [C1]

© 2016 Elsevier LtdBackground Androgen-deprivation therapy is offered to men with prostate cancer who have a rising prostate-specific antigen after curative therapy (PSA relapse)... [more]

© 2016 Elsevier LtdBackground Androgen-deprivation therapy is offered to men with prostate cancer who have a rising prostate-specific antigen after curative therapy (PSA relapse) or who are considered not suitable for curative treatment; however, the optimal timing for its introduction is uncertain. We aimed to assess whether immediate androgen-deprivation therapy improves overall survival compared with delayed therapy. Methods In this randomised, multicentre, phase 3, non-blinded trial, we recruited men through 29 oncology centres in Australia, New Zealand, and Canada. Men with prostate cancer were eligible if they had a PSA relapse after previous attempted curative therapy (radiotherapy or surgery, with or without postoperative radiotherapy) or if they were not considered suitable for curative treatment (because of age, comorbidity, or locally advanced disease). We used a database-embedded, dynamically balanced, randomisation algorithm, coordinated by the Cancer Council Victoria, to randomly assign participants (1:1) to immediate androgen-deprivation therapy (immediate therapy arm) or to delayed androgen-deprivation therapy (delayed therapy arm) with a recommended interval of at least 2 years unless clinically contraindicated. Randomisation for participants with PSA relapse was stratified by type of previous therapy, relapse-free interval, and PSA doubling time; randomisation for those with non-curative disease was stratified by metastatic status; and randomisation in both groups was stratified by planned treatment schedule (continuous or intermittent) and treatment centre. Clinicians could prescribe any form and schedule of androgen-deprivation therapy and group assignment was not masked. The primary outcome was overall survival in the intention-to-treat population. The trial closed to accrual in 2012 after review by the independent data monitoring committee, but data collection continued for 18 months until Feb 26, 2014. It is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12606000301561) and ClinicalTrials.gov (NCT00110162). Findings Between Sept 3, 2004, and July 13, 2012, we recruited 293 men (261 with PSA relapse and 32 with non-curable disease). We randomly assigned 142 men to the immediate therapy arm and 151 to the delayed therapy arm. Median follow-up was 5 years (IQR 3·3¿6·2) from the date of randomisation. 16 (11%) men died in the immediate therapy arm and 30 (20%) died in the delayed therapy arm. 5-year overall survival was 86·4% (95% CI 78·5¿91·5) in the delayed therapy arm versus 91·2% (84·2¿95·2) in the immediate therapy arm (log-rank p=0·047). After Cox regression, the unadjusted HR for overall survival for immediate versus delayed arm assignment was 0·55 (95% CI 0·30¿1·00; p=0·050). 23 patients had grade 3 treatment-related adverse events. 105 (36%) men had adverse events requiring hospital admission; none of these events were attributable to treatment or differed between treatment-timing groups. The most common serious adverse events were cardiovascular, which occurred in nine (6%) patients in the delayed therapy arm and 13 (9%) in the immediate therapy arm. Interpretation Immediate receipt of androgen-deprivation therapy significantly improved overall survival compared with delayed intervention in men with PSA-relapsed or non-curable prostate cancer. The results provide benchmark evidence of survival rates and morbidity to discuss with men when considering their treatment options. Funding Australian National Health and Medical Research Council and Cancer Councils, The Royal Australian and New Zealand College of Radiologists, Mayne Pharma Australia.

DOI 10.1016/S1470-2045(16)00107-8
Citations Scopus - 7
2016 Shah T, Greig J, van der Plas LM, Achar J, Caleo G, Squire JS, et al., 'Inpatient signs and symptoms and factors associated with death in children aged 5 years and younger admitted to two Ebola management centres in Sierra Leone, 2014: A retrospective cohort study', The Lancet Global Health, 4 e495-e501 (2016) [C1]

© 2016 Shah et al. Open Access article distributed under the terms of CC BY.Background: Médecins Sans Frontières (MSF) opened Ebola management centres (EMCs) in Sierra Leone in... [more]

© 2016 Shah et al. Open Access article distributed under the terms of CC BY.Background: Médecins Sans Frontières (MSF) opened Ebola management centres (EMCs) in Sierra Leone in Kailahun in June, 2014, and Bo in September, 2014. Case fatality in the west African Ebola virus disease epidemic has been highest in children younger than 5 years. Clinical data on outcomes can provide important evidence to guide future management. However, such data on children are scarce and disaggregated clinical data across all ages in this epidemic have focussed on symptoms reported on arrival at treatment facilities, rather than symptoms and signs observed during admission. We aimed to describe the clinical characteristics of children aged 5 years and younger admitted to the MSF EMCs in Bo and Kailahun, and any associations between these characteristics and mortality. Methods: In a retrospective cohort study, we included data from children aged 5 years and younger with laboratory-confirmed Ebola virus disease admitted to EMCs between June and December, 2014. We described epidemiological, demographic, and clinical characteristics and viral load (measured using Ebola virus cycle thresholds [Ct]), and assessed their association with death using Cox regression modelling. Findings: We included 91 children in analysis; 52 died (57·1%). Case fatality was higher in children aged less than 2 years (76·5% [26/34]) than those aged 2-5 years (45·6% [26/57]; adjusted HR 3·5 [95% CI 1·5-8·5]) and in those with high (Ct<25) versus low (Ct=25) viral load (81·8% [18/22] vs 45·9% [28/61], respectively; adjusted HR 9·2 [95% CI 3·8-22·5]). Symptoms observed during admission included: weakness 74·7% (68); fever 70·8% (63/89); distress 63·7% (58); loss of appetite 60·4% (55); diarrhoea 59·3% (54); and cough 52·7% (48). At admission, 25% (19/76) of children were afebrile. Signs significantly associated with death were fever, vomiting, and diarrhoea. Hiccups, bleeding, and confusion were observed only in children who died. Interpretation: This description of the clinical features of Ebola virus disease over the duration of illness in children aged 5 years and younger shows symptoms associated with death and a high prevalence of distress, with implications for clinical management. Collection and analysis of age-specific data on Ebola is very important to ensure that the specific vulnerabilities of children are addressed. Funding: No specific funding was received for this study. EB is supported by the National Health and Medical Research Council of Australia.

DOI 10.1016/S2214-109X(16)30097-3
Citations Scopus - 3
2016 Williamson A, D'Este C, Clapham K, Redman S, Manton T, Eades S, et al., 'What are the factors associated with good mental health among Aboriginal children in urban New South Wales, Australia? Phase i findings from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH)', BMJ Open, 6 (2016) [C1]
DOI 10.1136/bmjopen-2016-011182
2016 Bryant J, Boyes AW, Hall A, Girgis A, D'Este C, Sitas F, 'Prevalence and factors related to smoking and smoking cessation 6 months following a cancer diagnosis: a population-based study (vol 10, pg 645, 2016 )', JOURNAL OF CANCER SURVIVORSHIP, 10 1112-1112 (2016)
DOI 10.1007/s11764-016-0561-4
Co-authors Allison Boyes, Alix Hall
2016 Suzuki E, Mackenzie L, Sanson-Fisher R, Carey M, D Este C, Asada H, Toi M, 'Acceptability of a Touch Screen Tablet Psychosocial Survey Administered to Radiation Therapy Patients in Japan', International Journal of Behavioral Medicine, 23 485-491 (2016) [C1]

© 2015, International Society of Behavioral Medicine.Background: Studies in western clinical settings suggest that touch screen computer surveys are an acceptable mode of collect... [more]

© 2015, International Society of Behavioral Medicine.Background: Studies in western clinical settings suggest that touch screen computer surveys are an acceptable mode of collecting information about cancer patients¿ wellbeing Purpose: We examined the acceptability of a touch screen tablet survey among cancer patients in Japan. Methods: Eligible patients (n = 262) attending a university hospital radiation therapy (RT) department were invited to complete a touch screen tablet survey about psychosocial communication and care. Survey consent and completion rates, the proportion and characteristics of patients who completed the touch screen survey unassisted, and patient-reported acceptability were assessed. Results: Of 158 consenting patients (consent rate 60¿% [95¿% CI 54, 66¿%] of eligible patients), 152 completed the touch screen computer survey (completion rate 58¿% [95¿% CI 52, 64¿%] of eligible patients). The survey was completed without assistance by 74¿% (n = 113; 95¿% CI 67, 81¿%) of respondents. Older age was associated with higher odds of having assistance with survey completion (OR 1.09; 95¿% CI 1.04, 1.14¿%). Ninety-two percent of patients (95¿% CI 86, 96¿%) felt that the touch screen survey was easy to use and 95¿% (95¿% CI 90, 98¿%) agreed or strongly agreed that they were comfortable answering the questions. Overall, 65¿% (95¿% CI 57, 73¿%) of respondents would be willing to complete such a survey more than once while waiting for RT treatment. Conclusions: Although patient self-reported acceptability of the touch screen survey was high, self-administered touch screen tablet surveys may not be entirely appropriate for older cancer patients or possibly for patients with lower educational attainment.

DOI 10.1007/s12529-015-9502-2
Citations Scopus - 2Web of Science - 2
Co-authors Mariko Carey, Lisa Mackenzie, Rob Sanson-Fisher
2016 Brown BB, Haines M, Middleton S, Paul C, D'Este C, Klineberg E, et al., 'Development and validation of a survey to measure features of clinical networks', BMC Health Services Research, 16 1-11 (2016) [C1]

© 2016 The Author(s).Background: Networks of clinical experts are increasingly being implemented as a strategy to improve health care processes and outcomes and achieve change in... [more]

© 2016 The Author(s).Background: Networks of clinical experts are increasingly being implemented as a strategy to improve health care processes and outcomes and achieve change in the health system. Few are ever formally evaluated and, when this is done, not all networks are equally successful in their efforts. There is a need to formatively assess the strategic and operational management and leadership of networks to identify where functioning could be improved to maximise impact. This paper outlines the development and psychometric evaluation of an Internet survey to measure features of clinical networks and provides descriptive results from a sample of members of 19 diverse clinical networks responsible for evidence-based quality improvement across a large geographical region. Methods: Instrument development was based on: a review of published and grey literature; a qualitative study of clinical network members; a program logic framework; and consultation with stakeholders. The resulting domain structure was validated for a sample of 592 clinical network members using confirmatory factor analysis. Scale reliability was assessed using Cronbach's alpha. A summary score was calculated for each domain and aggregate level means and ranges are reported. Results: The instrument was shown to have good construct validity across seven domains as demonstrated by a high level of internal consistency, and all Cronbach's a coefficients were equal to or above 0.75. In the survey sample of network members there was strong reported commitment and belief in network-led quality improvement initiatives, which were perceived to have improved quality of care (72.8 %) and patient outcomes (63.2 %). Network managers were perceived to be effective leaders and clinical co-chairs were perceived as champions for change. Perceived external support had the lowest summary score across the seven domains. Conclusions: This survey, which has good construct validity and internal reliability, provides a valid instrument to use in future research related to clinical networks. The survey will be of use to health service managers to identify strengths and areas where networks can be improved to increase effectiveness and impact on quality of care and patient outcomes. Equally, the survey could be adapted for use in the assessment of other types of networks.

DOI 10.1186/s12913-016-1800-0
Co-authors Chris Paul
2016 Middleton S, Lydtin A, Comerford D, Cadilhac DA, McElduff P, Dale S, et al., 'From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test/post-test study design', BMJ OPEN, 6 (2016) [C1]
DOI 10.1136/bmjopen-2016-011568
Citations Scopus - 2Web of Science - 1
Co-authors Patrick Mcelduff
2016 Papier K, Jordan S, D'Este C, Bain C, Peungson J, Banwell C, et al., 'Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: Results from the Thai cohort study', BMJ Open, 6 (2016) [C1]
DOI 10.1136/bmjopen-2016-014102
2016 Bryant J, Boyes AW, Hall A, Girgis A, D Este C, Sitas F, 'Prevalence and factors related to smoking and smoking cessation 6¿months following a cancer diagnosis: a population-based study', Journal of Cancer Survivorship, 10 645-653 (2016) [C1]

© 2015, Springer Science+Business Media New York.Purpose: Limited research has examined smoking amongst recent cancer survivors or the relative contribution of factors on smoking... [more]

© 2015, Springer Science+Business Media New York.Purpose: Limited research has examined smoking amongst recent cancer survivors or the relative contribution of factors on smoking behaviour. This study aimed to describe amongst recent Australian cancer survivors (i) prevalence of smoking by cancer type, (ii) characteristics associated with continued smoking following diagnosis, (iii) intention to quit among those who continue to smoke and (iv) characteristics associated with quitting following diagnosis. Method: Cross-sectional data were analysed from 1299 cancer survivors diagnosed with their first primary cancer recruited from two Australian cancer registries in Australia between 2006 and 2008. Results: Of participants, 8.6¿% reported current smoking. Participants who were younger and single or widowed reported higher odds of current smoking. Participants who had a certificate/diploma or tertiary education reported lower odds of smoking. Among current smokers, 53¿% intended to quit in the future. Lung cancer survivors reported more than four times the odds of quitting smoking since diagnosis compared to other cancer types. Conclusion: Of recent Australian cancer survivors, 14¿% report continued smoking. Implications for Cancer Survivors: Smoking following a cancer diagnosis is associated with increased risk of mortality and further morbidity. There is a need to target cessation efforts towards survivors who are younger, without a partner and with a low level of education.

DOI 10.1007/s11764-015-0510-7
Citations Scopus - 2Web of Science - 2
Co-authors Alix Hall, Allison Boyes
2016 Guillaumier A, Bonevski B, Paul C, D¿Este C, Twyman L, Palazzi K, Oldmeadow C, 'Self-Exempting Beliefs and Intention to Quit Smoking within a Socially Disadvantaged Australian Sample of Smokers', International Journal of Environmental Research and Public Health, 13 118-118 (2016) [C1]
DOI 10.3390/ijerph13010118
Co-authors Billie Bonevski, Chris Paul, Christopher Oldmeadow
2016 Carey M, Sanson-Fisher R, Macrae F, Cameron E, Hill D, D'Este C, et al., 'Can a print-based intervention increase screening for first degree relatives of people with colorectal cancer? A randomised controlled trial', Australian and New Zealand Journal of Public Health, 40 582-587 (2016) [C1]

© 2016 The AuthorsObjective: To test the effectiveness of a targeted print-based intervention to improve screening adherence in first degree relatives of people with colorectal c... [more]

© 2016 The AuthorsObjective: To test the effectiveness of a targeted print-based intervention to improve screening adherence in first degree relatives of people with colorectal cancer (CRC). Methods: People with CRC and their adult first degree relatives were identified through a population-based cancer registry and randomly allocated as a family unit to the intervention or control condition. The control group received general information about CRC screening. The intervention group received printed advice regarding screening that was targeted to their risk level. Screening adherence was assessed at baseline and at 12 months via self report. Results: 752 (25%) index cases and 574 (34%) eligible first degree relatives consented to take part in the trial and completed baseline interviews. At 12 months, 58% of first degree relatives in the control group and 61% in the intervention group were adherent to screening guidelines (mixed effects logistic regression group by time interaction effect =2.7; 95%CI=1.2¿5.9; P=0.013). Subgroup analysis indicated that the intervention was only effective for those with the lowest risk. Conclusions: Provision of personalised risk information may have a modest effect on adherence to CRC screening recommendations among first degree relatives of people diagnosed with CRC. Implications: Improved strategies for identifying and engaging first degree relatives are needed to maximise the population impact of the intervention.

DOI 10.1111/1753-6405.12579
Co-authors Mariko Carey, Rob Sanson-Fisher
2016 Gildner TE, Liebert MA, Capistrant BD, D'Este C, Snodgrass JJ, Kowal P, 'Perceived Income Adequacy and Well-being Among Older Adults in Six Low- and Middle-Income Countries.', J Gerontol B Psychol Sci Soc Sci, (2016)
DOI 10.1093/geronb/gbw145
2016 Bonevski B, Guillaumier A, Shakeshaft A, Farrell M, Tzelepis F, Walsberger S, et al., 'An organisational change intervention for increasing the delivery of smoking cessation support in addiction treatment centres: study protocol for a randomized controlled trial', TRIALS, 17 (2016)
DOI 10.1186/s13063-016-1401-6
Citations Scopus - 2Web of Science - 2
Co-authors Billie Bonevski, Flora Tzelepis, Chris Paul, A Dunlop
2016 Ren S, Hure A, Peel R, D'Este C, Abhayaratna W, Tonkin A, et al., 'Rationale and design of a randomized controlled trial of pneumococcal polysaccharide vaccine for prevention of cardiovascular events: The Australian Study for the Prevention through Immunization of Cardiovascular Events (AUSPICE)', AMERICAN HEART JOURNAL, 177 58-65 (2016)
DOI 10.1016/j.ahj.2016.04.003
Citations Scopus - 1Web of Science - 1
Co-authors David Newby, Alexis Hure, Mark Mcevoy, Christopher Levi, Roseanne Peel, John Attia, D Durrheim, Philip Hansbro
2016 Paul C, Bonevski B, Twyman L, D'Este C, Siahpush M, Guillaumier A, et al., 'The 'price signal' for health care is loud and clear: A cross-sectional study of self-reported access to health care by disadvantaged Australians', Australian and New Zealand Journal of Public Health, 40 132-137 (2016) [C1]

© 2015 Public Health Association of Australia.Objective: To describe self-reported inability to access health care and factors associated with lack of access among a socioeconomi... [more]

© 2015 Public Health Association of Australia.Objective: To describe self-reported inability to access health care and factors associated with lack of access among a socioeconomically disadvantaged group. Method: A cross-sectional survey with 906 adult clients of a large community welfare agency in New South Wales. Clients attending the service for emergency assistance completed a touchscreen survey. Results: Inability to access health care in the prior year was reported by more than one-third of the sample (38%), compared to the 5% found for the general population. Dentists (47%), specialists (43%) or GPs (29%) were the least accessible types of health care. The main reason for inability to access health care was cost, accounting for 60% of responses. Almost half (47%) the sample reported delayed or non-use of medicines due to cost. Increasing financial stress was associated with increased inability to access GP or specialist care, medicines and imaging. Higher anxiety scores were associated with inability to access health care, and with cost-related inability to access medicines and imaging. Conclusion: For disadvantaged groups, cost-related barriers to accessing care are prominent and are disproportionately high - particularly regarding dentistry, specialist and GP care. Implications: Improvements in health outcomes for disadvantaged groups are likely to require strategies to reduce cost-related barriers to health care.

DOI 10.1111/1753-6405.12405
Citations Scopus - 1Web of Science - 2
Co-authors Elizabeth Fradgley, Billie Bonevski, Chris Paul
2016 Middleton S, Levi C, Dale S, Cheung NW, McInnes E, Considine J, et al., 'Triage, treatment and transfer of patients with stroke in emergency department trial (the T-3 Trial): a cluster randomised trial protocol', IMPLEMENTATION SCIENCE, 11 (2016)
DOI 10.1186/s13012-016-0503-6
Co-authors Christopher Levi, Patrick Mcelduff
2016 Twyman L, Bonevski B, Paul C, Bryant J, West R, Siahpush M, et al., 'Factors associated with concurrent tobacco smoking and heavy alcohol consumption within a socioeconomically disadvantaged Australian sample', Substance Use and Misuse, 51 459-470 (2016) [C1]

© 2016 Taylor & Francis Group, LLC.Background: Tobacco use and heavy alcohol consumption occur more frequently in socioeconomically disadvantaged groups. Little is known about th... [more]

© 2016 Taylor & Francis Group, LLC.Background: Tobacco use and heavy alcohol consumption occur more frequently in socioeconomically disadvantaged groups. Little is known about the sociodemographic and psychosocial factors associated with use of alcohol and tobacco in disadvantaged groups in comparison to low-risk users. Objectives: This study aimed to compare the characteristics of low-risk users with: disadvantaged smokers only; disadvantaged heavy drinkers only; and disadvantaged concurrent smokers and heavy drinkers. Methods: A cross-sectional survey of socioeconomically disadvantaged adult clients attending a community welfare agency assessed tobacco use, alcohol use, demographic, and psychosocial variables. Multivariable analysis using multinomial logistic regression was carried out. Results: The sample consisted of 835 participants; 40% (n = 331) were concurrent users, 31% were smokers only (n = 252), 11% were heavy drinkers only (n = 93), and 18% were low-risk users (n = 149). Compared with those who neither smoked nor consumed alcohol heavily, concurrent users were more likely to be younger, have only some contact with family, have more friends and family who were smokers, have no fixed home address, live alone, and have higher levels of financial stress. Most of these factors were shared by individuals who were smokers only. Factors associated with heavy drinkers only were frequent contact with family and having more friends and family who were smokers. Conclusion: Among those Australians who suffer severe economic hardship, being a concurrent smoker and heavy drinker appears to be associated with more isolated living conditions and financial stress but some contact with family.

DOI 10.3109/10826084.2015.1122065
Co-authors Chris Paul, Billie Bonevski, Christopher Oldmeadow
2015 Ojagbemi A, D'Este C, Verdes E, Chatterji S, Gureje O, 'Gait speed and cognitive decline over 2 years in the Ibadan study of aging', Gait and Posture, 41 736-740 (2015)

© 2015 The Authors.Background: The evidence suggesting that gait speed may represent a sensitive marker for cognitive decline in the elderly requires support from diverse racial ... [more]

© 2015 The Authors.Background: The evidence suggesting that gait speed may represent a sensitive marker for cognitive decline in the elderly requires support from diverse racial groups. Objective: We investigated the relationship between gait speed and cognitive decline over 2 years in a community dwelling sample of elderly Africans. Methods: Data are from the Ibadan study of aging (ISA) conducted among a household multi-stage probability sample of 2149 Yoruba Nigerians aged 65 years or older. Gait speed was measured as the time taken to complete a 3 or 4. m distance at normal walking speed. We assessed cognitive functions with a modified version of the 10-word learning list and delay recall test, and examined the relationship between baseline gait speed, as well as gait speed changes, and follow-up cognition using multiple linear regression and longitudinal analyses using random effects. Results: Approximately 71% of 1461 participants who were dementia free and who had their gait speed measured at baseline (2007) were successfully followed up in two waves (2008 and 2009). Along with increasing age, poor health and economic status, a slower baseline gait speed was independently associated with poorer follow-up cognition in both linear regression (1.2 words, 95% CI. =. 0.48-2.0) and longitudinal analyses (0.8 words, 95% CI. =. 0.44-1.2). Also, a greater change in gait speed between 2007 and 2009 was associated with the worst follow-up cognition (0.3 words, 95% CI. =. 0.09-0.51). Conclusion: The finding that a substantial change in gait speed was associated with reduced cognitive performance is of potential importance to efforts aimed at early identification of cognitive disorders in this population.

DOI 10.1016/j.gaitpost.2015.01.011
Citations Scopus - 7
2015 Boyes AW, Clinton-Mcharg T, Waller AE, Steele A, D'Este CA, Sanson-Fisher RW, 'Prevalence and correlates of the unmet supportive care needs of individuals diagnosed with a haematological malignancy', Acta Oncologica, 54 507-514 (2015) [C1]

© 2014 Informa Healthcare.Background. Information about the unmet supportive care needs of haematological cancer patients is needed for service planning and to inform clinical pr... [more]

© 2014 Informa Healthcare.Background. Information about the unmet supportive care needs of haematological cancer patients is needed for service planning and to inform clinical practice. This study described the prevalence of, and factors associated with, unmet supportive care needs among haematological cancer patients. Material and methods. A total of 380 adults diagnosed with haematological cancer were recruited from the outpatient department at three comprehensive cancer treatment centres in Australia. Of these, 311 completed a self-report questionnaire. Unmet needs were assessed using the 34-item Supportive Care Needs Survey (SCNS-SF34). The data were examined using descriptive statistics and logistic regression. Results. Overall, 51% (95% CI 45-57%) of participants reported having at least one 'moderate to high' level unmet need, while 25% (95% CI 20-30%) reported 'no need' for help with any items. Unmet needs were most commonly reported in the psychological (35%; 95% CI 30-41%) and physical aspects of daily living (35%; 95% CI 30-41%) domains. The three most frequently endorsed items of 'moderate to high' unmet need were: lack of energy/tiredness (24%; 95% CI 20-30%), not being able to do the things you used to do (21%; 95% CI 17-26%), and uncertainty about the future (21%; 95% CI 16-25%). Patients' sociodemographic characteristics influenced unmet needs more than disease characteristics. Patients who were female, aged less than 55 years or not in the labour force had higher odds of reporting 'moderate to high' level unmet supportive care needs. Conclusion. Unmet supportive care needs are prevalent among haematological cancer patients, particularly in the psychological and physical aspects of daily living domains. These findings provide valuable insight about the range of resources, multidisciplinary linkages and referral pathways needed to address haematological cancer patients' unmet needs.

DOI 10.3109/0284186X.2014.958527
Citations Scopus - 5Web of Science - 5
Co-authors Allison Boyes, Rob Sanson-Fisher, Tara Clinton-Mcharg, Amy Waller
2015 Plotnikoff RC, Costigan SA, Short C, Grunseit A, James E, Johnson N, et al., 'Factors associated with higher sitting time in general, chronic disease, and psychologically-distressed, adult populations: Findings from the 45 & up Study', PLoS ONE, 10 (2015) [C1]

© 2015 Plotnikoff et al.This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and ... [more]

© 2015 Plotnikoff et al.This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.This study examined factors associated with higher sitting time in general, chronic disease, and psychologically-distressed, adult populations (aged =45 years). A series of logistic regression models examined potential socio-demographic and health factors associated with higher sitting (=6hrs/day) in adults from the 45 and Up Study (n = 227,187), including four separate subsamples for analysis comprising those who had ever had heart disease (n = 26,599), cancer (n = 36,381), diabetes (n = 19,550) or psychological distress (n = 48,334). Odds of higher sitting were significantly (p<.01) associated with a number of factors across these groups, with an effect size of ORs=1.5 observed for the high-income =$70,000AUD, employed full-time and severe physical limitations demographics. Identification of key factors associated with higher sitting time in this population-based sample will assist development of broad-based, public health and targeted strategies to reduce sitting-time. In particular, those categorized as being high-income earners, full-time workers, as well as those with severe physical limitations need to be of priority, as higher sitting appears to be substantial across these groups.

DOI 10.1371/journal.pone.0127689
Co-authors Natalie Johnson, Ron Plotnikoff, Sarah Costigan, Erica James
2015 Mackenzie LJ, Carey M, Sanson-Fisher R, D'Este C, Yoong SL, 'A cross-sectional study of radiation oncology outpatients' concern about, preferences for, and perceived barriers to discussing anxiety and depression.', Psycho-oncology, 24 1392-1397 (2015) [C1]
DOI 10.1002/pon.3806
Co-authors Mariko Carey, Serene Yoong, Lisa Mackenzie, Rob Sanson-Fisher
2015 Paul CL, Carey ML, Russell G, D'Este C, Sanson-Fisher RW, Zwar N, 'Prevalence of FOB testing in eastern-Australian general practice patients: What has a national bowel cancer screening program delivered?', Health Promotion Journal of Australia, 26 39-44 (2015) [C1]

© Australian Health Promotion Association 2015.Issues addressed The National Bowel Cancer Screening Program (NBCSP) was introduced in Australia in 2006, offering free immunochemi... [more]

© Australian Health Promotion Association 2015.Issues addressed The National Bowel Cancer Screening Program (NBCSP) was introduced in Australia in 2006, offering free immunochemical Faecal Occult Blood Test (FOBT) to persons aged 50, 55 or 65. The study aimed to examine the prevalence of self-reported screening for colorectal cancer (CRC) using the FOBT and factors associated with not having an FOBT. Methods A cross-sectional study of Australian general practice patients aged 50 and over with no personal history of CRC completed a health risk survey while waiting for scheduled appointments between November 2010 and November 2011. Results A total of 5671 patients from 12 practices were approached to participate. Of the 4707 eligible patients (adults attending for care who understood English and were capable of providing informed consent), 4062 (86%) consented to participate, with 2269 eligible to complete the FOBT items. Approximately half (52%) of participants reported ever having an FOBT. More than one-third (39.7%) of the sample reported having an FOBT in the prior three years. Those who recalled receiving a mailed kit as part of the NBCSP were five times more likely to report being screened. Those less likely to report screening were aged 50-59 years, were female and had been diagnosed with a form of cancer other than CRC. Conclusions There is justification for the extension of the NBCSP to ensure a majority of the age-appropriate population is screened for CRC. So what? Further work is needed to identify whether high rates of screening are achievable using the mailed-kit approach, and how to increase participation by females, those aged 50-69 years and those diagnosed with other cancers.

DOI 10.1071/HE14058
Co-authors Chris Paul, Mariko Carey, Rob Sanson-Fisher
2015 Bonevski B, Twyman L, Paul C, D'Este C, West R, Siahpush M, et al., 'Comparing socially disadvantaged smokers who agree and decline to participate in a randomised smoking cessation trial', BMJ OPEN, 5 (2015) [C1]
DOI 10.1136/bmjopen-2015-008419
Citations Scopus - 1Web of Science - 1
Co-authors Christopher Oldmeadow, Billie Bonevski, Chris Paul
2015 Bryant J, Sanson-Fisher R, Stevenson W, Smits R, Henskens F, Wei A, et al., 'Protocol of a multi-centre randomised controlled trial of a web-based information intervention with nurse-delivered telephone support for haematological cancer patients and their support persons', BMC Cancer, 15 (2015) [C3]

© 2015 Bryant et al.; licensee BioMed Central.Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatmen... [more]

© 2015 Bryant et al.; licensee BioMed Central.Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatment and their Support Persons. Psychosocial distress may be minimised by ensuring that patients are sufficiently involved in decision making, provided with tailored information and adequate preparation for potentially threatening procedures. To date, there are no published studies evaluating interventions designed to reduce psychosocial distress and unmet needs specifically in patients with haematological cancers and their Support Persons. This study will examine whether access to a web-based information tool and nurse-delivered telephone support reduces depression, anxiety and unmet information needs for haematological cancer patients and their Support Persons. Methods/Design: A non-blinded, parallel-group, multi-centre randomised controlled trial will be conducted to compare the effectiveness of a web-based information tool and nurse-delivered telephone support with usual care. Participants will be recruited from the haematology inpatient wards of five hospitals in New South Wales, Australia. Patients diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, Burkitt's lymphoma, Lymphoblastic lymphoma (B or T cell), or Diffuse Large B-Cell lymphoma and their Support Persons will be eligible to participate. Patients and their Support Persons will be randomised as dyads. Participants allocated to the intervention will receive access to a tailored web-based tool that provides accurate, up-to-date and personalised information about: cancer and its causes; treatment options including treatment procedures information; complementary and alternative medicine; and available support. Patients and Support Persons will complete self-report measures of anxiety, depression and unmet needs at 2, 4, 8 and 12 weeks post-recruitment. Patient and Support Person outcomes will be assessed independently. Discussion: This study will assess whether providing information and support using web-based and telephone support address the major psychosocial challenges faced by haematological patients and their Support Persons. The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.

DOI 10.1186/s12885-015-1314-x
Citations Scopus - 1
Co-authors Chris Paul, Flora Tzelepis, Rob Sanson-Fisher, Frans Henskens, Mariko Carey
2015 Hall AE, Sanson-Fisher RW, Lynagh MC, Tzelepis F, D'Este C, 'What do haematological cancer survivors want help with? A cross-sectional investigation of unmet supportive care needs', BMC research notes, 8 221 (2015) [C1]

BACKGROUND: This study aimed to identify the most prevalent unmet needs of haematological cancer survivors.METHODS: Haematological cancer survivors aged 18-80 years at time of rec... [more]

BACKGROUND: This study aimed to identify the most prevalent unmet needs of haematological cancer survivors.METHODS: Haematological cancer survivors aged 18-80 years at time of recruitment were selected from four Australian state cancer registries. Survivors completed the Survivor Unmet Needs Survey. The most frequently reported "high/very high" unmet needs items were identified, as well as characteristics associated with the three most prevalent "high/very high" unmet needs reported by haematological cancer survivors.RESULTS: A total of 715 eligible survivors returned a completed survey. "Dealing with feeling tired" (17%), was the most frequently endorsed "high/very high" unmet need. Seven out of the ten most frequently endorsed unmet needs related to emotional health. Higher levels of psychological distress (e.g., anxiety, depression and stress) and indicators of financial burden as a result of cancer (e.g., having used up savings and trouble meeting day-to-day expenses due to cancer) were consistently identified as characteristics associated with the three most prevalent "high/very high" unmet needs.CONCLUSIONS: A minority of haematological cancer survivors endorsed a "high/very high" unmet need on individual items. Additional emotional support may be needed by a minority of survivors. Survivors reporting high levels of psychological distress or those who experience increased financial burden as a result of their cancer diagnosis may be at risk of experiencing the most prevalent "high/very high" unmet needs identified by this study.

DOI 10.1186/s13104-015-1188-7
Citations Scopus - 5
Co-authors Alix Hall, Marita Lynagh, Flora Tzelepis, Rob Sanson-Fisher
2015 Guillaumier A, Bonevski B, Paul C, d'Este C, Durkin S, Doran C, 'Which Type of Antismoking Advertisement Is Perceived as More Effective? An Experimental Study With a Sample of Australian Socially Disadvantaged Welfare Recipients.', American journal of health promotion : AJHP, (2015)
Co-authors Chris Paul, Billie Bonevski
2015 Dale S, Levi C, Ward J, Grimshaw JM, Jammali-Blasi A, D'Este C, et al., 'Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the quality in acute stroke care (QASC) project-a mixed methods study', Worldviews on Evidence-Based Nursing, 12 41-50 (2015) [C1]

© 2015 Sigma Theta Tau International.Background: The Quality in Acute Stroke Care (QASC) trial evaluated systematic implementation of clinical treatment protocols to manage fever... [more]

© 2015 Sigma Theta Tau International.Background: The Quality in Acute Stroke Care (QASC) trial evaluated systematic implementation of clinical treatment protocols to manage fever, sugar, and swallow (FeSS protocols) in acute stroke care. This cluster-randomised controlled trial was conducted in 19 stroke units in Australia. Aim: To describe perceived barriers and enablers preimplementation to the introduction of the FeSS protocols and, postimplementation, to determine which of these barriers eventuated as actual barriers. Methods: Preimplementation: Workshops were held at the intervention stroke units (n = 10). The first workshop involved senior clinicians who identified perceived barriers and enablers to implementation of the protocols, the second workshop involved bedside clinicians. Postimplementation, an online survey with stroke champions from intervention sites was conducted. Results: A total of 111 clinicians attended the preimplementation workshops, identifying 22 barriers covering four main themes: (a) need for new policies, (b) limited workforce (capacity), (c) lack of equipment, and (d) education and logistics of training staff. Preimplementation enablers identified were: support by clinical champions, medical staff, nursing management and allied health staff; easy adaptation of current protocols, care-plans, and local policies; and presence of specialist stroke unit staff. Postimplementation, only five of the 22 barriers identified preimplementation were reported as actual barriers to adoption of the FeSS protocols, namely, no previous use of insulin infusions; hyperglycaemic protocols could not be commenced without written orders; medical staff reluctance to use the ASSIST swallowing screening tool; poor level of engagement of medical staff; and doctors' unawareness of the trial. Linking Evidence to Action: The process of identifying barriers and enablers preimplementation allowed staff to take ownership and to address barriers and plan for change. As only five of the 22 barriers identified preimplementation were reported to be actual barriers at completion of the trial, this suggests that barriers are often overcome whilst some are only ever perceived rather than actual barriers.

DOI 10.1111/wvn.12078
Citations Scopus - 5Web of Science - 4
Co-authors Christopher Levi
2015 Schofield PW, Malacova E, Preen DB, D'Este C, Tate R, Reekie J, et al., 'Does Traumatic Brain Injury Lead to Criminality? A Whole-Population Retrospective Cohort Study Using Linked Data', PLOS ONE, 10 (2015) [C1]
DOI 10.1371/journal.pone.0132558
Citations Scopus - 3Web of Science - 3
Co-authors Peter Schofield
2014 Butcher NE, D'Este C, Balogh ZJ, 'The quest for a universal definition of polytrauma: a trauma registry-based validation study.', J Trauma Acute Care Surg, 77 620-623 (2014) [C1]
DOI 10.1097/TA.0000000000000404
Citations Scopus - 5Web of Science - 5
Co-authors Zsolt Balogh
2014 Paul CL, Levi CR, D'Este CA, Parsons MW, Bladin CF, Lindley RI, et al., 'Thrombolysis ImPlementation in Stroke (TIPS): Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care', Implementation Science, 9 (2014) [C3]

Background: Stroke is a leading cause of death and disability internationally. One of the three effective interventions in the acute phase of stroke care is thrombolytic therapy w... [more]

Background: Stroke is a leading cause of death and disability internationally. One of the three effective interventions in the acute phase of stroke care is thrombolytic therapy with tissue plasminogen activator (tPA), if given within 4.5 hours of onset to appropriate cases of ischaemic stroke.Objectives: To test the effectiveness of a multi-component multidisciplinary collaborative approach compared to usual care as a strategy for increasing thrombolysis rates for all stroke patients at intervention hospitals, while maintaining accepted benchmarks for low rates of intracranial haemorrhage and high rates of functional outcomes for both groups at three months.Methods and design: A cluster randomised controlled trial of 20 hospitals across 3 Australian states with 2 groups: multi- component multidisciplinary collaborative intervention as the experimental group and usual care as the control group. The intervention is based on behavioural theory and analysis of the steps, roles and barriers relating to rapid assessment for thrombolysis eligibility; it involves a comprehensive range of strategies addressing individual-level and system-level change at each site. The primary outcome is the difference in tPA rates between the two groups post-intervention. The secondary outcome is the proportion of tPA treated patients in both groups with good functional outcomes (modified Rankin Score (mRS <2) and the proportion with intracranial haemorrhage (mRS =2), compared to international benchmarks.Discussion: TIPS will trial a comprehensive, multi-component and multidisciplinary collaborative approach to improving thrombolysis rates at multiple sites. The trial has the potential to identify methods for optimal care which can be implemented for stroke patients during the acute phase. Study findings will include barriers and solutions to effective thrombolysis implementation and trial outcomes will be published whether significant or not.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12613000939796. © 2014 Paul et al.; licensee BioMed Central Ltd.

DOI 10.1186/1748-5908-9-38
Citations Scopus - 5Web of Science - 4
Co-authors Chris Paul, Rob Sanson-Fisher, John Attia, Frans Henskens, Christopher Levi, Mark Parsons
2014 Shakeshaft A, Doran C, Petrie D, Breen C, Havard A, Abudeen A, et al., 'The effectiveness of community action in reducing risky alcohol consumption and harm: a cluster randomised controlled trial.', PLoS Med, 11 e1001617 (2014) [C1]
DOI 10.1371/journal.pmed.1001617
Citations Scopus - 9Web of Science - 9
Co-authors Rob Sanson-Fisher
2014 Williamson A, Redman S, Mcelduff P, D' Este C, Dadds M, Raphael B, et al., 'The Construct Validity of the Strengths and Difficulties Questionnaire for Aboriginal Children Living in Urban New South Wales, Australia', Australian Psychologist, (2014) [C1]

The current study explores the construct validity of the standard Strengths and Difficulties Questionnaire (SDQ) for Aboriginal children living in urban communities in New South W... [more]

The current study explores the construct validity of the standard Strengths and Difficulties Questionnaire (SDQ) for Aboriginal children living in urban communities in New South Wales, Australia. Parent report SDQ data from the first 717 Aboriginal children aged 4-17 years who participated in the baseline survey of the Study of Environment on Aboriginal Resilience and Child Health were analysed. The overall construct validity of the SDQ in our sample was acceptable but not "good." The internal consistency reliability was excellent overall and good for all subscales with the exception of peer problems, a concept that may have a different significance for urban Aboriginal parents. Removing the peer relationships subscale, however, did not improve the fit of the model. The convergent validity of the SDQ was good. The prosocial behaviours scale and both the peer and conduct problems scales were highly correlated suggesting Aboriginal parents conceptualise these differently and that prosocial behaviours may be considered a key indicator of well-being for Aboriginal children. Overall, the SDQ is a promising tool for urban Aboriginal children in New South Wales. Those working with Aboriginal young people should focus on the SDQ total difficulties score and limit their reliance on the peer relationships subscale. © 2014 The Australian Psychological Society.

DOI 10.1111/ap.12045
Citations Scopus - 8Web of Science - 8
Co-authors Patrick Mcelduff
2014 Sanson-Fisher RW, D'Este CA, Carey ML, Noble N, Paul CL, 'Evaluation of Systems-Oriented Public Health Interventions: Alternative Research Designs', ANNUAL REVIEW OF PUBLIC HEALTH, VOL 35, 35 9-27 (2014) [C1]
DOI 10.1146/annurev-publhealth-032013-182445
Citations Scopus - 21Web of Science - 21
Co-authors Rob Sanson-Fisher, Mariko Carey, Chris Paul
2014 Passey ME, Sanson-Fisher RW, D'Este CA, Stirling JM, 'Tobacco, alcohol and cannabis use during pregnancy: Clustering of risks', Drug and Alcohol Dependence, 134 44-50 (2014) [C1]

Background: Antenatal substance use poses significant risks to the unborn child. We examined use of tobacco, alcohol and cannabis among pregnant Aboriginal and Torres Strait Islan... [more]

Background: Antenatal substance use poses significant risks to the unborn child. We examined use of tobacco, alcohol and cannabis among pregnant Aboriginal and Torres Strait Islander women; and compared characteristics of women by the number of substances reported. Methods: A cross-sectional survey with 257 pregnant Indigenous women attending antenatal services in two states of Australia. Women self-reported tobacco, alcohol and cannabis use (current use, ever use, changes during pregnancy); age of initiation of each substance; demographic and obstetric characteristics. Results: Nearly half the women (120; 47% (95%CI:40%, 53%) reported no current substance use; 119 reported current tobacco (46%; 95%CI:40%, 53%), 53 (21%; 95%CI:16%, 26%) current alcohol and 38 (15%; 95%CI:11%, 20%) current cannabis use. Among 148 women smoking tobacco at the beginning of pregnancy, 29 (20%; 95%CI:14%, 27%) reported quitting; with 80 of 133 (60%; 95%CI:51%, 69%) women quitting alcohol and 25 of 63 (40%; 95%CI:28%, 53%) women quitting cannabis. Among 137 women reporting current substance use, 77 (56%; 95%CI:47%, 65%) reported one and 60 (44%; 95%CI:35%, 53%) reported two or three. Women using any one substance were significantly more likely to also use others. Factors independently associated with current use of multiple substances were years of schooling and age of initiating tobacco. Conclusions: While many women discontinue substance use when becoming pregnant, there is clustering of risk among a small group of disadvantaged women. Programmes should address risks holistically within the social realities of women's lives rather than focusing on individual tobacco smoking. Preventing uptake of substance use is critical. © 2013 The Authors.

DOI 10.1016/j.drugalcdep.2013.09.008
Citations Scopus - 20Web of Science - 21
Co-authors Rob Sanson-Fisher
2014 Yoong SL, Carey ML, Sanson-Fisher RW, D'Este CA, Mackenzie L, Boyes A, 'A cross-sectional study examining Australian general practitioners' identification of overweight and obese patients', Journal of General Internal Medicine, 29 328-334 (2014) [C1]

BACKGROUND: Overweight and obese patients attempt weight loss when advised to do so by their physicians; however, only a small proportion of these patients report receiving such a... [more]

BACKGROUND: Overweight and obese patients attempt weight loss when advised to do so by their physicians; however, only a small proportion of these patients report receiving such advice. One reason may be that physicians do not identify their overweight and obese patients. OBJECTIVES: We aimed to determine the extent that Australian general practitioners (GP) recognise overweight or obesity in their patients, and to explore patient and GP characteristics associated with non-detection of overweight and obesity. METHODS: Consenting adult patients (n = 1,111) reported weight, height, demographics and health conditions using a touchscreen computer. GPs (n = 51) completed hard-copy questionnaires indicating whether their patients were overweight or obese. We calculated the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for GP detection, using patient self-reported weight and height as the criterion measure for overweight and obesity. For a subsample of patients (n = 107), we did a sensitivity analysis with patient-measured weight and height. We conducted an adjusted, multivariable logistic regression to explore characteristics associated with non-detection, using random effects to adjust for correlation within GPs. RESULTS: Sensitivity for GP assessment was 63 % [95 % CI 57-69 %], specificity 89 % [95 % CI 85-92 %], PPV 87 % [95 % CI 83-90 %] and NPV 69 % [95 % CI 65-72 %]. Sensitivity increased by 3 % and specificity was unchanged in the sensitivity analysis. Men (OR: 1.7 [95 % CI 1.1-2.7]), patients without high blood pressure (OR: 1.8 [95 % CI 1.2-2.8]) and without type 2 diabetes (OR: 2.4 [95 % CI 1.2-8.0]) had higher odds of non-detection. Individuals with obesity (OR: 0.1 [95 % CI 0.07-0.2]) or diploma-level education (OR: 0.3 [95%CI 0.1-0.6]) had lower odds of not being identified. No GP characteristics were associated with non-detection of overweight or obesity. CONCLUSIONS: GPs missed identifying a substantial proportion of overweight and obese patients. Strategies to support GPs in identifying their overweight or obese patients need to be implemented. © 2013 Society of General Internal Medicine.

DOI 10.1007/s11606-013-2637-4
Citations Scopus - 10Web of Science - 7
Co-authors Allison Boyes, Serene Yoong, Rob Sanson-Fisher, Mariko Carey, Lisa Mackenzie
2014 Hall A, D Este C, Tzelepis F, Lynagh M, Sanson-Fisher R, 'Factors associated with haematological cancer survivors experiencing a high level of unmet need across multiple items of supportive care: a cross-sectional survey study', Supportive Care in Cancer, 22 2899-2909 (2014) [C1]

© 2014, Springer-Verlag Berlin Heidelberg.Purpose: This study aimed to identify subgroups of haematological cancer survivors who report a ¿high/very high¿ level of unmet need o... [more]

© 2014, Springer-Verlag Berlin Heidelberg.Purpose: This study aimed to identify subgroups of haematological cancer survivors who report a ¿high/very high¿ level of unmet need on multiple (=7) items of supportive care.Results: Of the 696 survivors included in this study, 175 (n = 25¿%) reported a ¿high/very high¿ level of unmet need on seven or more items of the SUNS. Survivors who: had relocated due to their cancer (OR: 2.04; 95¿% CI: 1.18, 3.52), had difficulty paying bills (OR: 2.42; 95¿% CI: 1.34, 4.38), had used up their savings as a result of cancer (OR: 1.90; 95¿% CI: 1.06, 3.40), and were classified as having above normal symptoms of depression (OR: 3.65; 95¿% CI: 2.17, 6.15) and stress (OR: 5.94; 95¿% CI: 3.22, 10.95) on the Depression Anxiety and Stress Scale-21 (DASS-21) had statistically significantly higher odds of reporting seven or more ¿high/very high¿ unmet needs.Methods: Haematological cancer survivors, aged 18 to 80¿years at recruitment were selected from four Australian state-based cancer registries. Eligible survivors were sent a survey containing the Survivor Unmet Needs Survey (SUNS). Logistic regression analysis was used to identify characteristics associated with haematological cancer survivors reporting a ¿high/very high¿ level of unmet need on =7 items of the SUNS.Conclusions: Additional and intensive supportive care may be needed for this subgroup of haematological cancer survivors experiencing multiple ¿high/very high¿ unmet needs. Assistance with accessing relevant financial support and highly accessible services that provide emotional and information support, such as online and telephone peer support programs may prove beneficial in addressing the needs of this subgroup of haematological cancer survivors. It is suggested that future, methodologically rigorous intervention studies assess such strategies.

DOI 10.1007/s00520-014-2264-6
Citations Scopus - 9Web of Science - 7
Co-authors Alix Hall, Rob Sanson-Fisher, Flora Tzelepis, Marita Lynagh
2014 Guillaumier A, Bonevski B, Doran C, Paul C, D'Este C, Siahpush M, 'Paying the price: A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises', Drug and Alcohol Review, 33 177-185 (2014) [C1]
DOI 10.1111/dar.12103
Citations Scopus - 9Web of Science - 8
Co-authors Chris Paul, Billie Bonevski
2014 Dolja-Gore X, Loxton DJ, D'Este CA, Byles JE, 'Mental health service use: Is there a difference between rural and non-rural women in service uptake?', Australian Journal of Rural Health, 22 92-100 (2014) [C1]

This study examines differences in uptake of the Medicare items rolled out in 2006 under the 'Better Access Scheme' (BAS) between rural and non-rural Australian women. It compares... [more]

This study examines differences in uptake of the Medicare items rolled out in 2006 under the 'Better Access Scheme' (BAS) between rural and non-rural Australian women. It compares differences in women's uptake of the BAS services by area of residence (ARIA+) across time using the Australian Longitudinal Study of Women's Health (ALSWH) survey data linked to Medicare data. Women aged 28-33 years at the time the BAS was introduced that responded to the self-reported question on depression/anxiety and consented to linkage of their survey data with Medicare data (n=4316). Participants were grouped by ARIA+according to BAS use, diagnoses of anxiety/depression but no BAS use and other eligible women. Across all areas, women born 1973-1978 with a self-reported diagnosis of depression/anxiety or having treatment under the BAS had a significantly lower mean mental health score compared to other women. Significantly more women living in non-rural areas had used at least one service provided under the BAS initiative compared to women in outer regional, inner regional or remotes areas (21% versus 18% versus 13% versus 7%, respectively), and across all areas, 12% of women reported having a diagnosis of depression/anxiety but not been treated under the BAS. While there is a gradual uptake of the new BAS services, a large percentage of women who have a diagnosis of depression/anxiety have not been treated under the BAS. The data suggest that women in urban areas have been better able to take up the services compared to non-urban women. © 2014 National Rural Health Alliance Inc.

DOI 10.1111/ajr.12109
Citations Scopus - 1Web of Science - 1
Co-authors Xenia Doljagore, Julie Byles, Deborah Loxton
2014 Breen C, Shakeshaft A, Sanson-Fisher R, D'Este C, Mattick RP, Gilmour S, 'Identifying individual- and population-level characteristics that influence rates of risky alcohol consumption in regional communities', Australian and New Zealand Journal of Public Health, 38 60-65 (2014) [C1]

Objective: To examine the extent to which individual- and community- level characteristics account for differences in risky alcohol consumption. Method: A cross-sectional postal s... [more]

Objective: To examine the extent to which individual- and community- level characteristics account for differences in risky alcohol consumption. Method: A cross-sectional postal survey of 2,977 randomly selected individuals from 20 regional communities in NSW, Australia. Individuals drinking at harmful levels on the AUDIT and for risk of harm in the short term and long-term were identified. Multi-level modelling of the correlates of risky alcohol consumption at the individual and community level was conducted. Results: There were differences between communities in alcohol consumption patterns. Being male, unmarried and reporting worse health were significant individual-level correlates for drinking at levels for risk of harm in the long term. The number of GPs (+) and police (-) were significant community characteristics. Being younger (=25), unmarried, Australian born and with a larger income was associated with drinking at levels for risk of harm in the short term and harmful drinking on the AUDIT. The number of hotels and clubs was positively associated with drinking at levels for risk of harm in the short term. Conclusions: Rates of risky drinking vary significantly between communities and both individual and community characteristics are significantly associated with risky alcohol consumption. Implications: A combination of individual- and population-level interventions, tailored to the risk profile of individual communities, is most likely to be optimally effective. © 2014 The Authors. ANZJPH © 2014 Public Health Association of Australia.

DOI 10.1111/1753-6405.12176
Co-authors Rob Sanson-Fisher
2014 Stewart JM, Sanson-Fisher R, Eades S, D'Este C, 'Aboriginal health: agreement between general practitioners and patients on their health risk status and screening history.', Australian and New Zealand journal of public health, 38 563-566 (2014) [C1]
Co-authors Rob Sanson-Fisher
2014 Williamson A, Andersen M, Redman S, Dadds M, D'Este C, Daniels J, et al., 'Measuring mental health in Indigenous young people: A review of the literature from 1998-2008', Clinical Child Psychology and Psychiatry, 19 260-272 (2014) [C1]

Background: Indigenous young people are disproportionately exposed to risk factors for poor mental health. Methodologically rigorous research will be critical in the development a... [more]

Background: Indigenous young people are disproportionately exposed to risk factors for poor mental health. Methodologically rigorous research will be critical in the development and evaluation of prevention and treatment programs. Research examining the mental health of Indigenous young people may have been undermined by poor measurement. The extent to which research has used measures with adequate psychometrics is unknown. Methods: MEDLINE, PsychINFO and PUBMED databases, were systematically searched to identify papers published between 1998-2008 measuring the mental health of Indigenous young people from Australia, Canada, New Zealand or the US. Data extracted included type of mental health instrument, psychometric analyses reported and results. Results: Fifty-four relevant studies were identified. Seventy-nine mental health instruments were used, and 18% were bespoke. Only 14% of instruments had been validated for the relevant Indigenous population. Few studies reported assessment of the reliability or validity of instruments. Data about both the reliability and validity of 10 measures were reported. None of the measures met the standards set by the review. Evidence of at least one type of reliability and validity was demonstrated for six measures. Conclusions: From 1998-2008 few studies of mental health in Indigenous young people used measurement instruments with previously determined reliability and validity. © The Author(s) 2013.

DOI 10.1177/1359104513488373
Citations Scopus - 4Web of Science - 4
2014 Denham JW, Nowitz M, Joseph D, Duchesne G, Spry NA, Lamb DS, et al., 'Impact of androgen suppression and zoledronic acid on bone mineral density and fractures in the Trans-Tasman Radiation Oncology Group (TROG) 03.04 Randomised Androgen Deprivation and Radiotherapy (RADAR) randomized controlled trial for locally advanced prostate cancer', BJU International, 114 344-353 (2014) [C1]

Objective To study the influence of adjuvant androgen suppression and bisphosphonates on incident vertebral and non-spinal fracture rates and bone mineral density (BMD) in men wit... [more]

Objective To study the influence of adjuvant androgen suppression and bisphosphonates on incident vertebral and non-spinal fracture rates and bone mineral density (BMD) in men with locally advanced prostate cancer. Patients and Methods Between 2003 and 2007, 1071 men with locally advanced prostate cancer were randomly allocated, using a 2 × 2 trial design, to 6 months i.m. leuprorelin (androgen suppression [AS]) before radiotherapy alone ± 12 months additional leuprorelin ± 18 months zoledronic acid (ZdA), commencing at randomization. The main endpoint was incident thoraco-lumbar vertebral fractures, which were assessed radiographically at randomization and at 3 years, then reassessed by centralized review. Subsidiary endpoints included incident non-spinal fractures, which were documented throughout follow-up, and BMD, which was measured in 222 subjects at baseline, 2 years and 4 years. Results Incident vertebral fractures at 3 years were observed in 132 subjects. Their occurrence was not increased by 18 months' AS, nor reduced by ZdA. Incident non-spinal fractures occurred in 72 subjects and were significantly related to AS duration but not to ZdA. Osteopenia and osteoporosis prevalence rates at baseline were 23.4 and 1.4%, respectively, at the hip. Treatment for 6 and 18 months with AS caused significant reductions in hip BMD at 2 and 4 years (P < 0.01) and ZdA prevented these losses at both time points. Conclusion In an AS-naïve population, 18 months of ZdA treatment prevented the sustained BMD losses caused by 18 months of AS treatment; however, the study power was insufficient to show that AS duration or ZdA influenced vertebral fracture rates. © 2013 The Authors. BJU International © 2013 BJU International.

DOI 10.1111/bju.12497
Citations Scopus - 11Web of Science - 13
Co-authors Allison Steigler, Jim Denham, Patrick Mcelduff, Pablo Moscato
2014 Middleton S, Comerford D, Lydtin A, Dale S, Hill K, Dunne J, et al., 'The QASC Implementation Project: Implementing evidence based care in stroke services throughout NSW, Australia', CEREBROVASCULAR DISEASES, 37 325-325 (2014)
Co-authors Christopher Levi
2014 Yego F, D'Este C, Byles J, Williams JS, Nyongesa P, 'Risk factors for maternal mortality in a Tertiary Hospital in Kenya: a case control study', BMC PREGNANCY AND CHILDBIRTH, 14 (2014) [C1]
DOI 10.1186/1471-2393-14-38
Citations Scopus - 10Web of Science - 9
Co-authors Julie Byles, Jenny Stewartwilliams
2014 Yego F, D'Este C, Byles J, Nyongesa P, Williams JS, 'A case-control study of risk factors for fetal and early neonatal deaths in a tertiary hospital in Kenya', BMC PREGNANCY AND CHILDBIRTH, 14 (2014) [C1]
DOI 10.1186/s12884-014-0389-8
Citations Scopus - 2Web of Science - 2
Co-authors Jenny Stewartwilliams, Julie Byles
2014 Hall A, D'Este C, Tzelepis F, Sanson-Fisher R, Lynagh M, 'The Survivor Unmet Needs Survey (SUNS) for haematological cancer survivors: a cross-sectional study assessing the relevance and psychometric properties', BMC HEALTH SERVICES RESEARCH, 14 (2014) [C1]
DOI 10.1186/1472-6963-14-211
Citations Scopus - 5Web of Science - 4
Co-authors Rob Sanson-Fisher, Alix Hall, Marita Lynagh, Flora Tzelepis
2014 Islam MR, Attia J, Alauddin M, McEvoy M, McElduff P, Slater C, et al., 'Availability of arsenic in human milk in women and its correlation with arsenic in urine of breastfed children living in arsenic contaminated areas in Bangladesh.', Environmental Health: A Global Access Science Source, 13 1-10 (2014) [C1]
Citations Scopus - 2Web of Science - 2
Co-authors Milton Hasnat, Mark Mcevoy, Roseanne Peel, Patrick Mcelduff, John Attia, Wayne Smith
2014 Hall A, Sanson-Fisher R, Lynagh M, Tzelepis F, D'Este C, 'A COMPARISON OF THE UNMET NEEDS OF YOUNGER AND OLDER ADULT HAEMATOLOGICAL CANCER SURVIVORS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 10 162-163 (2014) [E3]
Co-authors Flora Tzelepis, Marita Lynagh, Rob Sanson-Fisher, Alix Hall
2014 Drury P, Levi C, McInnes E, Hardy J, Ward J, Grimshaw JM, et al., 'Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia', INTERNATIONAL JOURNAL OF STROKE, 9 23-31 (2014) [C1]
DOI 10.1111/ijs.12194
Citations Scopus - 4Web of Science - 3
Co-authors Patrick Mcelduff, Christopher Levi
2014 Drury P, Levi C, D'Este C, Mcelduff P, Mcinnes E, Hardy J, et al., 'Quality in Acute Stroke Care (QASC): Process evaluation of an intervention to improve the management of fever, hyperglycemia, and swallowing dysfunction following acute stroke', International Journal of Stroke, 9 766-776 (2014) [C1]

Background: Our randomized controlled trial of a multifaceted evidence-based intervention for improving the inpatient management of fever, hyperglycemia, and swallowing dysfunctio... [more]

Background: Our randomized controlled trial of a multifaceted evidence-based intervention for improving the inpatient management of fever, hyperglycemia, and swallowing dysfunction in the first three-days following stroke improved outcomes at 90 days by 15%. We designed a quantitative process evaluation to further explain and illuminate this finding. Methods: Blinded retrospective medical record audits were undertaken for patients from 19 stroke units prior to and following the implementation of three multidisciplinary evidence-based protocols (supported by team-building workshops, and site-based education and support) for the management of fever (temperature =37·5°C), hyperglycemia (glucose >11mmol/l), and swallowing dysfunction in intervention stroke units. Results: Data from 1804 patients (718 preintervention; 1086 postintervention) showed that significantly more patients admitted to hospitals allocated to the intervention group received care according to the fever (n=186 of 603, 31% vs. n=74 of 483, 15%, P<0·001), hyperglycemia (n=22 of 603, 3·7% vs. n=3 of 483, 0·6%, P=0·01), and swallowing dysfunction protocols (n=241 of 603, 40% vs. n=19 of 483, 4·0%, P=0·001). Significantly more patients in these intervention stroke units received four-hourly temperature monitoring (n=222 of 603, 37% vs. n=90 of 483, 19%, P<0·001) and six-hourly glucose monitoring (194 of 603, 32% vs. 46 of 483, 9·5%, P<0·001) within 72 hours of admission to a stroke unit, and a swallowing screen (242 of 522, 46% vs. 24 of 350, 6·8%, P=0·0001) within the first 24 hours of admission to hospital. There was no difference between the groups in the treatment of patients with fever with paracetamol (22 of 105, 21% vs. 38 of 131, 29%, P=0·78) or their hyperglycemia with insulin (40 of 100, 40% vs. 17 of 57, 30%, P=0·49). Interpretation: Our intervention resulted in better protocol adherence in intervention stroke units, which explains our main trial findings of improved patient 90-day outcomes. Although monitoring practices significantly improved, there was no difference between the groups in the treatment of fever and hyperglycemia following acute stroke. A significant link between improved treatment practices and improved outcomes would have explained further the success of our intervention, and we are still unable to explain definitively the large improvements in death and dependency found in the main trial results. One potential explanation is that improved monitoring may have led to better overall surveillance of deteriorating patients and faster initiation of treatments not measured as part of the main trial. © 2013 World Stroke Organization.

DOI 10.1111/ijs.12202
Citations Scopus - 9Web of Science - 6
Co-authors Christopher Levi, Patrick Mcelduff
2014 Carey M, Jones KA, Yoong SL, D'Este C, Boyes AW, Paul C, et al., 'Comparison of a single self-assessment item with the PHQ-9 for detecting depression in general practice', Family Practice, 31 (2014) [C1]

Background: Several factors need to be considered when selecting a screening tool for depression including accuracy, level of burden for patients and for staff to administer and f... [more]

Background: Several factors need to be considered when selecting a screening tool for depression including accuracy, level of burden for patients and for staff to administer and follow-up. Objective: This study aimed to explore the utility of a single self-assessment item in identifying possible cases of depression in primary care by examining sensitivity and specificity with the nine-item Patient Health Questionnaire (PHQ-9) at different thresholds. Design: Cross-sectional survey presented on a touchscreen computer. Participants. Adult patients attending 12 urban general practices in Australia completed a health status questionnaire (n = 1004). Main measures. Depression was assessed by the PHQ-9 and a single self-assessment item. Sensitivity, specificity, and positive and negative predictive values were calculated for the single item using a PHQ-9 score of 10 or more as the criterion value. Key results. A total of 1004 participants (61% female, 48% aged 55 years or older) completed both the PHQ-9 and a single self-assessment item. When using a threshold of mild depression or greater, the single item had adequate specificity (76%, 95% CI: 71-80%), with 76 out of every 100 people defined as non-depressed by the PHQ-9 also identified as not depressed by the single item. Sensitivity was high (91%, 95% CI: 84-95%), with the single item identifying 91 out of every 100 true cases (as defined by the PHQ-9). Conclusions: The single self-assessment item has high sensitivity and moderate specificity to identify possible cases of depression when used at a threshold of mild depression or greater. © The Author 2014.

DOI 10.1093/fampra/cmu018
Citations Scopus - 2Web of Science - 2
Co-authors Allison Boyes, Rob Sanson-Fisher, Serene Yoong, Chris Paul, Mariko Carey, Kerry Inder
2014 Guillaumier A, Bonevski B, Paul C, Durkin S, D'Este C, 'Socioeconomically disadvantaged smokers' ratings of plain and branded cigarette packaging: an experimental study', BMJ OPEN, 4 (2014) [C1]
DOI 10.1136/bmjopen-2013-004078
Citations Scopus - 11Web of Science - 7
Co-authors Chris Paul, Billie Bonevski
2014 The Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (BMI Mediated Effects), 'Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: A pooled analysis of 97 prospective cohorts with 1·8 million participants', The Lancet, 383 970-983 (2014) [C1]
DOI 10.1016/S0140-6736(13)61836-X
Citations Scopus - 165
Co-authors John Attia
2014 Mackenzie LJ, Carey ML, Sanson-Fisher RW, D'Este CA, Paul CL, Yoong SL, 'Agreement between HADS classifications and single-item screening questions for anxiety and depression: a cross-sectional survey of cancer patients.', Ann Oncol, 25 889-895 (2014) [C1]
DOI 10.1093/annonc/mdu023
Citations Scopus - 8Web of Science - 6
Co-authors Rob Sanson-Fisher, Serene Yoong, Chris Paul, Mariko Carey, Lisa Mackenzie
2014 Carey M, Jones K, Meadows G, Sanson-Fisher R, D'Este C, Inder K, et al., 'Accuracy of general practitioner unassisted detection of depression.', Aust N Z J Psychiatry, 48 571-578 (2014) [C1]
DOI 10.1177/0004867413520047
Citations Scopus - 7Web of Science - 7
Co-authors Rob Sanson-Fisher, Serene Yoong, Mariko Carey, Kerry Inder
2014 Williamson A, Redman S, Haynes A, Barker D, Jorm L, Green S, et al., 'Supporting Policy In health with Research: an Intervention Trial (SPIRIT)¿protocol for a stepped wedge trial', BMJ Open, 4 (2014)

Introduction: Governments in different countries have committed to better use of evidence from research in policy. Although many programmes are directed at assisting agencies to b... [more]

Introduction: Governments in different countries have committed to better use of evidence from research in policy. Although many programmes are directed at assisting agencies to better use research, there have been few tests of the effectiveness of such programmes. This paper describes the protocol for SPIRIT (Supporting Policy In health with Research: an Intervention Trial), a trial designed to test the effectiveness of a multifaceted programme to build organisational capacity for the use of research evidence in policy and programme development. The primary aim is to determine whether SPIRIT results in an increase in the extent to which research and research expertise is sought, appraised, generated and used in the development of specific policy products produced by health policy agencies. Methods and analysis: A stepped wedge cluster randomised trial involving six health policy agencies located in Sydney, Australia. Policy agencies are the unit of randomisation and intervention. Agencies were randomly allocated to one of three start dates (steps) to receive the 1-year intervention programme, underpinned by an action framework. The SPIRIT intervention is tailored to suit the interests and needs of each agency and includes audit, feedback and goal setting; a leadership programme; staff training; the opportunity to test systems to assist in the use of research in policies; and exchange with researchers. Outcome measures will be collected at each agency every 6 months for 30 months (starting at the beginning of step 1). Ethics and dissemination: Ethics approval was granted by the University of Western Sydney Human Research and Ethics Committee HREC Approval H8855. The findings of this study will be disseminated broadly through peer-reviewed publications and presentations at conferences and used to inform future strategies.

DOI 10.1136/bmjopen-2014-005293
Citations Scopus - 11
2013 Boyes AW, Girgis A, D'Este CA, Zucca AC, Lecathelinais C, Carey ML, 'Prevalence and predictors of the short-term trajectory of anxiety and depression in the first year after a cancer diagnosis: a population-based longitudinal study.', J Clin Oncol, 31 2724-2729 (2013) [C1]
DOI 10.1200/JCO.2012.44.7540
Citations Scopus - 29Web of Science - 27
Co-authors Mariko Carey, Alison Zucca, Allison Boyes
2013 Carter GL, Clover K, Whyte IM, Dawson AH, D'Este C, 'Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning', BRITISH JOURNAL OF PSYCHIATRY, 202 372-380 (2013) [C1]
DOI 10.1192/bjp.bp.112.112664
Citations Scopus - 29Web of Science - 25
Co-authors Gregory Carter
2013 Yoong SL, Carey ML, Sanson-Fisher R, D'Este C, 'Recruitment in general practice', Australian Family Physician, 42 9 (2013) [C3]
Citations Scopus - 1
Co-authors Serene Yoong, Mariko Carey, Rob Sanson-Fisher
2013 Luque-Fernandez MA, Franco M, Gelaye B, Schomaker M, Gutierrez Garitano I, D'Este C, Williams MA, 'Unemployment and stillbirth risk among foreign-born and Spanish pregnant women in Spain, 2007-2010: a multilevel analysis study', EUROPEAN JOURNAL OF EPIDEMIOLOGY, 28 991-999 (2013) [C1]
DOI 10.1007/s10654-013-9859-y
Citations Scopus - 7Web of Science - 7
2013 Hall AE, Sanson-Fisher RW, Lynagh MC, Threlfall T, D'Este CA, 'Format and readability of an enhanced invitation letter did not affect participation rates in a cancer registry-based study: a randomized controlled trial', JOURNAL OF CLINICAL EPIDEMIOLOGY, 66 85-94 (2013) [C1]
DOI 10.1016/j.jclinepi.2012.07.016
Citations Scopus - 13Web of Science - 12
Co-authors Rob Sanson-Fisher, Marita Lynagh, Alix Hall
2013 Mackenzie LJ, Carey ML, Sanson-Fisher RW, D'Este CA, 'Psychological distress in cancer patients undergoing radiation therapy treatment', SUPPORTIVE CARE IN CANCER, 21 1043-1051 (2013) [C1]
DOI 10.1007/s00520-012-1624-3
Citations Scopus - 15Web of Science - 12
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie
2013 Boyes AW, D'Este CA, Carey ML, Lecathelinais C, Girgis A, 'How does the Distress Thermometer compare to the Hospital Anxiety and Depression Scale for detecting possible cases of psychological morbidity among cancer survivors?', Supportive Care in Cancer, 21 119-127 (2013) [C1]
Citations Scopus - 21Web of Science - 18
Co-authors Allison Boyes, Mariko Carey
2013 Yoong SLI, Carey ML, Sanson-Fisher R, D'Este C, 'Recruitment in general practice', Australian family physician, 42 9 (2013)
Co-authors Mariko Carey, Rob Sanson-Fisher, Serene Yoong
2013 Paul CL, Carey M, Yoong SL, D'Este C, Makeham M, Henskens F, 'Access to chronic disease care in general practice: The acceptability of implementing systematic waiting-room screening using computer-based patient-reported risk status', British Journal of General Practice, 63 (2013) [C1]
DOI 10.3399/bjgp13X671605
Citations Scopus - 8Web of Science - 8
Co-authors Serene Yoong, Chris Paul, Mariko Carey, Frans Henskens
2013 Hall A, Campbell HS, Sanson-Fisher R, Lynagh M, D'Este C, Burkhalter R, Carey M, 'Unmet needs of Australian and Canadian haematological cancer survivors: a cross-sectional international comparative study', PSYCHO-ONCOLOGY, 22 2032-2038 (2013) [C1]
DOI 10.1002/pon.3247
Citations Scopus - 18Web of Science - 13
Co-authors Mariko Carey, Marita Lynagh, Rob Sanson-Fisher, Alix Hall
2013 MacKenzie LJ, Carey ML, Paul CL, Sanson-Fisher RW, D'Este CA, 'Do we get it right? Radiation oncology outpatients' perceptions of the patient centredness of life expectancy disclosure', Psycho-Oncology, 22 2720-2728 (2013) [C1]

Objective A patient-centred approach to discussing life expectancy with cancer patients is recommended in Western countries. However, this approach to eliciting and meeting patien... [more]

Objective A patient-centred approach to discussing life expectancy with cancer patients is recommended in Western countries. However, this approach to eliciting and meeting patient preferences can be challenging for clinicians. The aims of this study were the following: (i) to examine cancer patients' preferences for life expectancy disclosure; and (ii) to explore agreement between cancer patients' preferences for, and perceived experiences of, life expectancy disclosure. Methods Cancer patients undergoing radiotherapy treatment in metropolitan Australia completed a cross-sectional touchscreen computer survey including optional questions about their life expectancy disclosure preferences and experiences. Results Of the 208 respondents, 178 (86%) indicated that they would prefer their clinician to ask them before discussing life expectancy, and 30 (14%) indicated that they would prefer others (i.e. clinicians, family) to decide whether they were given life expectancy information. Of the 175 respondents who were classified as having a self- determined or other-determined disclosure experience, 105 (60%) reported an experience of life expectancy disclosure that was in accordance with their preferences. Cohen's ¿ was -0.04 (95% CI, -0.17, 0.08), indicating very poor agreement between patients' preferences for and perceived experiences of life expectancy disclosure (p = 0.74). Conclusions In light of patient-centred prognosis disclosure guidelines, our findings of a majority preference for, and experience of, a self-determined approach to life expectancy disclosure amongst radiation oncology patients are encouraging. However, poor agreement between preferences and experiences highlights that additional effort from clinicians is required in order to achieve a truly patient-centred approach to life expectancy disclosure. Copyright © 2013 John Wiley & Sons, Ltd.

DOI 10.1002/pon.3337
Citations Scopus - 3Web of Science - 2
Co-authors Rob Sanson-Fisher, Chris Paul, Mariko Carey, Lisa Mackenzie
2013 Yoong SL, Carey M, Sanson-Fisher R, D'Este C, 'Prevalence and correlates of overweight and obesity in adult Australian general practice patients', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 37 586-586 (2013) [C3]
DOI 10.1111/1753-6405.12117
Co-authors Serene Yoong, Mariko Carey, Rob Sanson-Fisher
2013 Yoong SL, Carey ML, D'Este C, Sanson-Fisher RW, 'Agreement between self-reported and measured weight and height collected in general practice patients: a prospective study', BMC MEDICAL RESEARCH METHODOLOGY, 13 (2013) [C1]
DOI 10.1186/1471-2288-13-38
Citations Scopus - 30Web of Science - 27
Co-authors Rob Sanson-Fisher, Mariko Carey, Serene Yoong
2013 Yoong SL, Carey ML, Sanson-Fisher RW, D'Este CA, 'A cross-sectional study assessing Australian general practice patients' intention, reasons and preferences for assistance with losing weight', BMC FAMILY PRACTICE, 14 (2013) [C1]
DOI 10.1186/1471-2296-14-187
Citations Scopus - 2Web of Science - 2
Co-authors Rob Sanson-Fisher, Serene Yoong, Mariko Carey
2013 Courtney RJ, Paul CL, Carey ML, Sanson-Fisher RW, Macrae FA, D'Este C, et al., 'A population-based cross-sectional study of colorectal cancer screening practices of first-degree relatives of colorectal cancer patients', BMC CANCER, 13 (2013) [C1]
DOI 10.1186/1471-2407-13-13
Citations Scopus - 20Web of Science - 15
Co-authors Rob Sanson-Fisher, Chris Paul, Mariko Carey
2013 Yego F, Williams JS, Byles J, Nyongesa P, Aruasa W, D'Este C, 'A retrospective analysis of maternal and neonatal mortality at a teaching and referral hospital in Kenya', REPRODUCTIVE HEALTH, 10 (2013) [C1]
DOI 10.1186/1742-4755-10-13
Citations Scopus - 5Web of Science - 3
Co-authors Jenny Stewartwilliams, Julie Byles
2013 Paterson BJ, Kirk MD, Cameron AS, D'Este C, Durrheim DN, 'Historical data and modern methods reveal insights in measles epidemiology: a retrospective closed cohort study', BMJ OPEN, 3 (2013) [C1]
DOI 10.1136/bmjopen-2012-002033
Citations Scopus - 1Web of Science - 1
Co-authors D Durrheim
2013 Mackenzie LJ, Sanson-Fisher RW, Carey ML, D'Este CA, 'Radiation oncology outpatient perceptions of patient-centred care: a cross-sectional survey', BMJ OPEN, 3 (2013) [C1]
DOI 10.1136/bmjopen-2012-001265
Citations Scopus - 9Web of Science - 3
Co-authors Rob Sanson-Fisher, Mariko Carey, Lisa Mackenzie
2012 Dibley MJ, Titaley CR, D'Este CA, Agho K, 'Iron and folic acid supplements in pregnancy improve child survival in Indonesia', American Journal of Clinical Nutrition, 95 220-230 (2012) [C1]
Citations Scopus - 15Web of Science - 15
2012 Eades SJ, Sanson-Fisher RW, Wenitong M, Panaretto K, D'Este CA, Gilligan C, Stewart JM, 'An intensive smoking intervention for pregnant Aboriginal and Torres Strait Islander women: A randomised controlled trial', Medical Journal of Australia, 197 42-46 (2012) [C1]
Citations Scopus - 29Web of Science - 26
Co-authors Conor Gilligan, Rob Sanson-Fisher
2012 Middleton S, D'Este C, Grimshaw J, Ward JE, Levi C, 'Team-building intervention to improve acute stroke care Reply', LANCET, 379 1390-1390 (2012) [C3]
Co-authors Christopher Levi
2012 Middleton S, D'Este CA, Grimshaw J, Ward JE, Levi CR, 'Reply: Team-building intervention to improve acute stroke care', Lancet, 379 1390 (2012) [C3]
Co-authors Christopher Levi
2012 Kowal PR, Chatterji S, Naidoo N, Biritwum R, Fan W, Ridaura RL, et al., 'Data resource profile: The World Health Organization Study on global AGEing and adult health (SAGE)', International Journal of Epidemiology, 41 1639-1649 (2012) [C2]
Citations Scopus - 135Web of Science - 132
2012 Guest M, Boggess MM, Attia JR, 'Relative risk of elevated hearing threshold compared to ISO1999 normative populations for Royal Australian Air Force male personnel', Hearing Research, 285 65-76 (2012) [C1]
Citations Scopus - 5Web of Science - 5
Co-authors John Attia
2012 Reid MG, Parkinson L, Gibson RE, Schofield PW, D'Este CA, Attia JR, et al., 'Memory Complaint Questionnaire performed poorly as screening tool: Validation against psychometric tests and affective measures', Journal of Clinical Epidemiology, 65 199-205 (2012) [C1]
Citations Scopus - 14Web of Science - 14
Co-authors Meredith Tavener, Peter Schofield, Julie Byles, L Parkinson, John Attia
2012 Mackenzie LJ, Carey ML, Sanson-Fisher RW, D'Este CA, Hall AE, 'Cancer patients' willingness to answer survey questions about life expectancy', Supportive Care in Cancer, 20 3335-3341 (2012) [C1]
DOI 10.1007/s00520-012-1477-9
Citations Scopus - 3Web of Science - 2
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie, Alix Hall
2012 Passey ME, D'Este CA, Stirling JM, Sanson-Fisher RW, 'Factors associated with antenatal smoking among Aboriginal and Torres Strait Islander women in two jurisdictions', Drug and Alcohol Review, 31 608-616 (2012) [C1]
Citations Scopus - 17Web of Science - 16
Co-authors Rob Sanson-Fisher
2012 White VM, Macvean ML, Grogan S, D'Este CA, Akkerman D, Ieropoli S, Sanson-Fisher RW, 'Can a tailored telephone intervention delivered by volunteers reduce the supportive care needs, anxiety and depression of people with colorectal cancer? A randomised controlled trial', Psycho-Oncology, 21 1053-1062 (2012) [C1]
Citations Scopus - 16Web of Science - 13
Co-authors Rob Sanson-Fisher
2012 Yoong SL, Carey ML, Sanson-Fisher RW, D'Este CA, 'A cross-sectional study assessing the self-reported weight loss strategies used by adult Australian general practice patients', BMC Family Practice, 13 48 (2012) [C1]
Citations Scopus - 10Web of Science - 7
Co-authors Serene Yoong, Rob Sanson-Fisher, Mariko Carey
2012 Carey ML, Sanson-Fisher RW, Macrae F, Hill D, D'Este CA, Paul CL, Doran CM, 'Improving adherence to surveillance and screening recommendations for people with colorectal cancer and their first degree relatives: a randomized controlled trial', BMC Cancer, 12 62 (2012) [C3]
Citations Scopus - 12Web of Science - 12
Co-authors Mariko Carey, Rob Sanson-Fisher, Chris Paul
2012 Boyes AW, Girgis A, D'Este CA, Zucca AC, 'Prevalence and correlates of cancer survivors' supportive care needs 6months after diagnosis: A population-based cross-sectional study', BMC Cancer, 12 150 (2012) [C1]
Citations Scopus - 56Web of Science - 13
Co-authors Allison Boyes, Alison Zucca
2012 Gwynn JD, Flood VM, D'Este CA, Attia JR, Turner N, Cochrane J, et al., 'Poor food and nutrient intake among Indigenous and non-Indigenous rural Australian children', BMC Pediatrics, 12 1-14 (2012) [C1]
Citations Scopus - 11Web of Science - 10
Co-authors John Wiggers, Josephine Gwynn, John Attia
2012 Passey ME, D'Este CA, Sanson-Fisher RW, 'Knowledge, attitudes and other factors associated with assessment of tobacco smoking among pregnant Aboriginal women by health care providers: A cross-sectional survey', BMC Public Health, 12 1-10 (2012) [C1]
Citations Scopus - 14Web of Science - 13
Co-authors Rob Sanson-Fisher
2012 Islam MR, Khan I, Hassan SMN, McEvoy MA, D'Este CA, Attia JR, et al., 'Association between type 2 diabetes and chronic arsenic exposure in drinking water: A cross sectional study in Bangladesh', Environmental Health, 11 1-8 (2012) [C1]
Citations Scopus - 30Web of Science - 10
Co-authors Mark Mcevoy, Milton Hasnat, Roseanne Peel, John Attia
2012 Clinton-Mcharg TL, Carey ML, Sanson-Fisher RW, D'Este CA, Shakeshaft A, 'Preliminary development and psychometric evaluation of an unmet needs measure for adolescents and young adults with cancer: The Cancer Needs Questionnaire - Young People (CNQ-YP)', Health and Quality of Life Outcomes, 10 1-11 (2012) [C1]
Citations Scopus - 13Web of Science - 11
Co-authors Rob Sanson-Fisher, Mariko Carey, Tara Clinton-Mcharg
2012 Abir T, Rahman B, D'Este CA, Farooq A, Hasnat MA, 'The association between chronic arsenic exposure and hypertension: A meta-analysis', Journal of Toxicology, 2012 1-13 (2012) [C1]
Citations Scopus - 14
Co-authors Milton Hasnat
2012 Islam MR, Khan I, Attia JR, Hassan SMN, McEvoy MA, D'Este CA, et al., 'Association between hypertension and chronic arsenic exposure in drinking water: A cross-sectional study in Bangladesh', International Journal of Environmental Research and Public Health, 9 4522-4536 (2012) [C1]
Citations Scopus - 16Web of Science - 11
Co-authors Milton Hasnat, Mark Mcevoy, John Attia
2012 Haines M, Brown B, Craig J, D'Este CA, Elliott E, Klineberg E, et al., 'Determinants of successful clinical networks: The conceptual framework and study protocol', Implementation Science, 7 1-10 (2012) [C3]
Citations Scopus - 14Web of Science - 11
Co-authors Chris Paul
2012 Yoong SL, Carey ML, Sanson-Fisher RW, Russell G, Mazza D, Makeham M, et al., 'Touch screen computer health assessment in Australian general practice patients: A cross-sectional study protocol', BMJ Open, 2 1-7 (2012) [C3]
Citations Scopus - 20Web of Science - 14
Co-authors Rob Sanson-Fisher, Serene Yoong, Kerry Inder, Chris Paul, Mariko Carey
2012 Middleton S, McElduff P, Ward J, Grimshaw JM, Dale S, D'Este C, et al., 'Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): A cluster randomised controlled trial', Dysphagia, 27 441 (2012)
DOI 10.1007/s00455-012-9400-6
Co-authors Patrick Mcelduff, Christopher Levi
2011 Bonevski B, Paul CL, D'Este CA, Sanson-Fisher RW, West R, Girgis A, et al., 'RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population', BMC Public Health, 11 70 (2011) [C1]
DOI 10.1186/1471-2458-11-70
Citations Scopus - 12Web of Science - 8
Co-authors Rob Sanson-Fisher, Chris Paul, Billie Bonevski
2011 McNamara BJ, Sanson-Fisher RW, D'Este CA, Eades S, 'Type 2 diabetes in Indigenous populations: Quality of intervention research over 20 years', Preventive Medicine, 52 3-9 (2011) [C1]
DOI 10.1016/j.ypmed.2010.11.002
Citations Scopus - 15Web of Science - 15
Co-authors Rob Sanson-Fisher
2011 Middleton S, McElduff P, Ward J, Grimshaw JM, Dale S, D'Este CA, et al., 'Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): A cluster randomised controlled trial', The Lancet, 378 1699-1706 (2011) [C1]
DOI 10.1016/s0140-6736(11)61485-2
Citations Scopus - 108Web of Science - 94
Co-authors Christopher Levi, Patrick Mcelduff
2011 Boyes AW, Girgis A, D'Este CA, Zucca AC, 'Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis', Journal of Affective Disorders, 135 184-192 (2011) [C1]
Citations Scopus - 35Web of Science - 39
Co-authors Alison Zucca, Allison Boyes
2011 Denham J, Lamb DS, Joseph D, Matthews J, Atkinson C, Spry NA, et al., 'Another form of subgroup to beware', Radiotherapy and Oncology, 101 525-526 (2011) [C3]
DOI 10.1016/j.radonc.2011.08.032
Citations Scopus - 1Web of Science - 1
Co-authors Jim Denham, Allison Steigler
2011 Schofield PW, Butler T, Hollis S, D'Este CA, 'Are prisoners reliable survey respondents? A validation of self-reported traumatic brain injury (TBI) against hospital medical records', Brain Injury, 25 74-82 (2011) [C1]
DOI 10.3109/02699052.2010.531690
Citations Scopus - 25Web of Science - 25
Co-authors Peter Schofield
2011 Guest M, D'Este CA, Attia JR, Boggess M, Brown A, Tavener M, et al., 'Impairment of color vision in aircraft maintenance workers', International Archives of Occupational and Environmental Health, 84 723-733 (2011) [C1]
DOI 10.1007/s00420-010-0600-9
Citations Scopus - 2Web of Science - 3
Co-authors Meredith Tavener, John Attia
2011 Lamb DS, Denham J, Joseph D, Matthews J, Atkinson C, Spry NA, et al., 'A comparison of the prognostic value of early PSA test-based variables following external beam radiotherapy, with or without preceding androgen deprivation: Analysis of data from the TROG 96.01 randomized trial', International Journal of Radiation Oncology Biology Physics, 79 385-391 (2011) [C1]
DOI 10.1016/j.ijrobp.2009.10.071
Citations Scopus - 23Web of Science - 20
Co-authors Allison Steigler, Jim Denham
2011 Breen C, Shakeshaft A, Slade T, D'Este CA, Mattick RP, 'Assessing reliability of measures using routinely collected data', Alcohol and Alcoholism, 46 501-502 (2011) [C3]
DOI 10.1093/alcalc/agr039
Citations Scopus - 5Web of Science - 5
2011 Breen C, Shakeshaft A, Slade T, Love S, D'Este CA, Mattick RP, 'Do community characteristics predict alcohol-related crime?', Alcohol and Alcoholism, 46 464-470 (2011) [C1]
DOI 10.1093/alcalc/agr040
Citations Scopus - 12Web of Science - 12
2011 De Morgan SE, Redman S, D'Este CA, Rogers K, 'Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS)', Patient Education and Counseling, 84 62-68 (2011) [C1]
DOI 10.1016/j.pec.2010.07.002
Citations Scopus - 18Web of Science - 15
2011 Gilligan C, Sanson-Fisher RW, Anderson AE, D'Este CA, 'Strategies to increase community-based intervention research aimed at reducing excessive alcohol consumption and alcohol-related harm', Drug and Alcohol Review, 30 659-663 (2011) [C1]
Citations Scopus - 4Web of Science - 4
Co-authors Amy Anderson, Rob Sanson-Fisher, Conor Gilligan
2011 Guest M, Boggess MM, D'Este CA, Attia JR, Brown A, 'An observed relationship between vestibular function and auditory thresholds in aircraft-maintenance workers', Journal of Occupational and Environmental Medicine, 53 146-152 (2011) [C1]
DOI 10.1097/jom.0b013e318204fa7f
Citations Scopus - 4Web of Science - 4
Co-authors John Attia
2011 Guest M, Attia JR, D'Este CA, Boggess MM, Brown AM, Gibson RE, et al., 'Peripheral neuropathy in military aircraft maintenance workers in Australia', Journal of Occupational and Environmental Medicine, 53 381-387 (2011) [C1]
DOI 10.1097/jom.0b013e318212226d
Co-authors Meredith Tavener, John Attia
2011 Gwynn JD, Flood VM, D'Este CA, Attia JR, Turner N, Cochrane J, Wiggers JH, 'The reliability and validity of a short FFQ among Australian Aboriginal and Torres Strait Islander and non-Indigenous rural children', Public Health Nutrition, 14 388-401 (2011) [C1]
DOI 10.1017/s1368980010001928
Citations Scopus - 14Web of Science - 11
Co-authors John Wiggers, Josephine Gwynn, John Attia
2011 Nair BR, Heim C, Krishnan C, D'Este CA, Marley J, Attia JR, 'The effect of Baroque music on behavioural disturbances in patients with dementia', Australasian Journal on Ageing, 30 11-15 (2011) [C1]
DOI 10.1111/j.1741-6612.2010.00439.x
Citations Scopus - 11Web of Science - 4
Co-authors John Attia
2011 Middleton S, Levi CR, Ward J, Grimshaw J, Griffiths R, D'Este CA, et al., 'Death, dependency and health status 90 days following hospital admission for acute stroke in NSW', Internal Medicine Journal, 41 736-743 (2011) [C1]
DOI 10.1111/j.1445-5994.2010.02330.x
Citations Scopus - 4Web of Science - 3
Co-authors Christopher Levi, Patrick Mcelduff
2011 Denham J, Steigler A, Lamb DS, Joseph D, Turner S, Matthews J, et al., 'Short-term neoadjuvant androgen deprivation and radiotherapy for locally advanced prostate cancer: 10-year data from the TROG 96.01 randomised trial', The Lancet Oncology, 12 451-459 (2011) [C1]
DOI 10.1016/s1470-2045(11)70063-8
Citations Scopus - 184Web of Science - 161
Co-authors Allison Steigler, Jim Denham
2010 Evensen AE, Sanson-Fisher RW, D'Este CA, Fitzgerald MN, 'Trends in publications regarding evidence-practice gaps: A literature review', Implementation Science, 5 1-5 (2010) [C1]
DOI 10.1186/1748-5908-5-11
Citations Scopus - 19Web of Science - 14
Co-authors Rob Sanson-Fisher
2010 Rahman R, Faiz MA, Selim S, Rahman B, Basher A, Jones AL, et al., 'Annual incidence of snake bite in rural Bangladesh', Plos Neglected Tropical Diseases, 4 e860 (2010) [C1]
DOI 10.1371/journal.pntd.0000860
Citations Scopus - 47Web of Science - 30
Co-authors Milton Hasnat
2010 Williamson A, Redman S, Dadds M, Daniels J, D'Este CA, Raphael B, et al., 'Acceptability of an emotional and behavioural screening tool for children in Aboriginal Community Controlled Health Services in urban NSW', Australian and New Zealand Journal of Psychiatry, 44 894-900 (2010) [C1]
DOI 10.3109/00048674.2010.489505
Citations Scopus - 9Web of Science - 8
2010 Butler T, Schofield PW, Greenberg D, Allnutt SH, Indig D, Carr V, et al., 'Reducing impulsivity in repeat violent offenders: An open label trial of a selective serotonin reuptake inhibitor', Australian and New Zealand Journal of Psychiatry, 44 1137-1143 (2010) [C1]
DOI 10.3109/00048674.2010.525216
Citations Scopus - 19Web of Science - 17
Co-authors Peter Schofield
2010 Barton CA, McGuire A, Waller M, Treloar SA, McClintock C, McFarlane AC, D'Este CA, 'Smoking prevalence, its determinants and short-term health implications in the Australian Defence Force', Military Medicine, 175 267-272 (2010) [C1]
DOI 10.7205/MILMED-D-09-00287
Citations Scopus - 3Web of Science - 3
2010 Guest M, Boggess M, Attia JR, D'Este CA, Brown A, Gibson RE, et al., 'Hearing impairment in F-111 maintenance workers: The study of health outcomes in aircraft maintenance personnel (SHOAMP) general health and medical study', American Journal of Industrial Medicine, 53 1159-1169 (2010) [C1]
DOI 10.1002/ajim.20867
Citations Scopus - 10Web of Science - 9
Co-authors John Attia, Meredith Tavener
2010 McEvoy MA, Smith WT, D'Este CA, Duke JM, Peel R, Schofield PW, et al., 'Cohort Profile: The Hunter Community Study', International Journal of Epidemiology, 39 1452-1463 (2010) [C1]
DOI 10.1093/ije/dyp343
Citations Scopus - 71Web of Science - 69
Co-authors Peter Schofield, Wayne Smith, Ben Ewald, John Attia, Roseanne Peel, Mddah01, Julie Byles, Mark Mcevoy, Rodney Scott
2010 Gilligan C, Sanson-Fisher RW, Eades S, Wenitong M, Panaretto K, D'Este CA, 'Assessing the accuracy of self-reported smoking status and impact of passive smoke exposure among pregnant Aboriginal and Torres Strait Islander women using cotinine biochemical validation', Drug and Alcohol Review, 29 35-40 (2010) [C1]
DOI 10.1111/j.1465-3362.2009.00078.x
Citations Scopus - 18Web of Science - 17
Co-authors Rob Sanson-Fisher, Conor Gilligan
2010 Clinton-Mcharg TL, Paul CL, Sanson-Fisher RW, D'Este CA, Williamson A, 'Determining research priorities for young people with haematological cancer: A value-weighting approach', European Journal of Cancer, 46 3263-3270 (2010) [C1]
DOI 10.1016/j.ejca.2010.06.013
Citations Scopus - 7Web of Science - 7
Co-authors Rob Sanson-Fisher, Chris Paul, Tara Clinton-Mcharg
2010 Bailey LJ, Sanson-Fisher RW, Aranda S, D'Este CA, Sharkey K, Schofield P, 'Quality of life research: Types of publication output over time for cancer patients, a systematic review', European Journal of Cancer Care, 19 581-588 (2010) [C1]
DOI 10.1111/j.1365-2354.2009.01109.x
Citations Scopus - 8Web of Science - 7
Co-authors Rob Sanson-Fisher
2010 Sanson-Fisher RW, Bailey LJ, Aranda S, D'Este CA, Stojanovski E, Sharkey K, Schofield P, 'Quality of life research: is there a difference in output between the major cancer types?', European Journal of Cancer Care, 19 714-720 (2010) [C1]
DOI 10.1111/j.1365-2354.2009.01158.x
Citations Scopus - 12Web of Science - 9
Co-authors Rob Sanson-Fisher, Elizabeth Stojanovski
2010 Hope K, Durrheim DN, Barnett D, D'Este CA, Kewley CD, Dalton CB, et al., 'Willingness of frontline health care workers to work during a public health emergency', Australian Journal of Emergency Management, 25 39-47 (2010) [C1]
Citations Scopus - 16
Co-authors Craig Dalton, D Durrheim, Chris Kewley
2010 Gwynn JD, Hardy LL, Wiggers JH, Smith WT, D'Este CA, Turner N, et al., 'The validation of a self-report measure and physical activity of Australian Aboriginal and Torres Strait Islander and non-Indigenous rural children', Australian and New Zealand Journal of Public Health, 34 S57-S65 (2010) [C1]
DOI 10.1111/j.1753-6405.2010.00555.x
Citations Scopus - 14Web of Science - 11
Co-authors John Attia, John Wiggers, Wayne Smith, Josephine Gwynn
2010 Hope KG, Merritt TD, Durrheim DN, Massey PD, Kohlhagen JK, Todd KW, D'Este CA, 'Evaluating the utility of emergency department syndromic surveillance for a regional public health service', Communicable Diseases Intelligence Quarterly Report, 34 310-318 (2010) [C1]
Citations Scopus - 8
Co-authors D Durrheim
2009 Brown A, Gibson RE, Tavener MA, Guest M, D'Este CA, Byles JE, et al., 'Sexual function in F-111 maintenance workers: The study of health outcomes in aircraft maintenance personnel', Journal of Sexual Medicine, 6 1569-1578 (2009) [C1]
DOI 10.1111/j.1743-6109.2009.01237.x
Citations Scopus - 3Web of Science - 3
Co-authors Meredith Tavener, Julie Byles, John Attia
2009 Middleton S, Levi CR, Ward J, Grimshaw J, Griffiths R, D'Este CA, et al., 'Fever, hyperglycaemia and swallowing dysfunction management in acute stroke: A cluster randomised controlled trial of knowledge transfer', Implementation Science, 4 1-11 (2009) [C1]
DOI 10.1186/1748-5908-4-16
Citations Scopus - 7Web of Science - 7
Co-authors Christopher Levi
2009 Buchan H, Lourey E, D'Este CA, Sanson-Fisher RW, 'Effectiveness of strategies to encourage general practitioners to accept an offer of free access to online evidence-based information: A randomised controlled trial', Implementation Science, 4 1-8 (2009) [C1]
DOI 10.1186/1748-5908-4-68
Citations Scopus - 8Web of Science - 7
Co-authors Rob Sanson-Fisher
2009 Denham J, Steigler A, Wilcox C, Lamb DS, Joseph D, Atkinson C, et al., 'Why are pretreatment prostate-specific antigen levels and biochemical recurrence poor predictors of prostate cancer survival?', Cancer, 115 4477-4487 (2009) [C1]
DOI 10.1002/cncr.24484
Citations Scopus - 20Web of Science - 19
Co-authors Allison Steigler, Jim Denham
2009 Miles S, Rogers KM, Thomas P, Soans B, Attia JR, Abel C, et al., 'A comparison of single-photon emission CT lung scintigraphy and CT pulmonary angiography for the diagnosis of pulmonary embolism', Chest, 136 1546-1553 (2009) [C1]
DOI 10.1378/chest.09-0361
Citations Scopus - 50Web of Science - 40
Co-authors John Attia, Michael Hensley
2009 Gilligan C, Sanson-Fisher RW, D'Este CA, Eades S, Wenitong M, 'Knowledge and attitudes regarding smoking during pregnancy among Aboriginal and Torres Strait Islander women', Medical Journal of Australia, 190 557-561 (2009) [C1]
Citations Scopus - 16Web of Science - 15
Co-authors Conor Gilligan, Rob Sanson-Fisher
2009 McGuire A, Waller M, Loos C, McClintock C, McFarlane AC, Nielsen L, et al., 'Self-reported indicators of psychological health', Psychiatric Annals, 39 48-55 (2009) [C1]
DOI 10.3928/00485713-20090201-06
2009 Gilligan C, Sanson-Fisher RW, Eades S, D'Este CA, Kay-Lambkin FJ, Scheman S, 'Identifying pregnant women at risk of poor birth outcomes', Journal of Obstetrics and Gynaecology, 29 181-187 (2009) [C1]
DOI 10.1080/01443610902753713
Citations Scopus - 5Web of Science - 5
Co-authors Conor Gilligan, Frances Kaylambkin, Rob Sanson-Fisher
2009 Denham J, Lamb DS, Joseph D, Matthews J, Atkinson C, Spry NA, et al., 'PSA response signatures: A powerful new prognostic indicator after radiation for prostate cancer?', Radiotherapy and Oncology, 90 382-388 (2009) [C1]
DOI 10.1016/j.radonc.2008.10.004
Citations Scopus - 13Web of Science - 13
Co-authors Jim Denham, Allison Steigler
2009 Denham J, Kumar M, Gleeson PS, Lamb DS, Joseph D, Atkinson C, et al., 'Recognizing false biochemical failure calls after radiation with or without neo-adjuvant androgen deprivation for prostate cancer', International Journal of Radiation Oncology Biology Physics, 74 404-411 (2009) [C1]
DOI 10.1016/j.ijrobp.2008.08.047
Citations Scopus - 10Web of Science - 8
Co-authors Jim Denham, Peter Greer, Allison Steigler
2009 Denham J, Steigler A, Kumar M, Lamb DS, Joseph D, Spry NA, et al., 'Measuring time to biochemical failure in the Trog 96.01 trial: When should the clock start ticking?', International Journal of Radiation Oncology Biology Physics, 75 1008-1012 (2009) [C1]
DOI 10.1016/j.ijrobp.2008.12.085
Citations Scopus - 7Web of Science - 6
Co-authors Jim Denham, Peter Greer, Allison Steigler
2009 Girgis A, Cockburn JD, Butow P, Bowman D, Schofield P, Stojanovski E, et al., 'Improving patient emotional functioning and psychological morbidity: Evaluation of a consultation skills training program for oncologists', Patient Education and Counseling, 77 456-462 (2009) [C1]
DOI 10.1016/j.pec.2009.09.018
Citations Scopus - 11Web of Science - 9
Co-authors Elizabeth Stojanovski
2009 Xu L, Dibley M, D'Este CA, Phillips M, Porteous JE, Attia JR, 'Food groups and risk of forearm fractures in postmenopausal women in Chengdu, China', Climacteric, 12 222-229 (2009) [C1]
DOI 10.1080/13697130802626958
Citations Scopus - 12Web of Science - 11
Co-authors John Attia
2009 Mackenzie L, Byles JE, D'Este CA, 'Longitudinal study of the Home Falls and Accidents Screening Tool in identifying older people at increased risk of falls', Australasian Journal on Ageing, 28 64-69 (2009) [C1]
DOI 10.1111/j.1741-6612.2009.00361.x
Citations Scopus - 13Web of Science - 9
Co-authors Julie Byles
2008 Butow P, Cockburn JD, Girgis A, Bowman DA, Schofield P, D'Este CA, et al., 'Increasing oncologists' skills in eliciting and responding to emotional cues: evaluation of a communication skills training program', Psycho-Oncology, 17 209-218 (2008) [C1]
DOI 10.1002/pon.1217
Citations Scopus - 71Web of Science - 61
Co-authors Elizabeth Stojanovski
2008 Denham J, Steigler A, Wilcox C, Lamb DS, Joseph D, Atkinson C, et al., 'Time to biochemical failure and prostate-specific antigen doubling time as surrogates for prostate cancer-specific mortality: evidence from the TROG 96.01 randomised controlled trial', Lancet Oncology, 9 1058-1068 (2008) [C1]
DOI 10.1016/s1470-2045(08)70236-5
Citations Scopus - 56Web of Science - 47
Co-authors Allison Steigler, Peter Greer, Jim Denham
2008 Agho KE, Dibley MJ, D'Este CA, Gibberd RW, 'Factors associated with haemoglobin concentration among Timor-Leste children aged 6-59 months', Journal of Health Population and Nutrition, 26 200-209 (2008) [C1]
Citations Scopus - 18Web of Science - 20
Co-authors Robert Gibberd
2008 D'Este CA, Attia JR, Brown AM, Gibson RE, Gibberd RW, Tavener MA, et al., 'Cancer incidence and mortality in aircraft maintenance workers', American Journal of Industrial Medicine, 51 16-23 (2008) [C1]
DOI 10.1002/ajim.20540
Citations Scopus - 5Web of Science - 5
Co-authors Meredith Tavener, Robert Gibberd, John Attia
2007 Sanson-Fisher RW, Bonevski B, Green LW, D'Este CA, 'Limitations of the Randomized Controlled Trial in Evaluating Population-Based Health Interventions', American Journal of Preventive Medicine, 33 155-161 (2007) [C1]
DOI 10.1016/j.amepre.2007.04.007
Citations Scopus - 176Web of Science - 142
Co-authors Billie Bonevski, Rob Sanson-Fisher
2007 Hawkins NG, Sanson-Fisher RW, Shakeshaft A, D'Este CA, Green LW, 'The Multiple Baseline Design for Evaluating Population-Based Research', American Journal of Preventive Medicine, 33 162-168 (2007) [C1]
DOI 10.1016/j.amepre.2007.03.020
Citations Scopus - 88Web of Science - 75
Co-authors Rob Sanson-Fisher
2007 Nair BR, Browne WL, Chua L-E, D'Este C, O'Dea I, Agho K, 'Validating an Australian version of the Time and Change Test: A screening test for cognitive impairment', AUSTRALASIAN JOURNAL ON AGEING, 26 87-90 (2007)
DOI 10.1111/j.1741-6612.2007.00220.x
2007 Carter GL, Clover K, Whyte IM, Dawson AH, D'Este CA, 'Postcards from the EDge: 24-Month outcomes of a randomised controlled trial for hospital-treated self-poisoning', British Journal of Psychiatry, 191 548-553 (2007) [C1]
DOI 10.1192/bjp.bp.107.038406
Citations Scopus - 65Web of Science - 64
Co-authors Gregory Carter
2007 Watson J, Graves SR, Ferguson JK, D'Este CA, Batey RG, 'Hepatitis C virus RNA quantitation and degradation studies in whole blood samples in vitro', Gut, 56 306-307 (2007) [C3]
Citations Scopus - 2Web of Science - 2
Co-authors John Ferguson
2007 Gilligan C, Sanson-Fisher RW, Eades S, D'Este CA, 'Antenatal smoking in vulnerable population groups: An area of need', Journal of Obstetrics and Gynaecology, 27 664-671 (2007) [C1]
DOI 10.1080/01443610701667486
Citations Scopus - 7Web of Science - 9
Co-authors Conor Gilligan, Rob Sanson-Fisher
2006 Schofield PW, Gibson RE, Tavener MA, Attia JR, D'Este CA, Guest M, et al., 'Neuropsychological health in F-111 aircraft maintenance workers', NeuroToxicology, 27 852-860 (2006) [C1]
DOI 10.1016/j.neuro.2006.02.002
Citations Scopus - 11Web of Science - 11
Co-authors John Attia, Peter Schofield, Meredith Tavener
2006 Callister R, Clancy R, Gleeson M, Cox A, Dorrington M, D'Este C, et al., 'Effect of Lactobacillus acidophilus Probiotic Treatment in Fatigued Athletes with an Interferon- Defect', MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 38 S30-S30 (2006)
DOI 10.1249/00005768-200605001-00143
Co-authors Robin Callister, Maree Gleeson
2006 Mackenzie LA, Byles JE, D'Este CA, 'Validation of self-reported fall events in intervention studies', Clinical Rehabilitation, 20 331-339 (2006) [C1]
DOI 10.1191/0269215506cr947oa
Citations Scopus - 86Web of Science - 84
Co-authors Julie Byles
2006 Clancy RL, Gleeson M, Cox A, Callister R, Dorrington M, D'Este CA, et al., 'Reversal in fatigued athletes of a defect in interferon gamma secretion after administration of Lactobacillus acidophilus', British Journal of Sports Medicine, 40 351-354 (2006) [C1]
DOI 10.1136/bjsm.2005.024364
Citations Scopus - 40Web of Science - 36
Co-authors Robin Callister, Maree Gleeson
2006 Zhang X, Attia JR, D'Este CA, Ma X-Y, 'The relationship between higher blood pressure and ischaemic, haemorrhagic stroke among Chinese and Caucasians: meta-analysis', European Journal of Cardiovascular Prevention and Rehabilitation, 13 429-437 (2006) [C1]
DOI 10.1097/01.hjr.0000214607.99113.b8
Citations Scopus - 23Web of Science - 17
Co-authors John Attia
2006 Xu L, Phillips M, D'Este CA, Dibley MJ, Porteous JE, Attia JR, 'Diet, activity, and other lifestyle risk factors for forearm fracture in postmenopausal women in China: a case-control study', Menopause - The Journal of the North American Menopause Society, 13 102-110 (2006) [C1]
DOI 10.1097/01.gme.0000191206.20738.da
Citations Scopus - 4Web of Science - 5
Co-authors John Attia
2006 Attia JR, D'Este CA, Schofield PW, Brown AM, Gibson RE, Tavener MA, et al., 'Mental health in F-111 maintenance workers: the study of Health Outcomes in Aircraft Maintenance Personnel (SHOAMP) general health and medical study', Journal of Occupational and Environmental Medicine, 48 682-691 (2006) [C1]
DOI 10.1097/01.jom.0000205985.00559.84
Citations Scopus - 11Web of Science - 10
Co-authors John Attia, Meredith Tavener, Peter Schofield
2006 Clancy RL, Ren Z, Pang GT, Fletcher PJ, D'Este CA, 'Chronic Chlamydia pneumoniae infection may promote coronary artery disease in humans through enhancing secretion of interleukin-4', Clinical and Experimental Immunology, 146 197-202 (2006) [C1]
DOI 10.1111/j.1365-2249.2006.03185.x
Citations Scopus - 5Web of Science - 4
2005 Christie D, Denham J, Steigler A, Lamb D, Turner S, Mameghan H, et al., 'Delayed rectal and urinary symptomatology in patients treated for prostate cancer by radiotherapy with or without short term neo-adjuvant androgen deprivation', Radiotherapy and oncology, 77 117-125 (2005) [C1]
DOI 10.1016/j.radonc.2005.10.005
Citations Scopus - 42Web of Science - 37
Co-authors Jim Denham, Allison Steigler
2005 Byles JE, D'Este CA, Parkinson L, O'Connell R, Treloar C, 'Single index of multimorbidity did not predict multiple outcomes', Journal of Clinical Epidemiology, 58 997-1005 (2005) [C1]
DOI 10.1016/j.jclinepi.2005.02.025
Citations Scopus - 50Web of Science - 43
Co-authors L Parkinson, Julie Byles
2005 Zhang X, Attia JR, D'Este CA, Yu XH, Wu XG, 'A risk score predicted coronary heart disease and stroke in a Chinese cohort', Journal of Clinical Epidemiology, 58 951-958 (2005) [C1]
DOI 10.1016/j.jclinepi.2005.01.013
Citations Scopus - 34Web of Science - 27
Co-authors John Attia
2005 Carter GL, Clover K, Whyte IM, Dawson AH, D'Este CA, 'Postcards from the EDge project: randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning', British Medical Journal, 331 805-810 (2005) [C1]
DOI 10.1136/bmj.38579.455266.E0
Citations Scopus - 138Web of Science - 121
Co-authors Gregory Carter
2005 Thakkinstian A, McElduff P, D'Este CA, Duffy D, Attia JR, 'A method for meta-analysis of molecular association studies', Statistics in Medicine, 24 1291-1306 (2005) [C1]
DOI 10.1002/sim.2010
Citations Scopus - 377Web of Science - 377
Co-authors John Attia, Patrick Mcelduff
2005 Mackenzie S, Swan JR, D'Este CA, Spigelman AD, 'Elective open abdominal aortic aneurysm repair: a seven-year experience', Therapeutics and Clinical Risk Management, 1 27-31 (2005) [C1]
2005 Denham J, Steigler A, Lamb D, Joseph D, Mameghan H, Turner S, et al., 'Short-term androgen deprivation and radiotherapy for locally advanced prostate cancer : results from the Trans-Tasman Radiation Oncology Group 96.01 randomised controlled trial', The Lancet, 6 841-850 (2005) [C1]
DOI 10.1016/S1470-2045(05)70348-X
Citations Scopus - 302Web of Science - 260
Co-authors Jim Denham, Allison Steigler
2004 Xu L, McElduff P, D'Este CA, Attia JR, 'Does dietary calcium have a protective effect on bone fractures in women? A meta-analysis of observational studies', The British Journal of Nutrition, 91 625-634 (2004) [C1]
DOI 10.1079/BJN20031085
Citations Scopus - 23Web of Science - 20
Co-authors Patrick Mcelduff, John Attia
2004 Zhang X, Attia JR, D'Este CA, Yu X, 'Prevalence and Magnitude of Classical Risk Factors for Stroke in a Cohort of 5092 Chinese Steelworkers Over 13.5 Years of Follow-up', Stroke, 35 1052-1056 (2004) [C1]
DOI 10.1161/01.STR.0000125305.12859.ff
Citations Scopus - 35Web of Science - 30
Co-authors John Attia
2004 Rodsutti J, Hensley M, Thakkinstian A, D'Este C, Attia J, 'A clinical decision rule to prioritize polysomnography in patients with suspected sleep apnea', SLEEP, 27 694-699 (2004) [C1]
Citations Scopus - 23Web of Science - 22
Co-authors Michael Hensley, John Attia
2004 Rodsutti J, Thakkinstian A, Hensley MJ, D'Este CA, Attia JR, 'A clinical decision rule to prioritise polysomnography in patients with suspected sleep apnoea', Sleep, 27 694-699 (2004) [C2]
Co-authors Michael Hensley
2004 Ward JE, Proude EM, D'Este CA, 'Randomized trial in family practice of a brief intervention to reduce STI risk in young adults', Family Practice, 21 537-544 (2004) [C1]
DOI 10.1093/fampra/cmh510
Citations Scopus - 13Web of Science - 12
2004 Thakkinstian A, D'Este CA, Eisman J, Nguyen T, Attia JR, 'Meta-Analysis of Molecular Association Studies: Vitamin D Receptor Gene Polymorphisms and BMD as a Case Study', Journal of Bone & Mineral Research, 19 419 (2004) [C1]
DOI 10.1359/JBMR.0301265
Citations Scopus - 160Web of Science - 132
Co-authors John Attia
2004 Thakkinstian A, D'Este CA, Attia JR, 'Haplotype analysis of VDR gene polymorphisms: a meta-analysis', Osteoporosis International: with other metabolic bone diseases, 15 729-734 (2004) [C1]
DOI 10.1007/s00198-004-1601-x
Citations Scopus - 53Web of Science - 43
Co-authors John Attia
2004 Do TT, Dibley MJ, D'Este CA, 'Receiver operating characteristic analysis of body mass index to detect increased risk of functional morbidity in Vietnamese rural adults', European Journal of Clinical Nutrition, 58 1594-1603 (2004) [C1]
DOI 10.1038/sj.ejcn.1602010
Citations Scopus - 2Web of Science - 1
2004 Attia JR, D'Este CA, Levi CR, 'The progress trial three years later. HOPE trial may shed some light', BMJ, 329 1403-1404 (2004) [C1]
DOI 10.1136/bmj.329.7479.1403-d
Co-authors Christopher Levi, John Attia
2004 Xu L, Dibley MJ, D'Este CA, 'Reliability and validity of a food-frequency questionnaire for Chinese postmenopausal women', Public Health Nutrition, 7 91-98 (2004) [C1]
DOI 10.1079/PHN2003510
Citations Scopus - 16Web of Science - 16
2004 Horowitz G, Byles JE, Lee J, D'Este CA, 'Comparison of the Tono-Pen and Goldmann tonometer for measuring intraocular pressure in patients with glaucoma', Clinical and Experimental Ophthalmology, 32 584-589 (2004) [C1]
DOI 10.1111/j.1442-9071.2004.00907.x
Citations Scopus - 34Web of Science - 28
Co-authors Julie Byles
2004 Palmer CM, McNulty AM, D'Este CA, Donovan B, 'Genital injuries in women reporting sexual assault', Sexual Health, 1 55-59 (2004) [C1]
DOI 10.1071/SH03004
Citations Scopus - 39
2004 Xf Z, Attia JR, D'Este CA, Yu X, Wu X, 'Prevalence and magnitude of classical risk factors for coronary heart disease in a cohort of 4400 Chinese steelworkers over 13.5 years' follow-up', European Journal of Cardiovascular Prevention & Rehabilitation, 11 113-120 (2004) [C1]
DOI 10.1097/01.hjr.0000125480.31039.37
Citations Scopus - 16Web of Science - 15
Co-authors John Attia
2003 Wang Y, Levi CR, Attia JR, D'Este CA, Spratt N, Fisher JD, 'Seasonal Variation in Stroke in the Hunter Region, Australia: A 5-Year Hospital-Based Study, 1995-2000', Stroke: a journal of cerebral circulation, 34 1144-1150 (2003) [C1]
DOI 10.1161/01.STR.0000067703.71251.B6
Citations Scopus - 78Web of Science - 73
Co-authors John Attia, Neil Spratt, Christopher Levi
2003 Attia JR, Thakkinstian A, D'Este CA, 'Meta-analyses of molecular association studies: Methodologic lessons for genetic epidemiology', The Journal of Clinical Epidemiology, 297-303 (2003) [C1]
DOI 10.1016/S0895-4356(03)00011-8
Citations Scopus - 242Web of Science - 232
Co-authors John Attia
2003 Wang Y, Levi CR, D'Este CA, Attia JR, Fisher JD, 'Variation of Stroke Attack Rates in Rural, Urban, and Coalfields Areas of the Hunter Region, Australia 1995-2000', Journal of Stroke & Cerebrovascular Diseases, 12 103-110 (2003) [C1]
DOI 10.1053/jscd.2003.12
Citations Scopus - 3
Co-authors John Attia, Christopher Levi
2002 Young JM, D'Este CA, Ward JE, 'Improving family physicians' use of evidence-based smoking cessation strategies : a cluster randomization trial', Preventive Medicine, 35 572-583 (2002) [C1]
Citations Scopus - 21Web of Science - 20
2002 Hanrahan P, D'Este CA, Menzies S, Plummer T, Hersey P, 'A randomised trial of skin photography as an aid to screening skin lesions in older males', Journal of Medical Screening, 9(3) 128-132 (2002) [C1]
Citations Scopus - 16Web of Science - 11
2001 Edmond K, Attia JR, D'Este CA, Condon J, 'Drowning and near-drowning in Northern Territory children', Medical Journal of Australia, 175 605-608 (2001) [C1]
Citations Scopus - 11Web of Science - 9
Co-authors John Attia
2001 Heller RF, D'Este CA, Lim L, O'Connell RL, Powell H, 'Randomised controlled trial to change the hospital management of unstable angina', Medical Journal of Australia, 174 217-221 (2001) [C1]
Citations Scopus - 13Web of Science - 20
2001 Heller RF, D'Este C, Lim LL, O'Connell RL, Powell H, 'Randomised controlled trial to change the hospital management of unstable angina.', The Medical journal of Australia, 174 217-221 (2001)
2001 Naing N, D'Este CA, Isa A, Salleh R, Mahmod M, 'Factors contributing to poor compliance with anti-TB treatment among tuberculosis patients', Southeast Asian Journal of Tropical Medicine and Public Health, 32 369382 (2001) [C1]
2001 Heller RF, Powell H, O'Connell RL, D'Este CA, Lim L, 'Trends in the hospital management of unstable angina', Journal of Epidemiology and Community Health, 55 483-486 (2001) [C2]
Citations Scopus - 5Web of Science - 3
2001 Naing NN, D'Este C, Isa AR, Salleh R, Bakar N, Mahmod MR, 'Factors contributing to poor compliance with anti-TB treatment among tuberculosis patients', Southeast Asian Journal of Tropical Medicine and Public Health, 32 369-382 (2001)

Tuberculosis (TB) has made a comeback. It has become a resurgent public health problem in developing countries in the tropics and is the leading cause of death from any single inf... [more]

Tuberculosis (TB) has made a comeback. It has become a resurgent public health problem in developing countries in the tropics and is the leading cause of death from any single infectious agent. Non-compliance to anti-tuberculosis treatment is the most serious problem in TB control. A cross-sectional study was conducted to investigate the determinants of poor compliance with anti-tuberculosis treatment among tuberculosis patients in Kota Bharu, Kelantan, Malaysia in 1999. A total of 390 patients were included in the study of which 130 were tuberculosis patients who defaulted treatment and 260 were those compliant to treatment. Data collection was done by interviewing the patients and collecting clinical and laboratory data from their medical records. Using multiple logistic regression analysis, patients who were not on direct observed therapy (DOT) lived distant to the health facility, were non-intravenous drug users (IVDU) and were HIV positive had statistically significant higher odds of being non-compliant. Patients should be given treatment under direct supervision with special attention to IVDU and HIV positive groups. Anti-TB treatment should be accessible to patients at the nearest health center from their residence. Interventions with health education programs emphasizing the benefits of treatment compliance should be implemented by further large-scale multi-centered studies.

Citations Scopus - 27
2000 Lim L, Heller RF, O'Connell RL, D'Este CA, 'Stated and actual management of acute myocardial infarction among different specialties', Medical Journal of Australia, 172 208-212 (2000) [C1]
Citations Scopus - 7Web of Science - 10
2000 Heller RF, Fisher J, D'Este CA, Lim L, Dobson AJ, Porter R, 'Death and readmission in the year after hospital admission with cardiovascular disease: the Hunter Area Heart and Stroke Register', The Medical Journal of Australia, 172 261-265 (2000) [C1]
Citations Scopus - 29Web of Science - 25
2000 Mukti A, Treloar CJ, Suprawimbarti, Asdie A, D'Este CA, Higginbotham HN, Heller RF, 'A Universal Precautions Education Intervention for Health Workers in Sradjito and PKU Hospital Indonesia', Southeast Asian Journal of Tropical Medicine and Public Health, 31 1-7 (2000) [C1]
Co-authors Nick Higginbotham
2000 Vu H, Heller RF, Lim L, D'Este CA, O'Connell RL, 'Mortality after acute myocardial infarction is lower in metropolitan regions than in non-metropolitan regions', Journal of Epidemiology & Community Health, 54 590-595 (2000) [C1]
Citations Scopus - 17Web of Science - 13
2000 Heller RF, O'Connell RL, D'Este CA, Lim L, Fletcher P, 'Differences in cardiac procedures among patients in metropolitan and non-metropolitan hospitals after acute myocardial infarction and angina', Australian Journal of Rural Health, 8 310-317 (2000) [C1]
Citations Scopus - 10
2000 Hanrahan P, Menzies S, D'Este C, Plummer T, Hersey P, 'Participation of older males in a study on photography as an aid to early detection of melanoma', Australian and New Zealand Journal of Public Health, 24/6 615-618 (2000) [C1]
Citations Scopus - 6Web of Science - 6
2000 Harris MA, Byles JE, Cockburn J, D'Este CA, 'A general practice-based recruitment strategy for colorectal cancer screening', Australian and New Zealand Journal of Public Health, 24 441-443 (2000) [C1]
Citations Scopus - 16Web of Science - 14
Co-authors Margaret Harris, Julie Byles
2000 Mukti AG, Treloar C, Suprawimbarti, Asdie AH, D'Este K, Higginbotham N, Heller R, 'A universal precautions education intervention for health workers in Sardjito and PKU Hospital Indonesia', Southeast Asian Journal of Tropical Medicine and Public Health, 31 405-411 (2000)

A non-randomized control trial was conducted to develop and evaluate a culturally appropriate academic detailing intervention on the universal precautions knowledge, attitude and ... [more]

A non-randomized control trial was conducted to develop and evaluate a culturally appropriate academic detailing intervention on the universal precautions knowledge, attitude and behavior of health care workers in hospitals. Fivety-five health care workers (44 nurses and 11 doctors) participated in the study. They were visited individually to discuss principles of universal precautions as well as the effect of automatic pilot on their work practices. Self-reported measures of knowledge and attitudes were collected from each participant before and after the intervention. A nurse observer collected measures of participants' compliance with the universal precautions guidelines according to a pre-determined protocol before and after the intervention. There was a significantly different level of knowledge, attitudes and compliance on universal precautions between the control and intervention hospital with p=0.0007, p=0.038 and p=0.03 respectively following the intervention. It is concluded that an academic detailing approach of education used in this study has significantly improved knowledge, attitudes and compliance scores.

Citations Scopus - 3
Co-authors Nick Higginbotham
1999 Hanrahan PF, Hersey P, D'Este C, 'Failure to identify changes of melanoma is associated with the patient's age and the histological type and thickness of melanoma', JOURNAL OF INVESTIGATIVE DERMATOLOGY, 112 538-538 (1999)
Citations Web of Science - 1
1999 Dobson AJ, McElduff P, Heller R, Alexander H, Colley P, D'Este K, 'Changing patterns of coronary heart disease in the Hunter Region of New South Wales, Australia', Journal of Clinical Epidemiology, 52 761-771 (1999) [C1]
Citations Scopus - 20Web of Science - 19
Co-authors Patrick Mcelduff
1999 Hong Y, Dibley MJ, D'Este CA, Hou R, 'The national survey on the constitution and health of Chinese students in 1995: Nutritional status of school students aged 10-17 in Shaanxi, China', Asia Pacific Journal of Clinical Nutrition, 8 121-128 (1999) [C1]
Citations Scopus - 6
1999 Nair B, Dobson A, O'Dea I, Hogben K, D'Este K, Page J, 'Further validation of "timed up and go" in stroke patients', AUSTRALASIAN JOURNAL ON AGEING, 18 98-99 (1999)
DOI 10.1111/j.1741-6612.1999.tb00103.x
Citations Scopus - 3Web of Science - 1
1998 Harrison G, Byth P, D'Este CA, 'The third five-year survey of Fellows (by examination) of the Faculty of Intensive Care, Australia and New Zealand College of Anaesthetists', Anaesthic Intensive Care, 26 401-410 (1998) [C1]
Citations Scopus - 4Web of Science - 3
1998 Ward J, Bruce T, Holt P, D'Este CA, Sladden M, 'Labour saving strategies to maintain response rates: a randomised trial', Australian and New Zealand Journal of Public Health, 22 394-396 (1998) [C1]
Citations Scopus - 36Web of Science - 33
1998 Hanrahan P, Hersey P, D'Este CA, 'Factors involved in presentation of older people with thick melanoma', Medical Journal Australia, 169 410-414 (1998) [C1]
Citations Scopus - 58Web of Science - 55
1998 Hobbs M, Ward J, D'Este CA, Donnelly N, 'Consultations for cervical smears in general practice: a missed opportunity for smoking cessation advice?', Tobacco Control, 7 193-194 (1998) [C1]
Citations Scopus - 2Web of Science - 2
1997 Gupta L, Ward J, DEste C, 'Differential effectiveness of telephone prompts by medical and nonmedical staff in increasing survey response rates: A randomised trial', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 21 98-99 (1997)
DOI 10.1111/j.1467-842X.1997.tb01662.x
Citations Scopus - 18Web of Science - 16
1997 Beaglehole R, Stewart AW, Jackson R, Dobson AJ, McElduff P, DEste K, et al., 'Declining rates of coronary heart disease in New Zealand and Australia, 1983-1993', AMERICAN JOURNAL OF EPIDEMIOLOGY, 145 707-713 (1997)
Citations Scopus - 58Web of Science - 51
Co-authors Patrick Mcelduff
1997 Hanrahan PF, Hersey P, Menzies SW, Watson AB, DEste CA, 'Examination of the ability of people to identify early changes of melanoma in computer-altered pigmented skin lesions', ARCHIVES OF DERMATOLOGY, 133 301-311 (1997)
DOI 10.1001/archderm.133.3.301
Citations Scopus - 42Web of Science - 42
1995 BOYLE CA, DOBSON AJ, 'THE ACCURACY OF HOSPITAL RECORDS AND DEATH CERTIFICATES FOR ACUTE MYOCARDIAL-INFARCTION', AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 25 316-323 (1995)
DOI 10.1111/j.1445-5994.1995.tb01896.x
Citations Scopus - 39Web of Science - 35
1993 Ward J, D'Este C, Sanson-Fisher R, 'Beyond opportunistic Pap smears in general practice. Women's views of strategies to promote regular screening.', Australian family physician, 22 2032-2034 (1993)

BACKGROUND: An opportunistic reminder for a Pap smear is effective and acceptable in general practice. Women's views of strategies to promote ongoing attendance for Pap smears wer... [more]

BACKGROUND: An opportunistic reminder for a Pap smear is effective and acceptable in general practice. Women's views of strategies to promote ongoing attendance for Pap smears were unknown at the time of this study. OBJECTIVE: To determine women's perceptions of strategies to help them attend for their next Pap smear. SETTING AND PATIENTS: Randomly selected male general practitioners in urban Sydney and 174 of their female patients. RESULTS: Seventy-eight per cent response rate to a questionnaire sent after a consultation in which opportunistic screening was offered. A reminder letter from the GP was nominated as likely to help 'a lot' by at least 50 per cent of respondents. Free Pap smears and child-minding were nominated by at least 50 per cent of respondents as making 'no difference'. CONCLUSION: This survey has explored women's perceptions of potential strategies to promote continuing Pap smear screening. Given the disappointing results when these strategies have been implemented in individual general practices, however, the authors recommend prospective controlled evaluation before widespread adoption.

Citations Scopus - 7
Co-authors Rob Sanson-Fisher
Show 219 more journal articles

Conference (72 outputs)

Year Citation Altmetrics Link
2016 Byles JE, D'Este C, Yiengprugsawan V, 'REGIONAL VARIATIONS IN SELF-RATED HEALTH AND INDEPENDENCE AMONG OLDER CHINESE', GERONTOLOGIST (2016)
Co-authors Julie Byles
2016 Paul CL, Eades S, Ishiguchi P, D'Este CA, Shaw J, 'ACHIEVING TYPE 2 DIABETES ACTION AND COLLABORATIVE CHANGE IN ABORIGINAL COMMUNITY CONTROLLED HEALTH SERVICES: OUTCOMES OF THE ADACC CLUSTER RANDOMISED TRIAL', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Chris Paul
2016 Paul CL, Ryan A, Attia JR, D'Este CA, Kerr E, Jayakody A, et al., 'THROMBOLYSIS IMPLEMENTATION IN STROKE (TIPS): VARIATION IN 'READINESS TO CHANGE' AND ENGAGEMENT WITH TRANSLATION STRATEGIES', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Christopher Levi, Frans Henskens, Rob Sanson-Fisher, Chris Paul, John Attia
2016 Paul CL, Attia JR, D'Este CA, Ryan A, Kerr E, Henskens F, Levi CR, 'THROMBOLYSIS IMPLEMENTATION IN STROKE (TIPS): OUTCOMES OF A CLUSTER RANDOMISED TRIAL OF MULTIDISCIPLINARY COLLABORATIVE QUALITY IMPROVEMENT', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Frans Henskens, Christopher Levi, Chris Paul, John Attia
2016 Guillaumier A, Bonevski B, Shakeshaft A, Farrell M, Tzelepis F, Walsberger S, et al., 'TOBACCO SMOKING CESSATION INTENTIONS AND PREFERENCES FOR QUIT SUPPORT AMONG CLIENTS OF DRUG AND ALCOHOL TREATMENT SERVICES IN AUSTRALIA', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Chris Paul, Flora Tzelepis, A Dunlop, Billie Bonevski
2015 Dolja-Gore X, Loxton D, D'Este C, Byles J, 'How effective are counselling services for women with poor mental health? (An Australian Study).' (2015) [O1]
Co-authors Julie Byles, Xenia Doljagore
2015 Paul CL, Levi C, Ryan A, Kerr E, Henskens F, Attia J, et al., 'Variation in site 'readiness' and engagement in an implementation trial', 4th Annual NHMRC Symposium on Research Translation jointly with CIPHER (2015) [E3]
Co-authors Frans Henskens, Christopher Levi, John Attia, Rob Sanson-Fisher, Chris Paul
2015 Dale S, Middleton S, Lydtin A, Comerford D, Hill K, Longworth M, et al., 'The Quality in Acute Stroke Care (QASC) implementation project: State-wide evidence to practice translation', INTERNATIONAL JOURNAL OF STROKE (2015) [E3]
Co-authors Patrick Mcelduff
2014 Dolja-Gore X, Loxton D, D'Este C, Byles J, 'Use of observational data to examine treatment effects of medicare subsidised mental health (BAS) services.' (2014)
Co-authors Julie Byles, Xenia Doljagore, Deborah Loxton
2014 Dolja-Gore X, Loxton D, Byles J, D'Este C, 'Treatment effects on mental health outcomes for Australian women uptaking the ¿Better Access Scheme¿ mental health counselling services: A data linkage study.' (2014)
Co-authors Deborah Loxton, Xenia Doljagore, Julie Byles
2014 Mackenzie LJ, Suzuki E, Ogura M, Carey M, Sanson-Fisher R, Asada H, et al., 'JAPANESE CANCER PATIENTS' PREFERENCES FOR DISCUSSING LIFE EXPECTANCY WITH THEIR RADIATION ONCOLOGIST', ANNALS OF ONCOLOGY (2014) [E3]
DOI 10.1093/annonc/mdu435.35
Co-authors Rob Sanson-Fisher, Mariko Carey, Lisa Mackenzie
2014 Dolja-Gore X, Loxton D, D'este C, Byles J, 'HOW EFFECTIVE ARE AUSTRALIAN MENTAL HEALTH COUNSELLING SERVICES FOR WOMEN WITH POOR MENTAL HEALTH?', VALUE IN HEALTH (2014) [E3]
Co-authors Xenia Doljagore, Julie Byles, Deborah Loxton
2014 Mackenzie LJ, Sanson-Fisher R, Carey M, D'Este C, 'CANCER PATIENTS' PREFERENCES FOR INVOLVEMENT IN RESEARCH AND CONSUMER ACTIVITIES: A CROSS-SECTIONAL SURVEY', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Lisa Mackenzie, Mariko Carey, Rob Sanson-Fisher
2014 Mackenzie L, Carey M, Sanson-Fisher R, D'Este C, Yoong SL, 'RADIATION ONCOLOGY OUTPATIENTS' CONCERN ABOUT, PREFERENCES FOR, AND PERCEIVED BARRIERS TO DISCUSSING ANXIETY AND DEPRESSION', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie, Serene Yoong
2014 Hall A, Tzelepis F, Lynagh M, Sanson-Fisher R, D'Este C, 'PREVALENCE AND ASSOCIATES OF THE TOP HIGH/VERY HIGH UNMET NEEDS OF AUSTRALIAN HAEMATOLOGICAL CANCER SURVIVORS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Alix Hall, Flora Tzelepis, Marita Lynagh, Rob Sanson-Fisher
2014 Jobling JM, D'Este CA, Forbes JF, 'MAMMOGRAPHIC (BREAST) DENSITY - A BREAST CANCER RISK FACTOR WITH INCREASING CLINICAL IMPACT', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors John Forbes
2014 Twyman L, Bonevski B, Paul C, Bryant J, D'Este CA, West R, et al., 'OUTCOMES OF A SMOKING CESSATION INTERVENTION DESIGNED FOR SOCIALLY DISADVANTAGED SMOKERS: A RANDOMIZED CONTROLLED TRIAL (RTC)', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Christopher Oldmeadow, Billie Bonevski, Chris Paul
2014 Jobling JM, D'Este CA, Forbes JF, 'INTRAOBSERVER INTRA- AND INTER-METHOD RELIABILITY IN BREAST DENSITY MEASUREMENTS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors John Forbes
2014 Twyman L, Bonevski B, Paul C, Bryant J, D'Este CA, Oldmeadow C, Palazzi K, 'WHAT ARE THE MOST IMPORTANT BARRIERS TO QUITTING SMOKING? A CROSS-SECTIONAL SURVEY OF PERCEPTIONS OF HIGHLY DISADVANTAGED SMOKERS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Chris Paul, Christopher Oldmeadow, Billie Bonevski
2014 Middleton S, Comerford D, Lydtin A, Dale S, Cadilhac D, DEste C, et al., 'The Quality in Acute Stroke Care (QASC) Implementation Project: 'To improve is to change; to be perfect is to change often' Winston Churchill', INTERNATIONAL JOURNAL OF STROKE (2014) [E3]
Co-authors Christopher Levi, Patrick Mcelduff
2014 Kerr E, Sanson-Fisher RW, Paul CL, DEste C, Parsons M, Bladin C, et al., 'Thrombolysis ImPlementation in Stroke (TIPS): Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice: An overview of data collected during the baseline period', INTERNATIONAL JOURNAL OF STROKE (2014) [E3]
Co-authors John Attia, Mark Parsons, Christopher Levi, Frans Henskens, Chris Paul, Rob Sanson-Fisher
2014 Middleton S, Lydtin A, Dale S, Comerford D, Hill K, Longworth M, et al., 'The Quality in Acute Stroke Care (QASC) implementation project: Successful and innovative state-wide evidence translation in 36 Australian stroke services', INTERNATIONAL JOURNAL OF STROKE (2014) [E3]
Co-authors Patrick Mcelduff
2013 Dolja-Gore X, Loxton D, D'Este C, Byles J, 'Trends in Mental health Service use for Australian Women.' (2013)
Co-authors Deborah Loxton, Xenia Doljagore, Julie Byles
2013 Kelly PJ, Hitsman B, Bonevski B, Baker AL, Ciecierski CC, Kang J, et al., 'MULTIPLE HEALTH RISK BEHAVIOURS', DRUG AND ALCOHOL REVIEW (2013) [E3]
Co-authors Chris Paul, Billie Bonevski, Amanda Baker
2013 Twyman L, Bonevski B, Paul C, Bryant J, West R, Siahpush M, D'Este C, 'RISKY COMBINATIONS: THE PREVALENCE AND PREDICTORS OF TOBACCO AND ALCOHOL USE WITHIN A HIGHLY SOCIOECONOMICALLY DISADVANTAGED SAMPLE', DRUG AND ALCOHOL REVIEW (2013) [E3]
Co-authors Billie Bonevski
2013 Hall A, Lynagh M, Sanson-Fisher R, Tzelepis F, D'Este C, 'Unmet Needs: What do Hematological Cancer Survivors Want Help With?', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Flora Tzelepis, Marita Lynagh, Rob Sanson-Fisher, Alix Hall
2013 Hall A, D'Este C, Tzelepis F, Lynagh M, Sanson-Fisher R, 'Survivor Unmet Needs Survey (SUNS) for Hematological Cancer Survivors: A Psychometric Assessment', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Alix Hall, Rob Sanson-Fisher, Marita Lynagh, Flora Tzelepis
2013 Middleton S, Levi CR, D'Este C, Grimshaw J, Cadilhac DA, Considine J, et al., 'T-3 Trial protocol: A CRCT evaluating an organisational intervention to improve triage, treatment and transfer of stroke patients in EDs', INTERNATIONAL JOURNAL OF STROKE (2013) [E3]
Citations Web of Science - 2
Co-authors Christopher Levi
2013 Middleton S, Levi C, D'Este C, Grimshaw J, Cadilhac D, Considine J, et al., 'T-3 stroke trial protocol: Triage, treatment and transfer of patients with stroke emergency departments', INTERNATIONAL JOURNAL OF STROKE (2013) [E3]
Co-authors Christopher Levi, Patrick Mcelduff
2012 Middleton S, Drury PM, Levi CR, D'Este CA, McElduff P, Dale S, et al., 'The Quality in Acute Stroke Care (QASC) Trial: Processes of care associated with 90-day survival and independence', Abstract E-book. 2012 European Stroke Conference (2012) [E3]
Co-authors Patrick Mcelduff, Christopher Levi
2012 Middleton S, Drury P, McElduff P, Ward J, Grimshaw J, Dale S, et al., 'Doing the simple things well: Good nursing care reduces death and dependency', Abstracts. 23rd International Nursing Research Congress (2012) [E3]
Co-authors Christopher Levi, Patrick Mcelduff
2012 Dolja-Gore X, loxton D, Blythe F, Byles J, D'Este C, 'Other than psychological distress what factors are associated with using mental health services?' (2012)
Co-authors Julie Byles, Deborah Loxton, Xenia Doljagore
2012 Dolja-Gore X, Loxton D, D'Este C, Byles J, Blythe F, 'Other than psychological distress what factors are associated with using mental health services?' (2012)
Co-authors Julie Byles, Xenia Doljagore, Deborah Loxton
2012 Islam MR, Khan I, Hassan SMN, McEvoy MA, D'Este CA, Attia JR, et al., 'Association between hypertension and chronic exposure in Bangladesh', Hypertension (2012) [E3]
Co-authors Mark Mcevoy, John Attia, Milton Hasnat
2012 Yoong SL, Carey ML, Sanson-Fisher RW, D'Este CA, Paul CL, Inder KJ, et al., 'A cross-sectional study of the prevalence of multiple risk factors for cardiovascular disease (CVD) in overweight or obese general practice patients', International Journal of Behavioral Medicine: Abstracts from the ICBM 2012 Meeting (2012) [E3]
Co-authors Serene Yoong, Rob Sanson-Fisher, Chris Paul, Kerry Inder, Mariko Carey
2012 Mackenzie LJ, Suzuki E, Ogura M, Carey ML, Sanson-Fisher RW, Asada H, et al., 'Agreement between cancer patients and their radiation oncologist regarding diagnosis and prognosis disclosure experiences in Japan', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie
2012 Suzuki E, Mackenzie LJ, Ogura M, Sanson-Fisher RW, Carey ML, Asada H, et al., 'Acceptability of touch screen computer psychosocial survey to Japanese radiation therapy patients', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie
2012 Mackenzie LJ, Carey ML, Sanson-Fisher RW, Paul CL, D'Este CA, 'Anxiety and depression during radiotherapy treatment: a comparison of touchscreen computer administration of the hospital anxiety and depression scale and single-item self-report measures', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Mariko Carey, Chris Paul, Rob Sanson-Fisher, Lisa Mackenzie
2012 Mackenzie LJ, Carey ML, Sanson-Fisher RW, D'Este CA, 'Perceptions of patient-centred cancer care during radiotherapy treatment: A cross sectional survey', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie
2012 Mackenzie LJ, Suzuki E, Ogura M, Sanson-Fisher RW, Carey ML, Asada H, et al., 'Perceptions of psychological distress in Japanese cancer patients undergoing radiotherapy treatment', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Mariko Carey, Rob Sanson-Fisher, Lisa Mackenzie
2012 Mackenzie LJ, Suzuki E, Ogura M, Carey ML, Sanson-Fisher RW, Asada H, et al., 'Japanese cancer patients' preferences for life expectancy discussions', Asia-Pacific Journal of Clinical Oncology (2012) [E3]
Co-authors Rob Sanson-Fisher, Mariko Carey, Lisa Mackenzie
2012 Drury P, Quinn C, McInnes L, Hardy J, Levi CR, D'Este C, et al., 'Implementation of an evidence-based treatment protocol to manage dysphagia in acute stroke: QASC, a cluster randomised controlled trial', INTERNATIONAL JOURNAL OF STROKE (2012) [E3]
Co-authors Christopher Levi
2012 Middleton S, Drury P, Levi CR, D'Este CA, McElduff P, Dale S, et al., 'What processes of clinical care are associated with 90-day survival and independence? Results from the Quality in Acute Stroke Care QASC Trial', International Journal of Stroke (2012) [E3]
Citations Web of Science - 1
Co-authors Christopher Levi, Patrick Mcelduff
2011 Dale S, Levi CR, D'Este CA, Griffiths R, Grimshaw J, Ward J, Middleton S, 'Maximising uptake of clinical protocols to manage fever, hyperglycaemia and swallowing in acute stroke: Assessing barriers and enablers', International Journal of Stroke (2011) [E3]
Co-authors Christopher Levi
2011 Khan I, Hassan S, McEvoy MA, D'Este CA, Attia JR, Peel R, Hasnat MA, 'Association between type 2 diabetes and chronic arsenic exposure in Bangladesh', Epidemiology (2011) [E3]
Citations Web of Science - 2
Co-authors Roseanne Peel, John Attia, Milton Hasnat, Mark Mcevoy
2011 Middleton S, Dale S, Levi CR, Griffiths R, Grimshaw J, Ward J, D'Este CA, 'Barriers and enablers to implementing protocols for fever, hyperglycaemia and swallowing dysfunction in acute stroke', Stroke (2011) [E3]
Co-authors Christopher Levi
2011 Middleton S, Ward J, Grimshaw J, Griffiths R, D'Este CA, Dale S, et al., 'Does a team base knowledge transfer intervention to manage fever, hyperglycaemia and swallowing dysfunction, improve 90-day outcomes following stroke?', Stroke (2011) [E3]
Co-authors Christopher Levi, Patrick Mcelduff
2011 Breen C, Shakeshaft A, Mattick R, Sanson-Fisher RW, D'Este CA, 'Identifying community factors associated with risky alcohol consumption and alcohol-related crime in regional NSW', Drug and Alcohol Review (2011) [E3]
Co-authors Rob Sanson-Fisher
2011 Denham J, Steigler A, Lamb DS, Joseph DJ, Matthews J, Atkinson C, et al., 'Variations in androgen dependent clinical progression kinetics in locally advanced prostate cancer', European Journal of Cancer (2011) [E3]
Co-authors Allison Steigler, Jim Denham
2011 Dale S, Middleton S, Levi CR, D'Este CA, Griffiths R, Grimshaw J, Ward J, 'Challenges of a large cluster randomised controlled trial: Barriers and enablers to implementing protocols for fever, hyperglycaemia and swallowing dysfunction in the quality in acute stroke (QASC) Project', Cerebrovascular Diseases (2011) [E3]
Co-authors Christopher Levi
2011 Drury P, Levi CR, D'Este CA, Dale S, Griffiths R, Grimshaw J, et al., 'The QASC cluster randomised controlled trial of an intervention to improve management of fever, hyperglycaemia and swallowing dysfunction in acute stroke: Did clinician behaviour change?', Cerebrovascular Diseases (2011) [E3]
Co-authors Patrick Mcelduff, Christopher Levi
2011 Middleton S, Levi C, D'Este C, Dale S, Drury P, Griffiths R, et al., 'THE QASC CLUSTER RANDOMISED CONTROLLED TRIAL OF A TEAM-BASED INTERVENTION TO IMPROVE MANAGEMENT OF FEVER, HYPERGLYCAEMIA AND SWALLOWING DYSFUNCTION IN ACUTE STROKE: PATIENT 90-DAY OUTCOMES', Cerebrovascular Diseases (2011)
DOI 10.1159/000329448
Co-authors Christopher Levi, Patrick Mcelduff
2010 Boyes AW, Girgis A, Zucca AC, D'Este CA, 'Survivors' patterns of psychosocial adjustment over the first 2 years of the cancer trajectory', Asia-Pacific Journal of Clinical Oncology (2010) [E3]
Co-authors Alison Zucca, Allison Boyes
2010 Miles S, Rogers K, Thomas P, Allen L, Soans B, Abel C, et al., 'Comparing the reliability of reporting of single photon emission computed tomography ventilation-perfusion scintigraphy (SPECT-VQ) and CT pulmonary angiogram (CTPA) in pulmonary embolism (PE) diagnosis', European Respiratory Society Annual Congress 2010. Abstracts (2010) [E3]
Co-authors Michael Hensley, John Attia
2010 Boyes AW, Girgis A, Zucca AC, D'Este CA, 'It's been a journey, I am a survivor: Patterns of adjustment across the cancer trajectory', Psycho-Oncology (2010) [E3]
Co-authors Allison Boyes, Alison Zucca
2010 Middleton S, Levi CR, D'Este CA, Dale S, Griffiths R, Grimshaw J, et al., '90-Day mortality and morbidity post- acute stroke in New South Wales, Australia: pre-intervention results from the quality in acute stroke care (QASC) cluster trial', Cerebrovascular Diseases: European Stroke Conference (2010) [E3]
Co-authors Christopher Levi
2009 Breen C, Shakeshaft A, Mattick R, Sanson-Fisher RW, D'Este CA, 'Alcohol use in NSW country towns: Exploring the individual and community factors associated with harmful consumption', Drug and Alcohol Review (2009) [E3]
DOI 10.1111/j.1465-3362.2009.00123.x
Co-authors Rob Sanson-Fisher
2008 Miles S, Rogers K, Thomas P, Soans B, Attia JR, Abel C, et al., 'Lung single photon emission computed tomography (SPECT): A useful tool for diagnosing pulmonary embolism', Respirology (2008) [E3]
DOI 10.1111/j.1440-1843.2008.01252_9.x
Co-authors Michael Hensley, John Attia
2008 Boggess MM, Guest M, D'Este CA, Attia JR, 'Statistical methods to compare hearing thresholds to ISO-7029', Occupational & Environmental Medicine (2008) [E3]
Co-authors John Attia
2008 Guest M, D'Este CA, Attia JR, Boggess MM, 'Impairment of hearing and balance in aircraft maintenance technicians', Occupational & Environmental Medicine (2008) [E3]
Co-authors John Attia
2007 Clinton-Mcharg T, Sanson-Fisher RW, D'Este CA, Shakeshaft A, Girgis A, 'The unmet needs of parents and carers of adolescent cancer survivors', Psycho-Oncology (2007) [E3]
Co-authors Rob Sanson-Fisher, Tara Clinton-Mcharg
2007 Clinton-Mcharg T, Sanson-Fisher RW, D'Este CA, Shakeshaft A, Girgis A, 'The prevalence of unmet needs of adolescent survivors of cancer', Psycho-Oncology (2007) [E3]
Co-authors Rob Sanson-Fisher, Tara Clinton-Mcharg
2006 D'Este C, Attia J, Brown A, Schofield P, Tavener M, Gibson R, Horsley K, 'SHOAMP: The study of health outcomes in aircraft maintenance personnel.', NEUROTOXICOLOGY (2006)
Co-authors John Attia, Meredith Tavener, Peter Schofield
2006 Gao JN, Forbes JF, Warren RML, Cuzick J, Howell A, D'Este C, Warren-Forward H, 'Change in marnmographic density after cessation of tamoxifen: results from international breast cancer intervention study I (IBIS I).', BREAST CANCER RESEARCH AND TREATMENT (2006)
Co-authors John Forbes, Helen Warren-Forward
2006 Gao JN, Warren R, Forbes JF, Warren-Forward H, D'Este C, 'Reproducibility of visual assessment of mammographic density.', BREAST CANCER RESEARCH AND TREATMENT (2006)
Co-authors John Forbes, Helen Warren-Forward
2005 Guest M, Wigney DJ, Attia JR, D'Este CA, Brown A, Boggess M, 'Hearing Loss in Australian Military Aircraft Personnel', AIOH : 23rd Annual Conference of the Australian Institute of Occupational Hygienists & Annual General Meeting : conference proceedings : 3rd to 7th December 2005, Crowne Plaza, Terrigal, N.S.W (2005) [E2]
Co-authors John Attia
2004 Tavener MA, Higginbotham N, D'Este C, Byles JE, 'Veteran satisfaction with a preventive care home health assessment.' (2004)
Co-authors Meredith Tavener, Nick Higginbotham, Julie Byles
2003 Byles J, Parkinson L, Collins C, Garg M, D'Este C, Dibley M, 'The Feasibility of Nutrition Screening Among Hospitalised Older People', AUSTRALASIAN JOURNAL ON AGEING (2003)
Co-authors L Parkinson, Clare Collins, Manohar Garg, Julie Byles
2003 Wang Y, Levi CR, D'Este CA, Attia JR, Spratt N, Fisher J, 'Seasonal variation in stroke in the Hunter Region, Australia a five-year hospital-based study, 1995-2000', STROKE (2003)
Co-authors Christopher Levi, John Attia, Neil Spratt
2003 Thakkinstian A, D'Este C, Eisman J, Nguyen T, Attia J, 'Meta-analysis of molecular association studies: The vitamin D receptor gene polymorphisms and bone mineral density as a case study.', JOURNAL OF BONE AND MINERAL RESEARCH (2003)
Co-authors John Attia
2002 Bencke AJ, Roberts DCK, Batey RG, D'Este KD, 'Western refined dietary pattern is associated with risk of Inflammatory Bowel Disease', Proceedings of the Nutrition Society of Australia, Volume 26 (2002) [E3]
2002 Wang Y, Levi CR, D'Este CA, Pollack M, Fisher J, 'Stroke incidence variations in rural, semi-rural and urban areas of the Hunter Region, Australia, 1995-2000', Not known (2002) [E3]
Co-authors Christopher Levi
Show 69 more conferences

Other (2 outputs)

Year Citation Altmetrics Link
2015 Byles J, D'Este C, Kowal P, Curryer C, Thomas L, Yates A, et al., 'Gender and Ageing. Background Paper** Contribution to The World Report on Ageing and Health: a policy framework for healthy ageing.', The World Report on Ageing and Health: a policy framework for healthy ageing. Geneva: World Health Organisation (WHO) (2015)
Co-authors Cassie Curryer Uon, Julie Byles
2002 Girgis A, Boyes AW, D'Este CA, 'NSW Cancer Survival Study', ( issue.5): - (2002) [C3]
Co-authors Allison Boyes

Report (8 outputs)

Year Citation Altmetrics Link
2014 Gwynn JD, Blunden SV, Turner N, Flood V, Attia J, Smith W, et al., 'Many Rivers Diabetes Prevention Project: An Aboriginal community governed program of research and health promotion for children. Final Report August 2014', NSW MInistry of Health (2014) [R1]
Co-authors John Attia, Josephine Gwynn, Wayne Smith, John Wiggers
2014 Gwynn JD, Blunden SV, Turner N, Flood V, Attia J, Smith W, et al., 'Many Rivers Diabetes Prevention Project: An Aboriginal community governed program of research and health promotion for children. Short Report.', NSW MInistry of Health, 27 (2014) [R1]
Co-authors John Attia, Wayne Smith, Josephine Gwynn, John Wiggers
2014 Byles JE, Curryer CA, Edwards N, Weaver N, D'Este C, Hall J, Kowal P, 'The health of older people in selected countries of the Western Pacific Region.', World Health Organisation, 54 (2014) [R1]
Co-authors Cassie Curryer Uon, John Hall, Natasha Weaver, Julie Byles
2004 D'Este C, Attia J, Byles JE, Brown A, Smith S, Tavener MA, Scientific Advisory Committee, 'Study of Health Outcomes in Aircraft Maintenance Personnel. Volume 4. Mortality and Cancer Incidence Study. Second Report.', Department of Defence and Department of Veterans' Affairs, 155 (2004)
Co-authors Julie Byles, John Attia
2004 D'Este C, Byles JE, Attia J, Brown A, Smith S, Tavener MA, Scientific Advisory Committee, 'Study of Health Outcomes in Aircraft Maintenance Personnel. Volume 2. Mortality and Cancer Incidence Study. Interim Report.', Department of Defence and Department of Veterans' Affairs, 105 (2004)
Co-authors John Attia, Julie Byles
2003 Byles J, D'Este C, Attia J, Brown A, Tavener MA, Smith S, Scientific Advisory Committee members, 'Study of Health Outcomes in Aircraft Maintenance Personnel. Volume 1. Literature Review. Final Report.', Department of Defence and Department of Veterans' Affairs, 148 (2003)
Co-authors Julie Byles, John Attia
2003 Byles JE, D'Este C, Attia J, Brown A, Smith S, Scientific Advisory Committee, Tavener MA, 'Study of Health Outcomes in Aircraft Maintenance Personnel. Volume 1. Literature Review. Final Report.', Department of Defence and Department of Veterans' Affairs, 148 (2003)
Co-authors Julie Byles
2003 Adams J, Milne L, Tavener MA, Byles JE, D'Este C, Attia J, et al., 'Study of Health Outcomes in Aircraft Maintenance Personnel. Volume 3. Qualitative Interviews. Final Report.', Department of Defence and Department of Veterans' Affairs, 88 (2003)
Co-authors John Attia
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Grants and Funding

Summary

Number of grants 33
Total funding $7,369,893

Click on a grant title below to expand the full details for that specific grant.


20141 grants / $1,509,749

Improving alcohol treatment outcomes$1,509,749

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Associate Professor Anthony Shakeshaft, Professor Michael Farrell, Professor Richard Mattick, Doctor Jamie Bryant, Conjoint Professor Cate d'Este, Professor Paul Haber
Scheme Project Grant
Role Investigator
Funding Start 2014
Funding Finish 2018
GNo G1300166
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

20125 grants / $300,943

T3 Trial: Triage, Treatment and Transfer of patients with stroke in emergency departments$174,525

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Sandy Middleton, Conjoint Professor Chris Levi, Associate Professor Mark Fitzgerald, Associate Professor Julie Considine, Professor Jeremy Grimshaw, Conjoint Professor Cate d'Este, Professor Richard Gerraty, Associate Professor Ngai Wah Cheung, Dr Dominique Cadilhac, Associate Professor Elizabeth McInnes
Scheme Project Grant
Role Investigator
Funding Start 2012
Funding Finish 2015
GNo G1201067
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Comparative Study on Health of Older Persons in Selected Countries in the Western Pacific Region$47,010

Funding body: World Health Organisation

Funding body World Health Organisation
Project Team Professor Julie Byles, Aprof JOHN Hall, Conjoint Professor Cate d'Este, Doctor Paul Kowal, Professor Hal Kendig, Dr Joel Negin, Dr Nawi Ng
Scheme Research Grant
Role Investigator
Funding Start 2012
Funding Finish 2012
GNo G1201053
Type Of Funding International - Non Competitive
Category 3IFB
UON Y

Determinants of Effective Clinical networks: Data analysis$31,500

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Dr Mary Haines, Conjoint Professor Cate d'Este, Doctor Patrick McElduff, Professor Sandy Middleton, Associate Professor Elizabeth McInnes, Emeritus Professor Peter Castaldi, Professor Sally Redman
Scheme Partnership Projects
Role Lead
Funding Start 2012
Funding Finish 2013
GNo G1000646
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Longitudinal changes in mammographic density as a biomarker for future breast cancer events$24,360

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Professor John Forbes, Conjoint Professor Cate d'Este, Ms Judith Jobling
Scheme Project Grant
Role Investigator
Funding Start 2012
Funding Finish 2012
GNo G1200833
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

Which anti-smoking media campaign best predicts perceived effectiveness among socioeconomically disadvantaged smokers? An experimental study$23,548

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Professor Billie Bonevski, Associate Professor Christine Paul, Conjoint Professor Cate d'Este, Miss Ashlee Smith, Conjoint Professor Christopher Doran
Scheme Project Grant
Role Investigator
Funding Start 2012
Funding Finish 2012
GNo G1101150
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

20111 grants / $105,313

Centre for informing policy in health with evidence from research (CIPHER)$105,313

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Sally Redman, Professor Louisa Jorm, Professor Sally Green, Conjoint Professor Cate d'Este, Ms Deborah Frew, Conjoint Associate Professor Anthony Shakeshaft, Laureate Professor Robert Sanson-Fisher, Professor Huw Davies, Professor Jordan Louviere
Scheme Centres of Research Excellence (CRE) - Centres of Health Services Research Excellence
Role Lead
Funding Start 2011
Funding Finish 2015
GNo G1100197
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

20106 grants / $1,355,217

Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice. A cluster randomised controlled trial in acute stroke care$800,532

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Conjoint Professor Chris Levi, Associate Professor Christine Paul, Conjoint Professor Cate d'Este, Professor Mark Parsons, Professor Christopher Bladin, Professor Richard Lindley, Professor John Attia
Scheme Partnership Projects
Role Investigator
Funding Start 2010
Funding Finish 2016
GNo G0189781
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population$423,200

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Billie Bonevski, Associate Professor Christine Paul, Conjoint Professor Afaf Girgis, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2010
Funding Finish 2013
GNo G0190197
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice. A cluster randomised controlled trial in acute stroke care $50,000

Funding body: Victorian Department of Health

Funding body Victorian Department of Health
Project Team Laureate Professor Robert Sanson-Fisher, Conjoint Professor Chris Levi, Associate Professor Christine Paul, Conjoint Professor Cate d'Este, Professor Mark Parsons, Professor Christopher Bladin, Professor Richard Lindley, Professor John Attia
Scheme Project Grant
Role Investigator
Funding Start 2010
Funding Finish 2014
GNo G1100824
Type Of Funding Other Public Sector - State
Category 2OPS
UON Y

SMS SOS: A rct of the efficacy of SMS text messages in reducing re-presentation of deliberate self-poisoning patients$30,000

Funding body: BellBerry Limited

Funding body BellBerry Limited
Project Team Conjoint Professor Alison Jones, Conjoint Professor Gregory Carter, Conjoint Professor Ian Whyte, Conjoint Professor Cate d'Este
Scheme Near Miss
Role Investigator
Funding Start 2010
Funding Finish 2014
GNo G0900220
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

Implementation of thrombolytic therapy in acute stroke. A cluster randomised trial$30,000

Funding body: BellBerry Limited

Funding body BellBerry Limited
Project Team Conjoint Professor Chris Levi, Professor John Attia, Associate Professor Christine Paul, Professor Mark Parsons, Professor Christopher Bladin, Professor Richard Lindley, Conjoint Professor Cate d'Este
Scheme Near Miss
Role Investigator
Funding Start 2010
Funding Finish 2014
GNo G0900221
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

Delay in seeking treatment for symptoms of bowel cancer: a community survey of self-reported delay timeframes and triggers for seeking treatment among those aged 55+$21,485

Funding body: Hunter Children`s Research Foundation

Funding body Hunter Children`s Research Foundation
Project Team Associate Professor Christine Paul, Laureate Professor Robert Sanson-Fisher, Associate Professor Mariko Carey, Mr Ryan Courtney, Conjoint Professor Cate d'Este, Associate Professor Mark McEvoy
Scheme Research Grant
Role Investigator
Funding Start 2010
Funding Finish 2010
GNo G0900147
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

20095 grants / $726,765

HMRI MRSP Infrastructure (09-10) - Health Behaviour$206,625

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Conjoint Professor Afaf Girgis, Conjoint Professor Cate d'Este
Scheme Research Grant
Role Investigator
Funding Start 2009
Funding Finish 2009
GNo G1000230
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

The acceptability and effectiveness of a system based approach to reducing CV risk, including depression and lifestyle risk factors in rural and remote general practices. A RCT.$189,422

Funding body: National Heart Foundation of Australia

Funding body National Heart Foundation of Australia
Project Team Laureate Professor Robert Sanson-Fisher, Professor Leon Piterman, Conjoint Professor Cate d'Este, Associate Professor Christine Paul, Doctor Kerry Inder
Scheme Cardiovascular Disease and Depression Strategic Research Program
Role Investigator
Funding Start 2009
Funding Finish 2010
GNo G0189464
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

Testing the acceptability of a system-oriented intervention, involving touch screen computers, for reducing cancer risk status among general practice patients$49,970

Funding body: Cancer Institute NSW

Funding body Cancer Institute NSW
Project Team Associate Professor Christine Paul, Laureate Professor Robert Sanson-Fisher, Conjoint Professor Cate d'Este, Professor Nicholas Zwar
Scheme Research Innovation Grants
Role Investigator
Funding Start 2009
Funding Finish 2009
GNo G0189635
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

Development and transfer of data linkage key and dataset for SHOAMP data and blood samples$13,387

Funding body: Department of Veterans` Affairs

Funding body Department of Veterans` Affairs
Project Team Conjoint Professor Cate d'Este, Professor John Attia
Scheme Research Grant
Role Lead
Funding Start 2009
Funding Finish 2009
GNo G1000008
Type Of Funding Other Public Sector - Commonwealth
Category 2OPC
UON Y

20083 grants / $1,682,625

Increasing appropriate screening for colorectal cancer patients and first degree relatives. A RCT.$1,303,750

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Professor Finlay Macrae, Professor David Hill, Conjoint Professor Cate d'Este, Associate Professor Christopher Doran, Professor Robert Thomas
Scheme Project Grant
Role Investigator
Funding Start 2008
Funding Finish 2012
GNo G0187633
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Yr 4 & 5 of a randomised controlled trial of an intensive intervention to reduce smoking among pregnant indigenous women$314,875

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Conjoint Professor Sandra Eades, Laureate Professor Robert Sanson-Fisher, Dr K Panaretto, Dr Mark Wenitong, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2008
Funding Finish 2009
GNo G0187650
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Assessing the value and usefulness of a cancer-registry based systematic approach to advising first degree relatives of colorectal cancer patients about their risks and need for screening$64,000

Funding body: Australian Rotary Health

Funding body Australian Rotary Health
Project Team Laureate Professor Robert Sanson-Fisher, Associate Professor Christine Paul, Professor Finlay Macrae, Conjoint Professor Cate d'Este
Scheme Bowel Cancer Scholarship
Role Investigator
Funding Start 2008
Funding Finish 2011
GNo G0189045
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

20071 grants / $48,030

Cancer Cluster Study$48,030

Funding body: Newcastle Innovation

Funding body Newcastle Innovation
Project Team Doctor Maya Guest, Ms Sandra McBurnie, Professor John Attia, Conjoint Professor Cate d'Este
Scheme Administered Research
Role Investigator
Funding Start 2007
Funding Finish 2008
GNo G0188347
Type Of Funding Internal
Category INTE
UON Y

20051 grants / $126,120

2005 RIBG allocation$126,120

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Conjoint Professor Cate d'Este
Scheme Research Infrastructure Block Grant (RIBG)
Role Lead
Funding Start 2005
Funding Finish 2005
GNo G0185795
Type Of Funding Internal
Category INTE
UON Y

20043 grants / $465,088

Reducing cancer patients psychosocial needs: A Randomised Controlled Trial$440,088

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Dr Vicki White, Conjoint Professor Cate d'Este, Ms Suzi Grogan, Associate Professor Christopher Doran
Scheme Project Grant
Role Investigator
Funding Start 2004
Funding Finish 2007
GNo G0182926
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

The trend of secondary prevention in the Hunter region over the last 5 years.$15,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Professor John Wiggers, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2004
Funding Finish 2004
GNo G0183495
Type Of Funding Internal
Category INTE
UON Y

A functional model of falls risk.$10,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Professor Julie Byles, Doctor Lynette Mackenzie, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2004
Funding Finish 2004
GNo G0183508
Type Of Funding Internal
Category INTE
UON Y

20033 grants / $708,000

A population-based longitudinal study of cancer survivors' psychosocial and physical well being$441,000

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Conjoint Professor Afaf Girgis, Conjoint Professor Cate d'Este, Doctor Allison Boyes
Scheme Project Grant
Role Investigator
Funding Start 2003
Funding Finish 2005
GNo G0181778
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Reducing alcohol-related harm in rural communities$252,000

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Professor Richard Mattick, Conjoint Associate Professor Anthony Shakeshaft, Professor John Wiggers, Associate Professor Christopher Doran, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2003
Funding Finish 2005
GNo G0181806
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Nutrition screening among the elderly: exploring folate levels.$15,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Professor Julie Byles, Professor Clare Collins, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 2003
Funding Finish 2003
GNo G0182468
Type Of Funding Internal
Category INTE
UON Y

20022 grants / $18,000

Feasibility of nutrition screening among the elderly$13,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Professor Julie Byles, Professor Clare Collins, Doctor Michael Dibley, Conjoint Professor Cate d'Este, Professor Manohar Garg
Scheme Project Grant
Role Investigator
Funding Start 2002
Funding Finish 2002
GNo G0181275
Type Of Funding Internal
Category INTE
UON Y

Community Development Support Expenditure (CDSE) Scheme - Survival and unplanned readmission following comprehensive outpatient cardiac rehabilitation.$5,000

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Conjoint Professor Cate d'Este, Doctor Kerry Inder
Scheme Wallsend RSL Ace of clubs
Role Lead
Funding Start 2002
Funding Finish 2002
GNo G0182633
Type Of Funding Donation - Aust Non Government
Category 3AFD
UON Y

19971 grants / $112,263

Changing Practice Patterns in the managment of Acute Myocardial Infarction$112,263

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Emeritus Professor Richard Heller, Associate Professor Lynette Lim, Conjoint Professor Cate d'Este
Scheme Project Grant
Role Investigator
Funding Start 1997
Funding Finish 1999
GNo G0176257
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

19961 grants / $211,780

Acute Cardiac Care Study$211,780

Funding body: NSW Ministry of Health

Funding body NSW Ministry of Health
Project Team Conjoint Professor Cate d'Este
Scheme Cardiac Care Study
Role Lead
Funding Start 1996
Funding Finish 1997
GNo G0176316
Type Of Funding Other Public Sector - State
Category 2OPS
UON Y
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Research Supervision

Number of supervisions

Completed31
Current3

Total current UON EFTSL

PhD0.75

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2014 PhD International Obesity and Socio-Economic Status: Relative Vs Absolute PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2013 PhD Design and Analysis of Stepped Wedge Cluster Randomised Trials PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2010 PhD Mammographic (Breast) Density as a Potential Biomarker for Endocrine Trial Treatment Efficacy in Breast Cancer Prevention PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor

Past Supervision

Year Level of Study Research Title Program Supervisor Type
2017 PhD The Definition of Polytrauma: The Need for International Consensus PhD (Medicine), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2016 PhD Predictors and Outcomes of the Use of Mental Health Services: An Analysis of Observational Data PhD (Gender & Health), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2015 PhD Maternal and Neonatal Mortality in Moi Teaching and Referral Hospital in Kenya PhD (Gender & Health), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2014 PhD Unmet Needs of Survivors of a Haematological Malignancy: Prevalence, Predictors, and Psychometrics PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2014 PhD An Exploration of Socioeconomically Disadvantaged Smokers' Responses to Three Tobacco Control Strategies PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2014 PhD Patient-Centred Cancer Care: A Road Less Travelled. An Investigation in Australian Radiotherapy Settings PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2014 PhD Understanding Smoking by Pregnant Aboriginal Women PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2014 PhD Management of Excess Weight in Australian General Practice Patients: Informing Practice PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2013 PhD The Application of Syndromic Surveillance to Public Health Practice PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2013 PhD Cancer Survivors' Psychosocial Outcomes: A Population-Based Investigation of Anxiety, Depression and Unmet Needs at Six to Twelve Months Post-diagnosis PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2013 PhD The Prognostic Value of Trait Anger in Treatment of Methamphetamine Dependence
Melissa Claire
PhD (Psychiatry), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2012 PhD Colorectal Cancer Screening Participation and Medical Advice Seeking for Symptoms in Australia PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2012 PhD The Food and Nutrient Intake and Physical Activity of Australian Aboriginal and Torres Strait Islander and Non-Indigenous Rural Children PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2012 PhD The Study of Health Outcomes in Aircraft Maintenance Personnel: Sensory System Effects PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2012 PhD Secondary Prevention of Cardiovascular Disease in an Australian Population PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2011 PhD Role of Zinc as an Adjunct in the Treatment of Childhood Diarrhea PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2011 PhD An Investigation into Novel Surveillance Systems and Factors Affecting Public Health Response to Emerging Infectious Diseases (Including New, Re-Emerging and Deliberately Released Pathogens) PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2011 PhD Development and Psychometric Evaluation of a Measure of Perceived Need for Adolescents and Young Adults with Cancer PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2009 PhD Assessment of Nutritional Status and Associated Factors in Children Under 3 Years in Rural Western China and Tibet PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2008 PhD Aboriginal and Torres Strait Islander Women: An Examination of Smoking During Pregnancy PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2007 Masters Validation of Self-Report with Medical Records for Events of Traumatic Brain Injury in Males Passing Through the NSW Criminal Justice System M MedSc (Psychiatry) [R], Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2007 Masters The Effect Of Ambient Air Quality On Lung Function, Respiratory Symptoms And Bronchodilator Use Among Symptomatic Children M MedSc (Medicine) [R], Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2007 PhD The Psychosocial Impact on Mineworkers of Traumatic Events in the Workplace PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle Sole Supervisor
2007 PhD Pre-Illness Dietary Factors in Inflammatory Bowel Disease PhD (Nutrition & Dietetics), Faculty of Health and Medicine, The University of Newcastle Sole Supervisor
2006 PhD Cardiovascular Risk Factors in Asians and Caucasians PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2006 Masters An Assessment of the Causes of Anaemia and Severe Anaemia in Pregnant Women Living in a Disadvantaged Ethnic Minority Community in Vietnam M MedSc CommMed&ClinEpid[R], Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2005 PhD Cardiac rehabilitation participation and health outcomes in an Australian population PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2004 PhD Meta-analysis of Molecular Association Studies PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2004 PhD Issues in Measurement and Analysis of Health-Related Quality of Life in Heart-Disease PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2003 PhD Diet, Lifestyle, and Risk Factors for Forearm Fracture in Postmenopausal Women PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2003 Masters DEVELOPMENTAL DYSPLASIA OF THE HIP: Experiences of and Impact on Families and Health Professionals M MedSc CommMed&ClinEpid[R], Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
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News

Obesity

Weighty Problem

November 1, 2013

In a region where 70 per cent of adults are overweight or obese, a new study conducted by University of Newcastle and HMRI researchers has found that doctors are falling short in detecting weight conditions, which may lead to inadequate assistance with managing weight.

Conjoint Professor Cate d'Este

Position

Conjoint Professor
CCEB
School of Medicine and Public Health
Faculty of Health and Medicine

Focus area

Public Health

Contact Details

Email catherine.deste@newcastle.edu.au
Phone (02) 40420517
Mobile 0407061051

Office

Room Room 4110 Level 4 West HMRI Building
Building HMRI Building
Location Level 4 West HMRI Building

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