2024 |
Deeming S, Dolja-Gore X, Gani J, Carroll R, Lott N, Attia J, et al., 'Optimal antiseptic skin preparation agents for minimizing surgical site infection following surgery: cost and cost-effectiveness analysis', BJS Open, 8 (2024)
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2024 |
Hlaing-Hlaing H, Dolja-Gore X, Tavener M, Hure AJ, 'Longitudinal analysis of the Alternative Healthy Eating Index-2010 and incident non-communicable diseases over 15 years in the 1973-1978 cohort of the Australian Longitudinal Study on Women's Health.', Br J Nutr, 131 143-155 (2024) [C1]
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Nova |
2024 |
Dolja-Gore X, Depczynski J, Byles J, Loxton D, 'Mental health service use and cost by Australian women in metropolitan and rural areas', Australian Journal of Rural Health, 32 162-178 (2024) [C1]
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2024 |
Kwok WS, Khalatbari-Soltani S, Dolja-Gore X, Byles J, Tiedemann A, Pinheiro MB, et al., 'Leisure-Time Physical Activity and Falls With and Without Injuries Among Older Adult Women', JAMA NETWORK OPEN, 7 (2024) [C1]
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Nova |
2023 |
Kwok WS, Dolja-Gore X, Khalatbari-Soltani S, Byles J, Oliveira JS, Pinheiro MB, et al., 'Physical activity and injurious falls in older Australian women: adjusted associations and modification by physical function limitation and frailty in the Australian Longitudinal Study on Women's Health.', Age Ageing, 52 (2023) [C1]
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2023 |
Udeh R, Utrero-Rico A, Dolja-Gore X, Rahmati M, McEVoy M, Kenna T, 'Lactate dehydrogenase contribution to symptom persistence in long COVID: A pooled analysis.', Rev Med Virol, 33 e2477 (2023) [C1]
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Nova |
2023 |
Fitzgeraldson E, Reeves P, Kay-Lambkin F, Dolja-Gore X, Hamilton F, Fitzpatrick S, 'Research Translation and Impact of a Program of Work to Support Carers of a Person with Depressive or Anxiety Symptoms', Journal of Advanced Research in Social Sciences, 6 30-52 [C1]
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2023 |
Nepal S, Dolja-Gore X, Cavenagh D, D'Este C, Anstey KJ, Brodaty H, et al., 'Addressing Dementia Through Analysis of Population Traits and Risk Factors (ADAPTOR) project: dementia incidence in an Australian cohort.', Public health research & practice, 33 3322317 (2023) [C1]
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Nova |
2023 |
Bleicher K, Summerhayes R, Baynes S, Swarbrick M, Cristina TN, Luc H, et al., 'Cohort Profile Update: The 45 and Up Study', INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 52 E92-E101 (2023) [C1]
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Nova |
2023 |
Shebeshi DS, Dolja-Gore X, Byles J, 'Validation of Frail Scale and comparison with hospital frailty risk score to predict hospital use in a cohort of older Australian women', International Journal of Health Planning and Management, 38 1510-1519 (2023) [C1]
Introduction: With no standard frailty tool for clinical care, research and policymaking, identifying frail older people is a challenge. Aims: This study aimed to compare two vali... [more]
Introduction: With no standard frailty tool for clinical care, research and policymaking, identifying frail older people is a challenge. Aims: This study aimed to compare two validated scales, which are the Frail Scale and Hospital Frailty Risk Score (HFRS) for their ability in identifying frailty in older Australian women and predicting hospital use. Methods: This study included older Australian women aged 75¿95¿years, who had unplanned overnight hospital admission as an index admission between 2001 and 2016. Data from the Australian Longitudinal Study on Women's Health (ALSWH) were linked with administrative hospital data to calculate HFRS (using the International Statistical Classification of Diseases, Australia Modification (ICD-10-AM) diagnostic codes) and the Frail Scale (using the ALSWH self-reported survey). Results: The Frail Scale identified a higher proportion of older frail women (30.54%) compared to the HFRS (23.0%). Frail older women, classified by Frail Scale, were at higher risk of long hospital stay (adjusted odds ratio¿=¿1.28, 95% CI¿=¿1.02¿1.60), repeated admission (adjusted hazard ratio [AHR]¿=¿1.30, 95% CI¿=¿1.03¿1.41) and death (AHR¿=¿1.70, 95% CI¿=¿1.45¿2.01). HFRS was associated with longer hospital stay and mortality. Conclusions: The proportion of older women classified as frail by the Frail Scale tool was higher than women classified as frail by HFRS. The Frail Scale and HFRS were not significantly associated with each other. While both tools were associated with the risk of long hospital stay and mortality, only the Frail Scale predicted the risk of repeated admission.
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Nova |
2023 |
Rahmati M, Udeh R, Yon DK, Lee SW, Dolja-Gore X, McEVoy M, et al., 'A systematic review and meta-analysis of long-term sequelae of COVID-19 2-year after SARS-CoV-2 infection: A call to action for neurological, physical, and psychological sciences.', J Med Virol, 95 e28852 (2023) [C1]
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Nova |
2023 |
Hambisa MT, Dolja-Gore X, Byles JE, 'A longitudinal analysis of factors associated with age-related cataract among older Australian women: a cohort study of 7851 older Australian women 79-90 years.', Ir J Med Sci, 192 1525-1536 (2023) [C1]
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Nova |
2022 |
Paul SS, Taylor J, Tiedemann A, Harvey L, Clemson L, Lord SR, et al., 'Patterns of health service use before and after a statewide fall prevention initiative for older adults at risk of falls', Australasian Journal on Ageing, 41 542-553 (2022) [C1]
Objective: To understand health-care burden from fall-related injury, we investigated patterns of health service use in participants of the Australian statewide Stepping On fall p... [more]
Objective: To understand health-care burden from fall-related injury, we investigated patterns of health service use in participants of the Australian statewide Stepping On fall prevention program. Methods: Routinely collected ambulance, emergency, hospital and mortality data for 9163 participants across NSW Local Health Districts between 2009 and 2015 were analysed for patterns in fall-related health service use three years before and after the Stepping On program using negative binomial regression analyses. Results: Overall fall-related health service use increased over the 6-year study period. There was a high period of usage prior to program participation, which decreased postprogram, then appeared to increase again after 12¿15¿months. Subgroup analysis showed strongest postprogram reductions for women. Conclusions: Patterns of service usage suggest initial program benefits that taper off over time. The results of this observational study need to be interpreted with caution. Investment in ongoing fall prevention programs may be needed for lasting impacts.
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Nova |
2022 |
Hambisa MT, Dolja-Gore X, Byles JE, 'Determinants of driving among oldest-old Australian women.', J Women Aging, 34 351-371 (2022) [C1]
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Nova |
2022 |
Hambisa MT, Dolja-Gore X, Byles J, 'Application of Andersen-Newman model to assess cataract surgery uptake among older Australian women: findings from the Australian Longitudinal Study on Women's Health (ALSWH).', Aging Clin Exp Res, 34 1673-1685 (2022) [C1]
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Nova |
2022 |
White J, Hambisa MT, Cavenagh D, Dolja-Gore X, Byles J, 'Understanding the relationship between eye disease and driving in very old Australian women: a longitudinal thematic evaluation.', BMC Ophthalmol, 22 277 (2022) [C1]
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Nova |
2022 |
Dolja-Gore X, Loxton D, D'Este C, Byles JE, 'Transitions in health service use among women with poor mental health: a 7-year follow-up.', Fam Med Community Health, 10 (2022) [C1]
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Nova |
2022 |
Hlaing-Hlaing H, Dolja-Gore X, Tavener M, James EL, Hure AJ, 'Alternative Healthy Eating Index-2010 and Incident Non-Communicable Diseases: Findings from a 15-Year Follow Up of Women from the 1973-78 Cohort of the Australian Longitudinal Study on Women's Health', NUTRIENTS, 14 (2022) [C1]
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Nova |
2022 |
Thomas S, Williamson K, Ling R, Dolja-Gore X, Islam FM, Higgins H, et al., 'Tailoring childhood immunisation services in a socioeconomically disadvantaged community in New South Wales, Australia: a cost analysis.', Aust J Prim Health, 28 490-497 (2022) [C1]
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2022 |
Paul SS, Khalatbari-Soltani S, Dolja-Gore X, Clemson L, Lord SR, Harvey L, et al., 'Fall-related health service use in Stepping On programme participants and matched controls: a non-randomised observational trial within the 45 and Up Study', Age and Ageing, 51 (2022) [C1]
Background: Falls and fall-related health service use among older adults continue to increase. The New South Wales Health Department, Australia, is delivering the Stepping On fall... [more]
Background: Falls and fall-related health service use among older adults continue to increase. The New South Wales Health Department, Australia, is delivering the Stepping On fall prevention programme at scale. We compared fall-related health service use in Stepping On participants and matched controls. Methods: A non-randomised observational trial was undertaken using 45 and Up Study data. 45 and Up Study participants who did and did not participate in Stepping On were extracted in a 1:4 ratio. Rates of fall-related health service use from linked routinely collected data were compared between participants and controls over time using multilevel Poisson regression models with adjustment for the minimally sufficient set of confounders identified from a directed acyclic graph. Results: Data from 1,452 Stepping On participants and 5,799 controls were analysed. Health service use increased over time and was greater in Stepping On participants (rate ratios (RRs) 1.47-1.82) with a spike in use in the 6 months prior to programme participation. Significant interactions indicated differential patterns of health service use in participants and controls: stratified analyses revealed less fall-related health service use in participants post-programme compared to pre-programme (RRs 0.32-0.48), but no change in controls' health service use (RRs 1.00-1.25). Gender was identified to be a significant effect modifier for health service use (P < 0.05 for interaction). Discussion: Stepping On appeared to mitigate participants' rising fall-related health service use. Best practice methods were used to maximise this study's validity, but cautious interpretation of results is required given its non-randomised nature.
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Nova |
2022 |
Daniell JR, Dolja-Gore X, McDowell L, Udovicich C, Rowe D, Iseli TA, et al., 'The impact of travel distance to treatment centre on oral tongue squamous cell carcinoma survival and recurrence', International Journal of Oral and Maxillofacial Surgery, 51 854-861 (2022) [C1]
There have been no prior studies examining the effect of distance to the treatment centre on oral squamous cell carcinoma outcomes in Australia. The purpose of this study was to a... [more]
There have been no prior studies examining the effect of distance to the treatment centre on oral squamous cell carcinoma outcomes in Australia. The purpose of this study was to analyse the impact of travel distance on oral tongue squamous cell carcinoma (OTSCC) outcomes. This was a retrospective analysis of 243 patients who received surgical treatment ± adjuvant therapy between 2007 and 2016. The overall survival (OS), disease-specific survival (DSS), and freedom from loco-regional failure (FFLRF) survival analyses were conducted using Kaplan¿Meier curves and a multivariate Cox proportional hazards model. A competing risk (CR) analysis was conducted. Patients living =200 km from the treatment centre, when compared with those living within 40 km, had worse OS (hazard ratio (HR) 3.11, 95% confidence interval (CI) 1.74¿5.54), DSS (HR 2.58, 95% CI 1.30¿5.12), and FFLRF (HR 2.47, 95% CI 1.22¿5.01). These discrepancies were significant when adjusted for socioeconomic status (OS P < 0.001, DSS P 0.004, FFLRF P = 0.005) and in the presence of CR (OTSCC-specific death with CR ¿non-disease-related death¿ P =0.030, FFLRF with CR ¿any cause death¿ P = 0.013, FFLRF with CR ¿OTSCC-specific death¿ P = 0.004). Patients with OTSCC living =200 km from the treatment centre were found to have worse outcomes than those living within 40 km.
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Nova |
2021 |
Dolja-Gore X, Byles JE, Tavener MA, Chojenta CL, Majeed T, Nair BR, Mishra GD, 'Estimating the effect of health assessments on mortality, physical functioning and health care utilisation for women aged 75 years and older', PLoS ONE, 16 (2021) [C1]
Health assessments have potential to improve health of older people. This study compares long-term health care utilisation, physical functioning, and mortality for women aged 75 y... [more]
Health assessments have potential to improve health of older people. This study compares long-term health care utilisation, physical functioning, and mortality for women aged 75 years or over who have had a health assessment and those who have not. Prospective data on health service use, physical functioning, and deaths among a large cohort of women born 1921¿26 were analysed. Propensity score matching was used to produce comparable groups of women according to whether they had a health assessment or not. The study population included 6128 (67.3%) women who had an assessment, and 2971 (32.7%) women who had no assessment. Propensity matching produced 2101 pairs. Women who had an assessment had more use of other health services, longer survival, and were more likely to survive with high physical functioning compared to women with no assessment. Among women who had good baseline physcial functioning scores, women who had an assessment had significantly lower odds of poor outcomes at 1000 days follow-up compared to women who had no assessment (OR: 0.67, 95%CI: 0.52, 0.85). This large observational study shows the real-world potential for assessments to improve health outcomes for older women. However, they also increased health service use. This increased healthcare is likely to be an important mechanism in improving the women¿s health outcomes.
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Nova |
2021 |
Shebeshi DS, Dolja-Gore X, Byles J, 'Validation of hospital frailty risk score to predict hospital use in older people: Evidence from the Australian Longitudinal Study on Women's Health', Archives of Gerontology and Geriatrics, 92 (2021) [C1]
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Nova |
2021 |
Shebeshi DS, Dolja-Gore X, Byles J, 'Charlson Comorbidity Index as a predictor of repeated hospital admission and mortality among older women diagnosed with cardiovascular disease', Aging Clinical and Experimental Research, 33 2873-2878 (2021) [C1]
Background: Comorbidity can complicate cardiovascular diseases (CVDs), increasing the risk of adverse events including hospitalisation and death. This study aimed to assess the Ch... [more]
Background: Comorbidity can complicate cardiovascular diseases (CVDs), increasing the risk of adverse events including hospitalisation and death. This study aimed to assess the Charlson Comorbidity Index (CCI) as a predictor of repeated hospital admission and mortality in older CVD patients. Methods: This study linked data from the Australian longitudinal study on women¿s health (ALSWH) with hospital and National Death Index datasets to identify dates for hospital admission, discharge, and death for women born 1921¿26. CCI was calculated using the International Statistical Classification of Diseases, Australia Modification (ICD-10-AM) diagnostic codes. Results: Women with a higher CCI on index admission had increased risk of repeated hospital admission (AHR = 1.29, 95% CI 1.06, 1.58) and mortality (AHR = 3.05, 95% CI 2.15, 4.31). Older age and hypertension were also significantly associated with a higher risk of repeated hospital admission and mortality. Living in a remote area was associated with a higher risk of mortality. Conclusions: The Charlson Comorbidity Index predicts repeated hospital admission and mortality incidences among older women with CVD. Improving management of comorbidities for older CVD patients should be considered as part of a strategy to mitigate subsequent repeated hospitalisation and delay mortality.
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Nova |
2021 |
Gupta SK, Rutherford N, Dolja-Gore X, Watson T, Nair BR, 'Regional changes with global brain hypometabolism indicates a physiological triage phenomenon and can explain shared pathophysiological events in Alzheimer's & small vessel diseases and delirium.', American journal of nuclear medicine and molecular imaging, 11 492-506 (2021) [C1]
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2021 |
Hlaing-Hlaing H, Dolja-Gore X, Tavener M, James EL, Hodge AM, Hure AJ, 'Diet quality and incident non-communicable disease in the 1946 1951 cohort of the australian longitudinal study on women s health', International Journal of Environmental Research and Public Health, 18 (2021) [C1]
Diet quality indices (DQIs) can be useful predictors of diet¿disease relationships, includ-ing non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overa... [more]
Diet quality indices (DQIs) can be useful predictors of diet¿disease relationships, includ-ing non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity, and all-cause mortality. Women from the 1945¿ 51 cohort of the Australia Longitudinal Study on Women¿s Health (ALSWH) were included if they: responded to S3 in 2001 and at least one survey between 2004 (S4) and 2016 (S8), and had no NCD history and complete dietary data at S3. DQ was summarized by the Healthy Eating Index for Australian Adults-2013 (HEIFA-2013), Mediterranean Diet Score (MDS), and Alternative Healthy Eating Index-2010 (AHEI-2010). Outcomes included each NCD (diabetes mellitus (DM), coronary heart disease (CHD), hypertension (HT), asthma, cancer (except skin cancer), depression and/or anxiety) independently, multimorbidity, and all-cause mortality. Repeated multivariate logistic regressions were used to test associations between DQIs and NCD outcomes across the 15 years of follow-up. The mean (±sd) of DQIs of participants (n = 5350) were 57.15 ± 8.16 (HEIFA-2013); 4.35 ± 1.75 (MDS), and 56.01 ± 10.32 (AHEI-2010). Multivariate regressions indicated that women reporting the highest quintile of AHEI-2010 had lower odds of DM (42¿56% (S5¿S8)), HT (26% (S8)), asthma (35¿37% (S7, S8)), and multimorbidity (30¿35% (S7, S8)). The highest quintile of HEIFA-2013 and MDS had lower odds of HT (26¿35% (S7, S8); 24¿27% (S6¿S8), respectively) and depression and/or anxiety (30% (S6): 30¿34% (S7, S8)). Our findings support evidence that DQ is an important predictor of some NCDs and a target for prevention in middle-aged women.
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Nova |
2021 |
Udeh R, Advani S, de Guadiana Romualdo LG, Dolja-Gore X, 'Calprotectin, an Emerging Biomarker of Interest in COVID-19: A Systematic Review and Meta-Analysis', JOURNAL OF CLINICAL MEDICINE, 10 (2021) [C1]
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Nova |
2021 |
Gupta SK, Rutherford N, Dolja-Gore X, Watson T, Nair BR, 'Regional changes with global brain hypometabolism indicates a physiological triage phenomenon and can explain shared pathophysiological events in Alzheimer's & small vessel diseases and delirium.', American journal of nuclear medicine and molecular imaging, 11 492-506 (2021) [C1]
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Nova |
2021 |
Bartlett MJ, Beral V, Dolja-Gore X, Gathani T, Liu B, 'Detailed breast cancer pathology data for large-scale studies - access and completeness in NSW, Australia.', Public Health Res Pract, 31 (2021) [C1]
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2021 |
Hambisa MT, Dolja-Gore X, Byles JE, 'Predictors of driving among older Australian women from 2002 to 2011: A longitudinal analysis of Australian Longitudinal Study on Women's Health based on the World Health Organization's Healthy Ageing Framework', JOURNAL OF TRANSPORT & HEALTH, 22 (2021) [C1]
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Nova |
2020 |
Dobson AJ, Waller MJ, Hockey R, Dolja-Gore X, Forder PM, Byles JE, 'Impact of Dementia on Health Service Use in the Last 2 Years of Life for Women with Other Chronic Conditions', Journal of the American Medical Directors Association, 21 1651-1657.e1 (2020) [C1]
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Nova |
2020 |
Shebeshi DS, Dolja-Gore X, Byles J, 'Estimating unplanned and planned hospitalization incidents among older Australian women aged 75 years and over: The presence of death as a competing risk', International Journal of Health Planning and Management, 35 1219-1231 (2020) [C1]
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Nova |
2020 |
Shebeshi DS, Dolja-Gore X, Byles J, 'Unplanned Readmission within 28 Days of Hospital Discharge in a Longitudinal Population-Based Cohort of Older Australian Women', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17 (2020) [C1]
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Nova |
2019 |
Loxton D, Townsend N, Dolja-Gore X, Forder P, Coles J, 'Adverse Childhood Experiences and Healthcare Costs in Adult Life', Journal of Child Sexual Abuse, 28 511-525 (2019) [C1]
The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare servi... [more]
The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare services. The Australian Longitudinal Study on Women¿s Health is a general health survey of four nationally representative age cohorts. The current study uses 20¿years of survey and administrative data (1996¿2015) from the cohort born 1973¿1978. Overall, 41% of women indicated at least one category of childhood adversity. The most commonly reported type of childhood adversity was having a household member with a mental illness (16%), with the most commonly reported ACES category being psychological abuse (17%). Women who had experienced adversity in childhood had higher healthcare costs than women who had not experienced adversity. The healthcare costs associated with experiences of adversity in childhood fully justify a comprehensive policy and practice review.
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Nova |
2019 |
Dolja-Gore X, Harris ML, Kendig H, Byles JE, 'Factors associated with length of stay in hospital for men and women aged 85 and over: A quantile regression approach', European Journal of Internal Medicine, 63 46-55 (2019) [C1]
Objectives: Explore characteristics of hospital use for adults aged 85 and over in their last year of life and examine factors associated with cumulative overnight length of stay ... [more]
Objectives: Explore characteristics of hospital use for adults aged 85 and over in their last year of life and examine factors associated with cumulative overnight length of stay (LOS). Data source/study setting: NSW 45 and Up Study linked with hospital data. Study design: Longitudinal cohort study. Methods: Quantile regression models were performed for men and women (N = 3145)to examine heterogeneity in predictors of overnight hospital admissions. Coefficients were estimated at the 25th, 50th, 75th and 90th percentiles of the LOS distribution. Principal findings: 86% had at least one hospitalisation in their last year of life, with 60% dying in hospital. For men, first admission for organ failure was associated with a 26 day increase at the 90th LOS percentile, and a 0.22 day increase at the 10th percentile compared to men with cancer. Women admitted with influenza had decreased LOS of 20.5 days at the 75th percentile and 6 to 8 fewer days at the lower percentiles compared to those women with cancer. Conclusions: Poor health behaviours were a major driver of highest LOS among older men, pointing to opportunities to achieve health care savings through prevention. For older women, influenza was associated with shorter LOS, which could be an indicator of the high and rapid mortality rates at older ages, and may be easily prevented. Other factors associated with LOS among women, included where they lived before they were admitted, and discharge destination.
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Nova |
2019 |
Majeed T, Tavener M, Dolja-Gore X, Nair B, Chojenta C, Byles J, 'Patterns of geriatric health assessment use among community dwelling older Australian women over a 14-year period', Journal of Health Services Research and Policy, 24 100-107 (2019) [C1]
Objective: To assess which older Australian women had Medicare subsidized health assessments between 1999 and 2013. Methods: This study used prospective, longitudinal survey data ... [more]
Objective: To assess which older Australian women had Medicare subsidized health assessments between 1999 and 2013. Methods: This study used prospective, longitudinal survey data from the 1921 to 1926 birth cohort of Australian Longitudinal Study on Women¿s Health (ALSWH) linked with Medicare Australia data on health services use. Over 11,000 Australian women were included in the study. Latent class analysis was used to identify assessment patterns over time, accounting for death, and based on three categories (¿no assessment¿; ¿assessment; ¿deceased¿) for each year between 1999 and 2013. Further analysis explored the impact of health and sociodemographic characteristics on class membership. Results: Of the women included in the latent class analysis, 37% never had any assessment and the remainder had had at least one assessment. After a steady uptake from 1999 to 2003, there was decline in uptake from 2003 onwards. A six-class model with sufficient homogeneity and reliable estimation was selected to represent assessment patterns and mortality risk, labelled as: ¿high mortality¿ rate with little chance for assessment (12.4%), ¿intermediate mortality, low assessment¿ (14.1%), ¿later mortality/low assessment¿ (13.1%), ¿later mortality, high assessment¿ (7.0%), ¿low mortality, low assessment¿ (31.8%), ¿low mortality, high assessment¿ (21.6%). Older women with certain conditions (such as diabetes, depression, heart disease) were more likely to be in the low assessment groups, and women with difficulty managing on income were more likely to be in low assessment groups. Conclusion: Distinct assessment and mortality patterns were seen, with many women not having assessment, in particular those who had certain health conditions, were taking 3+ medications, had difficulty in managing on income, needed help or were in respite care, and had caring responsibilities. The findings point to a need to promote these assessments among older women, and to reduce financial barriers, even within the context of a heavily subsidized health care system.
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Nova |
2018 |
Dolja-Gore X, Loxton D, D Este C, Blyth F, Byles J, 'Differences in Use of Government Subsidised Mental Health Services by Men and Women with Psychological Distress: A Study of 229,628 Australians Aged 45 Years and Over', Community Mental Health Journal, 54 1008-1018 (2018) [C1]
This study examined factors associated with use of government subsidised mental health services by 229,628 men and women from the Sax Institute¿s 45 and Up Study. Logistical regre... [more]
This study examined factors associated with use of government subsidised mental health services by 229,628 men and women from the Sax Institute¿s 45 and Up Study. Logistical regression models assessed use of mental health services by gender and according to level of psychological distress. Approximately equal proportion of men and women had high psychological distress scores (approximately 7%) but only 7% of these men and 11% of these women used services. Use was associated with predisposing (younger age and higher education), enabling (private health insurance) and need factors (higher psychological distress scores). Associations were similar for men and women except urban area of residence, separated/divorced marital status, and smoking were associated with service use for women but not men. Results suggest some inequity in the use of services by those with higher levels of need and further efforts may be required to reach people with higher need but lower service use.
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Nova |
2017 |
Loxton D, Dolja-Gore X, Anderson AE, Townsend N, 'Intimate partner violence adversely impacts health over 16 years and across generations: A longitudinal cohort study', PLOS ONE, 12 (2017) [C1]
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Nova |
2017 |
Dolja-Gore X, Tavener M, Majeed T, Nair BR, Byles JE, 'Uptake, prevalence and predictors of first-time use for the 75+ Health Assessment Scheme.', Australian Journal of Primary Health, 476-481 (2017) [C1]
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Nova |
2017 |
Dolja-Gore X, Harris ML, Kendig H, Byles JE, 'Patterns of hospitalization risk for women surviving into very old age', Medical Care, 55 352-361 (2017) [C1]
Background: By 2050, adults aged 80 years and over will represent around 20% of the global population. Little is known about how adults surviving into very old age use hospital se... [more]
Background: By 2050, adults aged 80 years and over will represent around 20% of the global population. Little is known about how adults surviving into very old age use hospital services over time. Objective: The objective of the study was to examine patterns of hospital usage over a 10-year period for women who were aged 84 to 89 in 2010 and examine factors associated with increased use. Methods: Survey data from 1936 women from the 1921 to 1926 cohort of the Australian Longitudinal Study on Women's Health were matched with the state-based Admitted Patients Data Collection. Hospital use profiles were determined using repeated measures latent class analysis. Results: Four latent class trajectories were identified. One-quarter of the sample were at low risk of hospitalization, while 20.6% demonstrated increased risk of hospitalization and a further 38.1% had moderate hospitalization risk over time. Only 16.8% of the sample was classified as having high hospitalization risk. Correlates of hospital use for very old women differed according to hospital use class and were contingent on the timing of exposure (ie, short-term or long-term). Conclusions: Despite the perception that older adults place a significant burden on health care systems, the majority of women demonstrated relatively low hospital use over an extended period, even in the presence of chronic health conditions. High hospitalization risk was found to be concentrated among a small minority of these long-term survivors. The findings suggest the importance of service planning and treatment regimes that take account of the diverse trajectories of hospital use into and through advanced old age.
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Nova |
2017 |
Wong CY, Greene J, Dolja-Gore X, van Gool K, 'The Rise and Fall in Out-of-Pocket Costs in Australia: An Analysis of the Strengthening Medicare Reforms', Health Economics (United Kingdom), 26 962-979 (2017) [C1]
After a period of steady decline, out-of-pocket (OOP) costs for general practitioner (GP) consultations in Australia began increasing in the mid-1990s. Following the rising commun... [more]
After a period of steady decline, out-of-pocket (OOP) costs for general practitioner (GP) consultations in Australia began increasing in the mid-1990s. Following the rising community concerns about the increasing costs, the Australian Government introduced the Strengthening Medicare reforms in 2004 and 2005, which included a targeted incentive for GPs to charge zero OOP costs for consultations provided to children and concession cardholders (older adults and the poor), as well as an increase in the reimbursement for all GP visits. This paper examines the impact of those reforms using longitudinal survey and administrative data from a large national sample of women. The findings suggest that the reforms were effective in reducing OOP costs by an average of $A0.40 per visit. Decreases in OOP costs, however, were not evenly distributed. Those with higher pre-reform OOP costs had the biggest reductions in OOP costs, as did those with concession cards. However, results also reveal increases in OOP costs for most people without a concession card. The analysis suggests that there has been considerable heterogeneity in GP responses to the reforms, which has led to substantial changes in the fees charged by doctors and, as a result, the OOP costs incurred by different population groups. Copyright © 2016 John Wiley & Sons, Ltd.
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Nova |
2016 |
Harris ML, Dolja-Gore X, Kendig H, Byles JE, 'First incident hospitalisation for Australian women aged 70 and beyond: A 10 year examination using competing risks', Archives of Gerontology and Geriatrics, 64 29-37 (2016) [C1]
There are increasing concerns regarding high hospital use among older adults and the capacity to manage the economic impact of the ageing population trend on healthcare systems. F... [more]
There are increasing concerns regarding high hospital use among older adults and the capacity to manage the economic impact of the ageing population trend on healthcare systems. First hospitalisation in old age may act as a catalyst for ongoing intensification of health problems and acute care use. This study examined factors associated with first incident hospitalisation in women aged over 70, accounting for the health inequalities associated with geographic location. Survey data from 3780 women from the 1921 to 1926 cohort of the Australian Longitudinal Study on Women's Health were matched with the Admitted Patients Data Collection and National Death Index. Days to first event (hospitalisation or death) were modelled using competing risks methods. A total of 3065 (80.3%) women had at least one hospital admission. More than half of the top 15 reasons for first hospitalisation were related to cardiovascular disease, with atrial fibrillation the most common. Proportional subdistribution hazards models showed that first hospital admission was driven by enabling and need factors including asthma/bronchitis diagnosis (HR = 1.16; p = 0.047), private health insurance (HR = 1.16; p = 0.004) more than two prescribed medications in previous month (HR = 1.31; p = 0.001), more than four general practitioner visits in previous year (HR = 1.50; p = 0.034), lower physical functioning (HR = 0.99; p < 0.001) and living in an inner regional area (HR = 1.17; p = 0.003). First overnight hospitalisation was primarily related with potentially preventable and treatable chronic diseases. Primary and secondary strategies aimed at chronic disease generally, and better chronic disease management particularly for cardiovascular and respiratory diseases, may play a vital role in disease prevention or delay in readmissions among this population.
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Nova |
2016 |
Harris ML, Dolja-Gore X, Kendig H, Byles JE, 'End of life hospitalisations differ for older Australian women according to death trajectory: A longitudinal data linkage study', BMC Health Services Research, 16 (2016) [C1]
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Nova |
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. I... [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.
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Nova |
2013 |
Dolja-Gore X, Byles J, Parkinson L, Young A, Pit S, 'Accuracy of self-reported medicines use compared to pharmaceutical claims data amongst a national sample of older Australian women', Open Journal of Epidemiology, 03 25-32 (2013) [C1]
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Nova |
2011 |
Parkinson L, Dolja-Gore X, Gibson RE, Doran E, Notley L, Stewart Williams JA, et al., 'An observational study of the discrediting of COX-2 NSAIDs in Australia: Vioxx or class effect?', BMC Public Health, 11 892 (2011) [C1]
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Nova |
2011 |
Byles JE, Dolja-Gore X, Loxton DJ, Parkinson L, Stewart Williams JA, 'Women's uptake of medicare benefits schedule mental health items for general practitioners, psychologists and other allied mental health professionals', Medical Journal of Australia, 194 175-179 (2011) [C1]
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Nova |
2011 |
Dolja-Gore X, Byles JE, Loxton DJ, Hockey RL, Dobson AJ, 'Increased bulk-billing for general practice consultations in regional and remote areas, 2002-2008', Medical Journal of Australia, 195 203-204 (2011) [C1]
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Nova |
2010 |
Lowe J, Byles JE, Dolja-Gore X, Young AF, 'Does systematically organized care improve outcomes for women with diabetes?', Journal of Evaluation in Clinical Practice, 16 887-894 (2010) [C1]
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Nova |
2008 |
Lowe J, Young AF, Dolja-Gore X, Byles JE, 'Cost of medications for older women', Australian and New Zealand Journal of Public Health, 32 89 (2008) [C1]
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