Internal medicine journal
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Internal medicine journal · Dec 2023
Prescribing patterns of adjunctive therapy for the treatment of type 1 diabetes mellitus among Australian endocrinologists.
Many people living with type 1 diabetes (type 1 diabetes mellitus (T1DM)) do not meet glycaemic targets. Adjunctive therapies have both risks and metabolic benefits and may have a role in selected patients. ⋯ Australian endocrinologists commonly prescribe adjuncts to address cardiometabolic concerns in T1DM. DKA risk and off-label status are significant factors contributing to reluctance to prescribe.
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Internal medicine journal · Dec 2023
Inflammatory Bowel Disease (IBD) in Waikato, New Zealand: Incidence and Prevalence.
Inflammatory bowel disease (IBD) prevalence is rising globally; however, indigenous groups are underrepresented. Waikato, New Zealand, is a large region with a high proportion of Māori patients. In Canterbury in 2006, 1% of patients with IBD were Māori. We investigated the incidence and prevalence of IBD in Waikato over 10 years. ⋯ IBD prevalence has increased substantially; however, the incidence has remained static. Māori IBD rates are higher than previously reported, in keeping with international indigenous trends. Māori patients were diagnosed at a similar age as non-Māori patients, with similar disease subtypes.
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Internal medicine journal · Dec 2023
Creatinine Index: A retrospective cohort study in an urban Australian dialysis context.
This study aimed to described the relationship between the CI and mortality in an Australian context. ⋯ In a single-centre Australian haemodialysis cohort, the CI was strongly associated with mortality and stroke risk. The CI is an accurate and simple method to identify patients with low LBM at risk for significant morbidity and mortality.
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Internal medicine journal · Dec 2023
Understanding the contribution of general medical services to acute inpatient care in Victorian public hospitals.
General medicine is an integral part of health services, yet there is little data highlighting their contribution to acute hospital care in Australia. ⋯ Both DRG-based data and discharge unit-based data indicate that general medicine is the largest provider of acute multiday inpatient care in Victorian hospitals. The estimate of contribution of general medicine differed between the two datasets as DRG data likely over-represents the role of other specialties possibly due to assumptions regarding specialty management of varying groups of diagnoses.
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Internal medicine journal · Dec 2023
Observational StudyEarly outcomes following the implementation of a specialised pleural disease service.
Pleural effusion is a common cause of hospitalisation and a poor prognostic marker that is associated with morbidity and mortality. The evaluation and management of pleural effusion may be performed more effectively by a specialised pleural disease service (SPDS). ⋯ The introduction of a SPDS was associated with increased point-of-care ultrasound utilisation for pleural procedures, shorter delays to intervention and improved standardisation of tests on pleural fluid.