Internal medicine journal
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Internal medicine journal · Aug 2024
ReviewDiagnosis, management and follow-up of follicular lymphoma: a consensus practice statement from the Australasian Lymphoma Alliance.
Follicular lymphoma (FL) is the most common indolent non-Hodgkin lymphoma subtype, accounting for 15-20% of all lymphoma diagnoses. Although typically slow-growing and responsive to frontline therapies, advanced-stage FL remains incurable with current treatments and typically follows a chronic relapsing/remitting course with increasingly shorter responses to subsequent lines of therapy. ⋯ Reflecting on the heterogeneous natural history of FL, clinical practice varies widely, particularly in controversial areas, including appropriate disease staging, selection of management strategies and duration of clinical follow-up. This position statement presents an evidence-based synthesis of the literature for application in Australasian practice.
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Internal medicine journal · Aug 2024
Multicenter Study Observational StudyIndications and outcomes of transjugular intrahepatic portosystemic shunt insertion in two regional Australian hepatology centres.
Transjugular intrahepatic portosystemic shunt (TIPS) is an important therapy for complications of portal hypertension but remains underutilised in regional settings. ⋯ TIPS is a safe and effective treatment to reduce complications of portal hypertension and can be performed successfully in the regional setting.
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Internal medicine journal · Aug 2024
Impact of a general medicine consultant-led ward round in the emergency department.
Patients requiring admission to the general medicine wards in a public hospital are usually assessed by a medical registrar. This study is based at a metropolitan public hospital in Melbourne where the majority of general medicine patients in the emergency department (ED) are not seen by a consultant physician until they are transferred to the ward. ⋯ A CWR in the ED has led to decreased LOS for general medicine patients and improved satisfaction among junior medical staff.
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Internal medicine journal · Aug 2024
High prevalence of diabetes in a regional Australian hospital highlights the need to prioritise inpatient diabetes care.
Regional centres have smaller workforces in acute diabetes care compared to their metropolitan counterparts. A cross-sectional audit performed at Albury Hospital identified a high prevalence (34%) of diabetes for inpatients compared with metropolitan centres. The high prevalence highlights the need for all healthcare services to consider appropriate resources for the management of diabetes in people admitted to hospital.
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Internal medicine journal · Aug 2024
Association between famine exposure during infancy and childhood and the risk of chronic kidney disease in adulthood.
Famine exposure in childhood is proven to be associated with multiple chornic disease in adult but has not been studied with chronic kidney disease (CKD). ⋯ Famine exposure during infancy and childhood is associated with a long-term decline in eGFR and an increased adult-onset CKD risk. Early intervention for high-risk individuals may mitigate the risk of adult-onset CKD.