Australian Journal of General Practice最新文献

Onset of sudden sensorineural hearing loss: An update. 突发性感音神经性听力损失的发病：最新进展。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-04-24-7239

Stephanie Soon, Neil Foden

引用次数: 0

Swapping the chairs. 交换椅子。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-04-25-7634

Boban Ramesan

引用次数: 0

Reviewing long-term opioid use in patients experiencing chronic pain in general practice: Activating patients and supporting clinical decision making. 回顾全科实践中慢性疼痛患者的长期阿片类药物使用：激活患者并支持临床决策。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-06-24-7330

Hester HK Wilson, Louisa Picco, Suzanne Nielsen

{"title":"Reviewing long-term opioid use in patients experiencing chronic pain in general practice: Activating patients and supporting clinical decision making.","authors":"Hester HK Wilson, Louisa Picco, Suzanne Nielsen","doi":"10.31128/AJGP-06-24-7330","DOIUrl":"10.31128/AJGP-06-24-7330","url":null,"abstract":"Background: Australia has a high rate of opioid prescribing, which has been associated with multiple harms. Regular review of patients' opioid-related risk factors and realigning treatment improves clinical outcomes; however, general practitioners (GPs) can find this consultation difficult.Objective: The aim of this article is to support GPs and their chronic pain patients who have been prescribed long-term opioids with a structured and validated opioid review process through the Routine Opioid Outcome Monitoring (ROOM) tool and the patient-led Opioid Safety Toolkit.Discussion: The ROOM tool is a validated patient-reported measure that assists with assessment of current pain, functioning, risk of dependence, mood, constipation and risky alcohol use. The online Opioid Safety Toolkit improves patient health literacy and activation in their pain management. These tools, combined with real-time prescription monitoring (RTPM) information and naloxone for opioid overdose, can provide a comprehensive, efficient approach that helps identify and manage medication-related risks, supports quality use of opioids and assists conversations with patients regarding best treatment options.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"453-458"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The unintended lessons of a neurology long case. 神经病学长期案例的意外教训。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-07-25-1234e

Claire Denness

引用次数: 0

Acute urticaria treated with systemic glucocorticoids: An evidence-based review. 系统性糖皮质激素治疗急性荨麻疹：一项基于证据的综述。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-04-24-7237

Andreia Lasca, Juliana Gomes, Ana Teresa Gorgulho de Pinho, Raquel Filipa Martins, Daniela Moreira

引用次数: 0

Deadly trends: Medicare Benefits Schedule nicotine and smoking cessation items, 2021-23. 致命趋势：医疗保险福利计划尼古丁和戒烟项目，2021-23。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-04-24-7247

Daniel Bogale Odo, Tanya Buchanan, Megan Varlow, Raglan Maddox

{"title":"Deadly trends: Medicare Benefits Schedule nicotine and smoking cessation items, 2021-23.","authors":"Daniel Bogale Odo, Tanya Buchanan, Megan Varlow, Raglan Maddox","doi":"10.31128/AJGP-04-24-7247","DOIUrl":"https://doi.org/10.31128/AJGP-04-24-7247","url":null,"abstract":"Background and objectives: Comprehensive nicotine and smoking cessation interventions can be crucial for successful and sustained cessation, but require adequate time, training and experience. This study aimed to quantify uptake of the temporary Medicare Benefits Schedule (MBS) smoking cessation services from July 2021 to December 2023.Method: MBS nicotine and smoking cessation claims processed for face-to-face and telehealth services from July 2021 to December 2023 were examined. Quarterly rates of claims and 95% confidence intervals per 1000 people who smoke were calculated.Results: Overall, 188,904 claims were processed during this period. The national trends in the rate of face-to-face (P<0.001) and telephone (P<0.001) services increased significantly. The quarterly rate of claims processed for face-to-face services increased by 16-fold, from a rate of 1 to 16 per 1000 people who smoke.Discussion: This study highlights that the temporary MBS smoking cessation services were increasingly used, but that changes to this service might deter smoking cessation efforts.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"459-464"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's experiences of follow-up medical care for preeclampsia in Australia: A qualitative study. 澳大利亚妇女子痫前期随访医疗护理经验：一项定性研究。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-05-24-7249

Deborah Parkinson, Helen Hall, Shaun Brennecke, Kerrie Laidlaw

{"title":"Women's experiences of follow-up medical care for preeclampsia in Australia: A qualitative study.","authors":"Deborah Parkinson, Helen Hall, Shaun Brennecke, Kerrie Laidlaw","doi":"10.31128/AJGP-05-24-7249","DOIUrl":"https://doi.org/10.31128/AJGP-05-24-7249","url":null,"abstract":"Background and objectives: Preeclampsia is associated with increased risk of later-life cardiovascular, metabolic and mental health disorders. Follow-up is key to managing this risk, yet little is known about how women are managed in Australia. The aim of this study was to understand women's experiences of medical follow-up care and support in Australia after preeclampsia.Method: Semi-structured interviews were conducted with 12 women with previous preeclampsia residing in Australia. Data were analysed using thematic analysis.Results: Three themes were generated: ongoing health impact; craving accurate information; and fragmented follow-up care. Participants reported ongoing physical and mental health symptoms, ad hoc information provision and fragmented follow-up. Women valued continuity of care and debriefing.Discussion: There is a significant gap between recommended medical follow-up and the actual care women receive following preeclampsia. The value of debriefing for women after preeclampsia warrants more research.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"465-470"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cauda equina syndrome and severe lumbar-sacral radiculopathy in general practice: Finding the needle in the haystack. 马尾综合征和严重腰骶神经根病的全科治疗：大海捞针。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-08-24-7389

Michael J Stuart, Adam Burnett, Jefferson D Webster

{"title":"Cauda equina syndrome and severe lumbar-sacral radiculopathy in general practice: Finding the needle in the haystack.","authors":"Michael J Stuart, Adam Burnett, Jefferson D Webster","doi":"10.31128/AJGP-08-24-7389","DOIUrl":"https://doi.org/10.31128/AJGP-08-24-7389","url":null,"abstract":"Background: Cauda equina syndrome is a symptom complex of significant clinical and medico-legal concern to both primary care physicians and neurosurgeons. The clinical spectrum of presentation is a cause for significant confusion in the primary care and emergency department setting, which, coupled with the high frequency of litigation relating to these cases, results in physician discomfort in the assessment, investigation and triage of patients with lumbar spinal pathology.Objective: This paper aims to discuss the clinical spectrum of 'cauda equina syndrome' and relate the signs and symptoms to their underlying anatomical basis, to provide a framework from which primary care physicians and neurosurgeons can triage the urgency of investigation and/or intervention.Discussion: We recommend that 'cauda equina syndrome' should be better understood as a spectrum of severe radiculopathy relating to acute compression of lumbar and/or sacral nerve roots, which comprises multiple separate indications for investigation and intervention with variable urgency.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"439-443"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

July 2025 correspondence. 2025年7月通信。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01

引用次数: 0

Factors influencing healthcare practitioners' decision to offer (or not) the choice of self-collection cervical screening in general practice in Victoria, Australia. 影响保健医生决定提供（或不提供）自我收集子宫颈筛查的一般做法在维多利亚州，澳大利亚的因素。

IF 1.6 4区医学

Australian Journal of General Practice Pub Date : 2025-07-01 DOI: 10.31128/AJGP-04-24-7229

Nicola S Creagh, Julia ML Brotherton, Jane S Hocking, Amalia Karahalios, Marion Saville, Megan A Smith, Karen Canfell, David Hawkes, Claire Nightingale

{"title":"Factors influencing healthcare practitioners' decision to offer (or not) the choice of self-collection cervical screening in general practice in Victoria, Australia.","authors":"Nicola S Creagh, Julia ML Brotherton, Jane S Hocking, Amalia Karahalios, Marion Saville, Megan A Smith, Karen Canfell, David Hawkes, Claire Nightingale","doi":"10.31128/AJGP-04-24-7229","DOIUrl":"10.31128/AJGP-04-24-7229","url":null,"abstract":"Background and objectives: In July 2022, a policy change was enacted in the National Cervical Screening Program (NCSP) to allow all women and people with a cervix (hereafter people) the choice of a self-collected sample. This study aimed to understand healthcare practitioners' decisions, and factors related to, the provision (or not) of this change.Method: Semi-structured interviews (n=28) were conducted between February and July 2023 with general practitioners, nurses and practice managers. The COM-B model of behaviour change framework informed the analysis.Results: Although most (n=22) interviewees reported that they, or healthcare practitioners at their practice, were providing a choice of self-collection to all, a minority (n=6) reported that either they (n=4) or their practice (n=2) were not. Factors that informed the selective provision of self-collection are reported.Discussion: For self-collection to facilitate improved equity in the NCSP, strategies are needed to reassure healthcare practitioners that self-collection is an appropriate screening modality, and ensure people are aware of their screening choices.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"477-483"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0