Completed projects
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Future Health Today: A pilot and feasibility study, with prostate cancer
Part of the Future Health Today program of work. The aim of this project was to expand the scope of analysis of existing project data to include focus on people with prostate cancer towards building a prostate cancer add on into the Future Health Today chronic disease identification and management platform. PAT010
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Delays in access to treatment and patterns in primary care presentations and hospital visits for patients with bone and soft tissue sarcomas
This project seeks to understand how delays to diagnosis and access to treatment can impact on outcomes for patients diagnosed with bone and soft tissue sarcomas. PAT031
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Analysis of factors associated with outcomes and survivorship of lung cancer across the continuum of health care using linked primary care, hospital, clinical registry and population registry data
This project expands upon ongoing work of the Victorian Comprehensive Cancer Centre-funded Data-Driven Research Program: the first large-scale data linkage initiative of primary and acute services data aiming to improve outcomes in cancer care. PAT030
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Platelet validation
This project examined the risk of cancer following detection of a raised platelet count in primary care, stratified results by cancer site and applied different thresholds for defining a raised platelet count. PAT1032_6
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Primary care activity prior to cancer diagnosis in adolescents and young adults (PAPAYA)
This project examined GP activity in the two years before cancer diagnosis for different cancer sites and different types of GP activity to evaluate if potential opportunities for earlier diagnosis exist. It examined whether there are high-risk populations for recurrent presentations who may benefit from interventions to streamline diagnosis. PAT1032_7
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FIB-4 as a predictor of advanced liver diseases
The FIB-4 index is a widely recognised marker for liver fibrosis and research suggests it could potentially be used as a risk indicator for other serious liver conditions, including liver cancer. This project investigated FIB-4 as a predictor of advanced liver diseases. PAT1032_8
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Rural & regional disparities - prostate cancer project
Survival rates for regional men in Australia with prostate cancer are below their metropolitan counterparts. In Victoria, outcomes are worse for men diagnosed with Prostate cancer in regional areas, compared to their Metropolitan, state-wide and national counterparts. Treatment outcomes were examined to understand this disparity. PAT1032_5
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Analysing disparities in survival outcomes and health care resource utilisation in colorectal cancer
This project utilised linked primary care data to analyse patient pathway prior to, during and subsequent to treatment in order to determine relationships between diagnostic intervals, survival outcomes, health seeking behaviour, clinical care and costs. PAT027
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A validation study of a diagnostic algorithm to identify patients with colorectal cancer
A diagnostic validation analysis to create estimates of the sensitivity, specificity, positive predictive and negative predictive values of the PIT–M3D algorithm for detecting CRC. PAT054
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Assessment of existing early risk detection tools for pancreatic cancer used in primary care
Pancreatic cancer has one of the lowest survival rates due to its frequent late-stage diagnosis, making early detection critical. To aid in identifying underlying pancreatic cancer in primary care, several tools and guidelines have been developed. This projects will assess these tools/guidelines by applying them to a symptomatic cohort identified through general practitioner encounter notes in Victoria. PAT1032_9
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Diagnostic Pathways in Pancreatic Cancer
The aim of this study was to examine the utility of linked primary care data and clinical cancer registry data to determine variation in diagnostic pathways for patients diagnosed with pancreatic cancer. PAT081
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Weight loss as an early indication of cancer
This project is a replication study of a UK diagnostic accuracy that aimed to calculate the six month risk of cancer in primary care patients with unexplained weight loss (UWL). PAT1033_4
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Research Capabilities of Linked Datasets (RCOLD)
This project will supplement the first large-scale, comprehensive data linkage that links primary care and hospital data for cancer patients under the Victorian Comprehensive Cancer Centre’s Data-Driven Research Program. PAT012/PAT019/PAT1033
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Patterns of diagnostic testing for OG cancer related symptoms including cost analysis of testing
This project aims to enhance our understanding of diagnostic testing patterns for common upper gastrointestinal symptoms associated with oesophagogastric cancer in Victorian general practice. PAT1032_3 / PAT1062
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Future Health Today: A pragmatic 12-month cluster randomised controlled trial of quality improvement activities in general practice compared to active control
The aim of the FHT trial is to implement and evaluate a quality improvement (QI) program in general practice, consisting of a new technology platform (Future Health Today (FHT), with audit, recall, clinical decision support and monitoring of QI activity capability) and ECHO educational series. PAT037
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Evaluation of automated deidentification of general practice free text health records
The aim of this project is to develop, test, and evaluate different methods to de-identify textual data sets from general practice electronic medical records (EMR) (optimise de-identification methods) so these data can be securely extracted for further analysis using natural language processing (NLP). PAT028
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Limiting the progression of Echocardiographically-assessed left ventricular dysfunction in Diabetes Mellitus (LEAVE-DM) trial
The aim of the study was to prevent the progression of heart failure, assessed as the development left ventricular dysfunction on echocardiography, and improve functional capacity assessed by a 6-minute walk test. PAT047
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Exploring pathology investigations for suspected diabetes in children attending general practice
This project used the Patron dataset to meet two aims. The first was to determine the proportion of paediatric patients without a diabetes diagnosis that had diabetes pathology tests ordered for them. The second was to obtain odds ratios for the effect of age, sex, socio-economic status, and rurality on whether diabetes pathology was ordered. PAT064
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Understanding General Practice perspectives and data repositories to prevent type 2 diabetes after gestational diabetes
This project will use Patron data to characterise patients with GDM and related primary care encounters and outcomes and aims to inform further research with regard to the prevention of T2DM after GDM. PAT090
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Evaluating a safety and efficacy protocol of a COVID-19 drive-through clinic
Evaluation of a single ’drive through’ respiratory clinic to inform the development of robust clinical protocols to optimise clinician and patient safety. PAT020
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Examining changes in healthcare utilisation as a result of the COVID-19 pandemic and establishing the mechanism of access for future record-linked data projects
Utilising data mining techniques to map patterns and characteristics of primary care and hospital attendances prior, during and after the first wave of the COVID-19 pandemic. PAT024
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Evaluating a safety and efficacy protocol of a COVID-19 respiratory clinic
Evaluating the safety and acceptability of the respiratory clinic to inform the development of robust clinical protocols to optimise clinician and patient safety and acceptability of a respiratory clinic. PAT032
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Exploring the impact of COVID-19 on general practice consultations
This project was commissioned by the Australian Government Department of Health to undertake a secondary data analysis to explore some of the potential impacts of COVID-19 on general practice, including ordering of radiology tests, pathology tests, diagnosis of long COVID and investigation of symptoms that may be suggestive of cancer. These will be used to help to inform policy. PAT062
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Torch Recruit testing and feasibility analyses
Torch Recruit Pty Ltd is a company that aids the determination of the feasibility of clinical trials in general practice and to facilitate clinical trial recruitment in general practice. This project will use an annual datacut of Patron data to undertake technical (data) feasibility assessments for clinical trials, and to undertake development and validation testing of Torch Recruit algorithms. PAT084
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Future Health Today: Pilot project at Altona North Medical Group and Shepparton Medical Centre
Future Health Today is a collaboration between University of Melbourne and Western Health. It is a proactive digital health intervention that uses data from health records to automate the detection of chronic disease to provide new opportunities for early intervention and improved health outcomes. PAT009
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Quality indicators for the detection and management of chronic kidney disease in primary care
This project explores and compares outcomes for the detection of chronic kidney disease (CKD) and compare quality indicator data for the management of CKD in four large general practice datasets in Australia (Patron), Singapore (NUHS Data Mart), Canada (UTOPIAN) and Sweden. PAT015
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Quality indicators for the detection and management of chronic kidney disease in primary care: An exploratory study using electronic medical record data in Australia.
The aim of this project was to explore and compare CKD detection and management in four large general practice repositories from Australia (Patron), Singapore (NUHS Datahub), Sweden (NVH Region Uppsala) and Canada (UTOPIAN). PAT091
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GP-NAPS: The feasibility of passive audit of antibiotic prescribing in general practice
This project determined the feasibility of a passive GP National Antibiotic Prescribing Survey (NAPS) rather than using onsite auditing of patient files. This would form a key component of a quality improvement activity to optimize appropriate antibiotic prescribing in general practice. PAT005
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Defining the burden of antimicrobial prescribing in primary care attributable to sore throat
This project measures the relative frequency of upper respiratory tract infections and sore throat presentations and frequency of GP antibiotic prescribing for these patients. PAT001
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Shared decision support for patients. An antimicrobial stewardship strategy to promote appropriate antibiotics use in primary care
This project pilots a suite of shared decision support tools that provide information and support clinical discussion and decision making with patients with common infections in primary care: respiratory tract infections (RTIs), skin and soft and tissue infections (SSTIs) and urinary tract infections (UTIs). PAT014
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Management of Chlamydia Cases in Australia (MoCCA)
The aim of MoCCA was to develop, implement and evaluate a model of care for strengthening chlamydia management in general practice. PAT044
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Chlamydia and gonorrhoea care cascade in Australian general practices: analysis of testing, diagnosis, treatment, re-testing and re-infection rates
Chlamydia study in Victoria, Australia; comparing testing, diagnosis, treatment and re-testing rate in urban and regional area of general practice in Victoria. PAT029
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EASI-C: Expanding Access to Self-collection to Increase Cervical Screening Participation through implementation support and evaluation
This study aims to support and monitor the integration of universal access to self-collection into routine cervical screening practice at primary care practices in Victoria. We hypothesise that by doing so, this will improve participation in the National Cervical Screening Program. This work is timely and aligns with the planned policy change that will allow universal access to self-collection. PAT060
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Near real-time automated vaccine safety signal detection using routinely collected healthcare data
To examine if de-identified data from electronic health-related dataset can improve our ability to detect possible vaccine safety problems in the community. PAT055
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The effect of the herpes zoster vaccine on vascular inflammation-related health outcomes
This project aims to determine the effect of herpes zoster vaccination on the incidence of shingles and postherpetic neuralgia, and does the herpes zoster vaccine have effects on health beyond the prevention of shingles episodes, such as on cardiovascular disease events and cognition. PAT093
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