Predicting The Individual Risk Of Prostate Cancer In Australian Men
Funder
National Health and Medical Research Council
Funding Amount
$348,656.00
Summary
Prostate cancer is a major cause of disability and death in Australian men. A number of factors, particularly age and family history, influence the risk of prostate cancer but, in contrast to breast cancer, we don't know what is the risk of developing prostate cancer over a period of time for a man with a specific set of risk factors. In fact, while a number of statistical models have been developed that use a woman's risk factor profile to estimate her risk of breast cancer, none is currently a ....Prostate cancer is a major cause of disability and death in Australian men. A number of factors, particularly age and family history, influence the risk of prostate cancer but, in contrast to breast cancer, we don't know what is the risk of developing prostate cancer over a period of time for a man with a specific set of risk factors. In fact, while a number of statistical models have been developed that use a woman's risk factor profile to estimate her risk of breast cancer, none is currently available for prostate cancer. We will apply standard statistical methods to existing data from the Australian Risk Factors for Prostate Cancer study and from the Australian Institute of Health and Welfare to develop a prostate cancer risk prediction model. We will test how factor like age, detailed family history, diet, baldness status and possibly previous PSA tests and prostate biopsies predict the risk. After developing the model, we will test the accuracy of the predictions in three ways. First, using existing data from the Australian Prostate Cancer Family Study, we will see whether the number of cases in a group of men is close to the number predicted by the model (calibration). Second, to test whether the model discriminate well men who develop prostate cancer from those who do not, we will collect family trees in a sample from the Melbourne Collaborative Cohort Study. We will use these data also to estimate the optimal cut point: men above this level of risk will be considered at high risk. Third, we will apply the model to existing data from the Dutch Prostate Cancer Family Study (DPCFS) to test whether the optimal cut point identify high-risk men and to validate the model in a non-Australian population. Finally, we will prepare a computer package that health professionals will use as decision-making tool in different scenarios including individual cancer risk assessment, design of prevention trials and targeting prevention programs to high-risk men.Read moreRead less
A/Prof Thomas' Senior Research Fellowship will provide support for the continued development of a broad-based, national and international research program focused on the biology and clinical aspects of connective tissue tumours. A/Prof Thomas' career goals are to continue work in basic, translational and clinical research into these tumours which include osteosarcoma, liposarcoma, giant cell tumour of bone and the inherited risk of development of these neoplasms.
The three interlocking aims of this fellowship are to address the contribution of specific genes to melanoma development in: (i) families (ii) the general population (iii) tumour progression. The findings will be used to develop better models to predict which individuals in the population are at greatest risk of melanoma and to identify molecular targets for the design of new therapies to treat this disease.
Impact Of Social Adversity On The Developmental Trajectory To Mental Illness: A Study Of A Whole-population Cohort Of Children At Familial High-risk For Psychotic Disorders
Funder
National Health and Medical Research Council
Funding Amount
$822,385.00
Summary
The objective of this study is to use the rich multi-generational data collection that we have assembled on the life course of a large whole-population birth cohort and their parents to address specific research questions on the contribution of social adversity to the pathogenesis of mental illness, taking into account the interplay of social adversity with genetic risk and the range of other contributing factors on the developmental trajectory to mental illness.
Identification Of Novel Familial Patterns And Genotypes Associated With Inherited Risk In Adult-onset Sarcoma: The International Sarcoma Kindred Study
Funder
National Health and Medical Research Council
Funding Amount
$552,855.00
Summary
Inherited genetic risk is important in cancers that affect the young. The International Sarcoma Kindred Study (ISKS) is the world's first prospective study aiming to better understand how sarcomas can be inherited in families, and the genes that cause sarcomas. The ISKS is a multinational study led from Australia, with partners in the US, Europe and India, and aims to recruit over 3000 families affected by sarcoma.
Environmental Exposure, Human Behaviour And Respiratory Health For Children With Asthma
Funder
National Health and Medical Research Council
Funding Amount
$344,644.00
Summary
This research program will examine whether environment and behaviour work together on asthma for Australian children. Calculation on satellite-derived data will establish updated knowledge base for assessing childhood asthma in relation to residential green spaces and local climate. Significance of the research lies in the high prevalence of asthma in Australian children. Findings will help health workers allocate resources for preventing asthma attacks and provide evidence for urban planning.
An Intervention To Improve The Detection And Management Of Familial Hypercholesterolaemia In Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$518,588.00
Summary
Familial hypercholesterolaemia (FH) is an inherited condition affecting 45,000 Australians, with 10% diagnosed. FH has been managed mainly through hospital clinics with the majority under-treated despite effective primary care treatment being available. The application integrates specialist and primary care management with data fed into the new national FH registry. It is a partnership between 7 Universities and 5 States: service providers; community organisations; policy managers and industry.
Heritable And Environmental Determinants Of Hospitalisation For Common Childhood Illnesses
Funder
National Health and Medical Research Council
Funding Amount
$468,238.00
Summary
This study will combine the unique and powerful resources of the Western Australian (WA) Data Linkage System and the WA Twin Register to disentangle the effects of genetics and the environment on the most common infectious causes of hospital admissions in children. It will highlight appropriate pathways to prevent such admissions in the future.
My background is in psychology and epidemiology and I study lifecourse factors related to common mental health problems, including: depression, anxiety, substance use, eating-disordered behaviour, and gambling. My aims are to use research findings to (1)