The Australian Peritoneal Dialysis Outcomes And Practice Patterns Study (PDOPPS)
Funder
National Health and Medical Research Council
Funding Amount
$489,749.00
Summary
Peritoneal dialysis (PD) is a form of home dialysis that is both substantially cheaper and associated with better early survival than standard hospital-based haemodialysis. Its use in Australia has been severely limited by poor outcomes compared to the rest of the world. This international study aims to identify “real world” PD centre practices that will lead to better outcomes for Australian patients, greater uptake of home dialysis and health savings of tens of millions of dollars annually.
Translation Of Glaucoma Blindness Genes To Improve Clinical Practice
Funder
National Health and Medical Research Council
Funding Amount
$856,795.00
Summary
Glaucoma is a common cause of irreversible blindness. It is currently difficult to predict which patients with the earliest signs of glaucoma will develop blinding stages of the disease. This study will investigate how genes and eye measurements can be used to predict the risk of developing severe glaucoma in people with early signs of disease. This will ensure that high risk individuals can access treatment early, while those at low risk can be spared unnecessary treatment and seen less often.
Gene Tests For Predicting Risk Of Developing Glaucoma
Funder
National Health and Medical Research Council
Funding Amount
$956,020.00
Summary
Glaucoma is a common cause of blindness. It is currently difficult to predict which patients with the earliest signs of glaucoma will go on to develop the blinding stages of the disease. This study will investigate how genes and othe eye measurements can be used to predict risk of developing glaucoma in people with early signs of disease.
Generating Evidence Of Reduced Rates Of Overweight/obesity In Children: Value Adding To Four Established Australasian Early Intervention Trials
Funder
National Health and Medical Research Council
Funding Amount
$193,758.00
Summary
Childhood obesity is a major health problem. Trials are now being done to see whether helping families when their baby is young will reduce the rate of overweight children. We will combine data from these trials (1800+ children) to see if the programs work. To get maximum information we need to combine the line-by-line raw data from each patient in each trial. This is called an individual patient data meta-analysis. It is the best method for finding reliable answers to important health issues.
A Prospective Study Of The Influence Of Health-related Lifestyle Factors On DNA Methylation
Funder
National Health and Medical Research Council
Funding Amount
$640,074.00
Summary
It is known that DNA methylation can lead to disease. We aim to discover what causes DNA methylation to change. This could open the way for new methods of prevention and treatment of many diseases. We will study 1200 people to assess how the methylation of their DNA is influenced by changes in their smoking habits, alcohol consumption, vitamin intake, body size, blood sugar and cholesterol levels. We want to know whether these changes lead to undesirable (or desirable) changes in DNA methylation
Cognitive Outcome And Therapeutic Interventions For Coronary Artery Disease.
Funder
National Health and Medical Research Council
Funding Amount
$392,104.00
Summary
Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may incre ....Dementia is recognized as an increasingly important factor affecting quality of life as people age. Deaths from heart disease are declining, in part due to improved surgical techniques and to the use of less invasive methods to keep arteries open such as coronary stenting. It is now well known that 20 to 60% of patients experience some degree of impairment in thinking ability (cognitive impairment) after cardiac surgery, that this will persist in some of these individuals for years and may increase the risk of long-term problems. Cognitive impairment affects people in many ways. While it is not yet known whether the occurrence of cognitive impairment predisposes to dementia, it is thought that Mild Cognitive Impairment (MCI) may do so. We propose to explore the link between MCI and Post Procedural Cognitive Deficit (PPCD) in patients with coronary disease from before the first point of objective diagnosis, i.e. prior to the coronary angiogram, and over a 12-month period, through and subsequent to further treatment interventions such as stenting or cardiac surgery. Our Pilot data suggest that PPCD does indeed occur after angiography, and we propose to identify how long this lasts, whether MCI predisposes to it and whether it is better to wait until it resolves before further interventions are undertaken. In this way we hope to identify the safest treatment strategy for patients with coronary disease that will minimize the occurrence of Cognitive Deficit and possibly longer-term cognitive changes after investigation and treatment for their symptoms.Read moreRead less
Clinical Studies Of Diabetes And Tropical Infectious Diseases
Funder
National Health and Medical Research Council
Funding Amount
$568,892.00
Summary
The Fremantle Diabetes Study Phases I and II continue to make important contributions to our understanding of the natural history of diabetes and will be a major focus of the research supported by present application. Studies of malaria and severe bacterial infections in Papua New Guinean children that have regularly contributed to changes in national and regional treatment protocols will also continue under the supervision of the applicant.
We will investigate whether there are particular patterns of DNA methylation in people who develop gastric cancer. This could provide a means of identifying people at high risk of developing the disease, which may assist with early detection. This would be expected to markedly improve survival. If we can identify lifestyle factors associated with gastric cancer methylation there may be opportunities for prevention of the disease.
A Novel Diabetic Retinopathy Screening Model Based On Pathology Services (Ret-Path) For People With Diabetes.
Funder
National Health and Medical Research Council
Funding Amount
$764,273.00
Summary
Most vision loss from diabetic retinopathy, a severe complication of diabetes, can be prevented by early detection. However, with no recognized eye screening procedure, up to half of Australians with diabetes do not have a regular eye check. We have successfully piloted a new eye screening model using pathology centres as an opportunistic catchment point. In this project, we will demonstrate the overall effectiveness and economic benefits of this novel eye screening model in urban and rural Vict ....Most vision loss from diabetic retinopathy, a severe complication of diabetes, can be prevented by early detection. However, with no recognized eye screening procedure, up to half of Australians with diabetes do not have a regular eye check. We have successfully piloted a new eye screening model using pathology centres as an opportunistic catchment point. In this project, we will demonstrate the overall effectiveness and economic benefits of this novel eye screening model in urban and rural Victoria for people with diabtetes.Read moreRead less