Prof Buchbinder is a rheumatologist and clinical epidemiologist investigating clinically important and public health relevant questions related to arthritis and musculoskeletal conditions. I am interested in improving patient care through the dissemination of research findings into practice, improved health literacy and communication between health professionals and health consumers.
This study will follow up a birth cohort for 25 years with the aim of looking at critical periods for bone development including the role of in utero exposures, early infancy, age 8 and age 16.
The Validity Of ‘8 Instruments’ Used To Include Quality Of Life In Economic Evaluation In 8 Disease Areas And 6 Countries
Funder
National Health and Medical Research Council
Funding Amount
$856,212.00
Summary
The Quality of Life is incorporated in the economic evaluation of health services using different ‘utility instruments’. Small scale comparative studies reveal large discrepancies between measurements. Very few studies combine multiple utility and disease specific instruments and to date no studies have compared utility instruments with scales measuring subjective wellbeing (happiness) or human capabilities. This project will mount the largest cross national survey to date of these questions.
Association Between Birthweight And The Metabolic Syndrome - A Study In Twins.
Funder
National Health and Medical Research Council
Funding Amount
$95,880.00
Summary
The Metabolic Syndrome is a shorthand term for a collection of disorders in the same individual; including Diabetes, high cholesterol levels, hypertension, atherosclerosis and obesity. These conditions have previously been assumed to occur because of genetic influences, acting in combination with the individual's lifestyle. However, another factor may also be important in causing the metabolic syndrome. A recent theory suggests that adverse events occurring during fetal development may result in ....The Metabolic Syndrome is a shorthand term for a collection of disorders in the same individual; including Diabetes, high cholesterol levels, hypertension, atherosclerosis and obesity. These conditions have previously been assumed to occur because of genetic influences, acting in combination with the individual's lifestyle. However, another factor may also be important in causing the metabolic syndrome. A recent theory suggests that adverse events occurring during fetal development may result in low birth weight and lead to metabolic changes which cause the metabolic syndrome in adulthood. This theory, if true, would have profound implications for the prevention of these common problems; which are the leading cause of death in developed countries. The validity of the Fetal Origins Hypothesis is curently uncertain. Confounding genetic and environmental factors make it difficult to separate the role of genetic, fetal and environmental influences. Studies of twins have the potential to sort out this important question. We will study the association between birthweight and the metabolic syndrome in sets of identical twins who have identical genes and similar environmental backgrounds. We will use a set of metabolic and hormone tests to define the characteristics of each twin. We will also employ a novel non-invasive method of measuring cell metabolism using magnetic resonance spectroscopy. If we find that the twin with lower birthweight usually has more adverse features of the metabolic syndrome, this will point to an important cause of cardiovascular disease. This study will provide very important insights into the influence of early life on subsequent health and may lead to a dramatic changes in our approach to the prevention of common diseases. Improving the health and well-being of pregnant mothers and their babies may turn out to be one of the most important public health issues that we can address.Read moreRead less
Risk Stratification Of Older People In Hospital: Validation And Influence On Clinical Decision Making
Funder
National Health and Medical Research Council
Funding Amount
$291,067.00
Summary
Older people in hospital are at high risk of adverse outcomes, a vulnerability commonly referred to as frailty. In community-dwelling older people, frailty status can be measured precisely with a Frailty Index score. This research aims to develop a Frailty Index from a standardised comprehensive geriatric assessment instrument used in the routine care of many patients in hospital. This would assist clinicians to identify vulnerable older inpatients, improving their care in the acute setting.
Prospective Ovarian Cancer Cohort To Authenticate Stratification Of Prognosis In Ovarian Tumours (POCCA-SPOT)
Funder
National Health and Medical Research Council
Funding Amount
$993,580.00
Summary
Ovarian cancer has poor survival, with less than 40% of women surviving 5 years. There is a wide range of survival, but very few characteristics that indicate which patients will do well or poorly. We have developed a tumour test at diagnosis, that can predict prognosis at 5 years. In newly diagnosed cases, we will test tumours to predict prognosis and then determine the accuracy and assess patient acceptability. This study will lead to clinical use of the test and improve treatment decisions.
Validating Novel Biomarkers Relevant To Major Depression
Funder
National Health and Medical Research Council
Funding Amount
$515,550.00
Summary
Depression prevention and treatment are public health priorities; therefore, it is critical to improve and personalise treatments, which can only be achieved by advancing knowledge of its underlying biology. This research project will contribute to validating potentially relevant genes for MDD risk or antidepressant response and to provide the scientific foundation for future strategies to test their products as MDD biomarkers in the clinical setting.