ANZ journal of surgery
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ANZ journal of surgery · Dec 2010
Biography Historical ArticleThe surgical art of Barbara Hepworth and the Garnett Passe and Rodney Williams foundation.
The Garnett Passe and Rodney Williams Foundation, a major medical research foundation in Melbourne, holds two paintings by the celebrated British sculptor and artist Dame Barbara Hepworth. It recently acquired the second painting by her depicting the Foundation's nominal patron, Garnett Passe, performing a tonsillectomy. ⋯ This article gives an account of Barbara Hepworth and the surgical series of paintings and her relationship to Garnett Passe, the Australian ENT surgeon and Norman Capener, the British orthopaedic surgeon who introduced her into this subject. Barbara Hepworth's meeting with these two surgeons produced one of the most remarkable series of surgical paintings and drawings ever produced in Western Art.
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ANZ journal of surgery · Nov 2010
Comparative StudyPredicting trauma patient mortality: ICD [or ICD-10-AM] versus AIS based approaches.
The International Classification of Diseases Injury Severity Score (ICISS) has been proposed as an International Classification of Diseases (ICD)-10-based alternative to mortality prediction tools that use Abbreviated Injury Scale (AIS) data, including the Trauma and Injury Severity Score (TRISS). To date, studies have not examined the performance of ICISS using Australian trauma registry data. This study aimed to compare the performance of ICISS with other mortality prediction tools in an Australian trauma registry. ⋯ The performance of ICISS may be affected by the data used to develop estimates, the ICD version employed, the methods for deriving estimates and the inclusion of covariates. In this analysis, a multivariable approach using ICD-10-AM codes was the best-performing method. A multivariable ICISS approach may therefore be a useful alternative to AIS-based methods and may have comparable predictive performance to locally derived TRISS models.
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ANZ journal of surgery · Nov 2010
Comparative StudyComparison of functional outcomes of reverse shoulder arthroplasty versus hemiarthroplasty in the primary treatment of acute proximal humerus fracture.
Treatment of complex proximal humeral fractures remains controversial. In cases where adequate open reduction and internal fixation cannot be achieved, hemiarthroplasty has been the traditional treatment; however, clinical results have been mixed. Reverse shoulder arthroplasty (RSA) has been suggested as an alternative, and this study aimed to compare the functional results of RSA versus hemiarthroplasty in patients with acute proximal humeral fracture. ⋯ In these early results, the anticipated functional gains of RSA over hemiarthroplasty were not realized, suggesting the use of RSA for treatment of proximal humeral fractures should remain guarded. Larger prospective trials are necessary to identify the optimal management of patients in this situation.
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ANZ journal of surgery · Nov 2010
Comparative StudySurvival from breast cancers managed by surgeons participating in the National Breast Cancer Audit of the Royal Australasian College of Surgeons.
he National Breast Cancer Audit (NBCA) of the Royal Australasian College of Surgeons has collected data on early breast cancer since 1998. In this project, deaths were traced by linkage of NBCA patient identifiers (first three digits of surname and date of birth) with the National Death Index that covers all deaths in Australia. ⋯ These survivals are credible both overall and by clinical risk factor. Opportunities present to use these data for survival monitoring and to investigate survival by socio-demographic characteristic, treatment protocol, case volume and provider characteristics.