8 results on '"Hyun, Karice K."'
Search Results
2. Reply to M. Lv et al.
- Author
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Singleton, Anna C., Raeside, Rebecca, Hyun, Karice K., Partridge, Stephanie R., Di Tanna, Gian Luca, Hafiz, Nashid, Tu, Qiang, Tat-Ko, Justin, Sum, Stephanie Che Mun, Sherman, Kerry A., Elder, Elisabeth, and Redfern, Julie
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- 2023
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3. Reply to M. Lv et al.
- Author
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Singleton, Anna C., Raeside, Rebecca, Hyun, Karice K., Partridge, Stephanie R., Di Tanna, Gian Luca, Hafiz, Nashid, Tu, Qiang, Tat-Ko, Justin, Sum, Stephanie Che Mun, Sherman, Kerry A., Elder, Elisabeth, and Redfern, Julie
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- 2023
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- View/download PDF
4. Is There Inequity in Hospital Care Among Patients With Acute Coronary Syndrome Who Are Proficient and Not Proficient in English Language? Analysis of the SNAPSHOT ACS Study.
- Author
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Hyun, Karice K., Redfern, Julie, Woodward, Mark, Briffa, Tom, Chew, Derek P., Ellis, Chris, French, John, Astley, Carolyn, Gamble, Greg, Nallaiah, Kellie, Howell, Tegwen, Lintern, Karen, Clark, Robyn, Wechkunanukul, Kannikar, and Brieger, David
- Subjects
AUDITING ,CHI-squared test ,CONFIDENCE intervals ,HEALTH services accessibility ,HEALTH status indicators ,LANGUAGE & languages ,LONGITUDINAL method ,MEDICAL quality control ,SCIENTIFIC observation ,HEALTH outcome assessment ,PAIRED comparisons (Mathematics) ,RESEARCH funding ,T-test (Statistics) ,LOGISTIC regression analysis ,MULTIPLE regression analysis ,COMMUNICATION barriers ,DATA analysis software ,ACUTE coronary syndrome ,DESCRIPTIVE statistics ,ODDS ratio ,MANN Whitney U Test - Abstract
Background: The provision of equitable acute coronary syndrome (ACS) care in Australia and New Zealand requires an understanding of the sources of variation in the provision of this care. Objective: The aim of this study was to compare the variation in care and outcomes between ACS patients with limited English proficiency (LEP) and English proficiency (EP) admitted to Australian and NZ hospitals. Methods: Data were collected from 4387 suspected/confirmed ACS patients from 286 hospitals between May 14 and 27, 2012, who were followed for 18 months. We compared hospital care and outcomes according to the proficiency of English using logistic regressions. Results: The 294 LEP patients were older (70.9 vs 66.3 years; P < .001) and had higher prevalence of hypertension (71.1% vs 62.8%; P = .004), diabetes (40.5% vs 24.3%; P < .001), and renal impairment (16.3% vs 11.1%; P = .007) compared with the 4093 EP patients. Once in hospital, there was no difference in receipt of percutaneous coronary intervention (57.0% vs 55.4%; P = .78) or coronary artery bypass graft surgery (10.5% vs 11.5%; P = .98). After adjustment for medical history, there were no significant differences (P > .05) between the 2 groups in the risk of major adverse cardiovascular events and/or all-cause death during the index admission and fromindex admission to 18months. Conclusions: These results suggest that LEP patients admitted to Australian or New Zealand hospitals with suspected ACS may not experience inequity in hospital care and outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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5. Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare
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Hyun, Karice K, Redfern, Julie, Patel, Anushka, Peiris, David, Brieger, David, Sullivan, David, Harris, Mark, Usherwood, Tim, MacMahon, Stephen, Lyford, Marilyn, and Woodward, Mark
- Abstract
ObjectivesTo quantify contemporary differences in cardiovascular disease (CVD) risk factor assessment and management between women and men in Australian primary healthcare services.MethodsRecords of routinely attending patients were sampled from 60 Australian primary healthcare services in 2012 for the Treatment of Cardiovascular Risk using Electronic Decision Support study. Multivariable logistic regression models were used to compare the rate of CVD risk factor assessment and recommended medication prescriptions, by gender.ResultsOf 53 085 patients, 58% were female. Adjusting for demographic and clinical characteristics, women were less likely to have sufficient risk factors measured for CVD risk assessment (OR (95% CI): 0.88 (0.81 to 0.96)). Among 13 294 patients (47% women) in the CVD/high CVD risk subgroup, the adjusted odds of prescription of guideline-recommended medications were greater for women than men: 1.12 (1.01 to 1.23). However, there was heterogeneity by age (p <0.001), women in the CVD/high CVD risk subgroup aged 35–54 years were less likely to be prescribed the medications (0.63 (0.52 to 0.77)), and women in the CVD/high CVD risk subgroup aged ≥65 years were more likely to be prescribed the medications (1.34 (1.17 to 1.54)) than their male counterparts.ConclusionsWomen attending primary healthcare services in Australia were less likely than men to have risk factors measured and recorded such that absolute CVD risk can be assessed. For those with, or at high risk of, CVD, the prescription of appropriate preventive medications was more frequent in older women, but less frequent in younger women, compared with their male counterparts.Trial registration number12611000478910, Pre-results.
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- 2017
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6. Acute coronary syndrome care across Australia and New Zealand: the SNAPSHOT ACS study.
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Chew, Derek P., French, John, Briffa, Tom G., Hammett, Christopher J., Ellis, Christopher J., Ranasinghe, Isuru, Aliprandi-Costa, Bernadette J., Astley, Carolyn M., Turnbull, Fiona M., Lefkovits, Jeffrey, Redfern, Julie, Carr, Bridie, Gamble, Greg O., Lintern, Karen J., Howell, Tegwen E. J., Parker, Hella, Tavella, Rosanna, Bloomer, Stephen G., Hyun, Karice K., and Brieger, David B.
- Abstract
The article presents a study which aims to qualify acute coronary syndrome (ACS) management in New Zealand and Australia and evaluate the use of recommended treatment. It says that the study involved hospitalised patients with confirmed or suspected ACS, whose records were assessed using logistic regression and descriptive analyses. The study determined variations in the use of ACS evidence base and differing levels of inhospital events.
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- 2013
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7. Co-designing a Lifestyle-Focused Text Message Intervention for Women After Breast Cancer Treatment: Mixed Methods Study.
- Author
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Singleton, Anna, Raeside, Rebecca, Partridge, Stephanie R, Hayes, Molly, Maka, Katherine, Hyun, Karice K, Thiagalingam, Aravinda, Chow, Clara K, Sherman, Kerry A, Elder, Elisabeth, and Redfern, Julie
- Subjects
TEXT messages ,BREAST cancer ,WOMEN'S mental health ,MEDICAL personnel ,DRUG side effects ,CANCER treatment ,WOMEN'S health ,POSTMENOPAUSE ,BREAST tumor treatment ,LIFESTYLES ,RESEARCH ,RESEARCH methodology ,MEDICAL cooperation ,EVALUATION research ,COMPARATIVE studies ,EXERCISE - Abstract
Background: Breast cancer is the most common cancer among women globally. Recovery from breast cancer treatment can be mentally and physically challenging. SMS text message programs offer a novel way to provide health information and support, but few programs are co-designed with consumer representatives.Objective: This study aims to report the procedures and outcomes of a co-design process of a lifestyle-focused SMS text message program to support women's mental and physical health after breast cancer treatment.Methods: We followed an iterative mixed methods two-step process: (1) co-design workshop with consumers and health professionals and researchers to draft text messages and (2) evaluation of message content, which was scored (5-point Likert scale; 1=strongly disagree to 5=strongly agree) for ease of understanding, usefulness, and appropriateness, and readability (Flesch-Kincaid score). Additional free-text responses and semistructured interviews were coded into themes. Messages were edited or deleted based on the evaluations, with consumers' evaluations prioritized.Results: In step 1, co-designed text messages (N=189) were semipersonalized, and the main content themes were (1) physical activity and healthy eating, (2) medications and side effects, (3) mental health, and (4) general breast cancer information. In step 2, consumers (n=14) and health professionals and researchers (n=14) provided 870 reviews of 189 messages and found that most messages were easy to understand (799/870, 91.8%), useful (746/870, 85.7%), and appropriate (732/870, 84.1%). However, consumers rated 50 messages differently from health professionals and researchers. On the basis of evaluations, 37.6% (71/189) of messages were deleted, 36.5% (69/189) were edited, and 12 new messages related to fatigue, self-care, and cognition were created. The final 130 text messages had a mean 7.12 (SD 2.8) Flesch-Kincaid grade level and 68.9 (SD 15.5) ease-of-reading score, which represents standard reading ease.Conclusions: Co-designing and evaluating a bank of evidence-based mental and physical health-themed text messages with breast cancer survivors, health professionals, and researchers was feasible and resulted in a bank of 130 text messages evaluated highly by participants. Some consumer evaluations differed from health professionals and researchers, supporting the importance of co-design. [ABSTRACT FROM AUTHOR]- Published
- 2021
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8. Evidence-based care in a population with chronic kidney disease and acute coronary syndrome. Findings from the Australian Cooperative National Registry of Acute Coronary Care, Guideline Adherence and Clinical Events (CONCORDANCE).
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Lau, Jerrett K., Anastasius, Malcolm O., Hyun, Karice K., Dabin, Bilyana, Coverdale, Steven, Ferry, Cate, Hung, Joseph, Antonis, Paul, Chew, Derek P., Aliprandi-Costa, Bernadette, Cass, Alan, and Brieger, David B.
- Abstract
Background: Acute coronary syndrome (ACS) guidelines recommend that patients with chronic kidney disease (CKD) be offered the same therapies as other high-risk ACS patients with normal renal function. Our objective was to describe the gaps in evidence-based care offered to patients with ACS and concomitant CKD.Methods: Patients presenting to 41 Australian hospitals with suspected ACS were stratified by presence of CKD (glomerular filtration rate <60 mL/min). Receipt of evidence-based care including, coronary angiography (CA), evidence-based discharge medications (EBMs), and cardiac rehabilitation (CR) referral, were compared between patients with and without CKD. Hospital and clinical factors that predicted receipt of care were determined using multilevel multivariable stepwise logistic regression models.Results: Of the 4,778 patients admitted with suspected ACS, 1,227 had CKD. On univariate analyses, patients with CKD were less likely to undergo CA (59.1% vs 85.0%, P < .0001) or receive EBM (69.4% vs 78.7%, P < .0001), or were offered CR (49.5% vs 68.0%, P < .0001). After adjusting for patient characteristics and clustering by hospital, CKD remained an independent predictor of not undergoing CA only (odds ratio 0.48, 95% CI 0.37-0.61). Within the CKD cohort, presenting to a hospital with a catheterization laboratory was the strongest predictor of undergoing CA (odds ratio 3.07, 95% CI 1.91-4.93).Conclusion: The presence of CKD independently predicts failure to undergo CA but not failure to receive EBM or CR, which is predicted by comorbidities. Among the CKD population, performance of CA is largely determined by admission to a catheterization capable hospital. Targeting these patients through standardization of care across institutions offers opportunities to improve outcomes in this high-risk population. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
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