Abstract:
BACKGROUND:There is little research and no clear guidelines for clinicians to follow when instructing patients with advanced disease about driving. AIMS:To investigate current practice in providing advice to patients with advanced disease and identify areas of consensus or variation with the Australian driving guidelines. METHODS:An online survey was distributed to Australian members of the Australian and New Zealand Society of Palliative Medicine. Responses were analysed using descriptive statistics. RESULTS:The survey was distributed to 322 Australian and New Zealand Society of Palliative Medicine members and received 92 responses (29% response rate). Most respondents were aware of the driving guidelines (76%) and about half of the respondents had read the driving guidelines (55%). The majority of respondents had been asked to provide advice about driving to their patient or patient's caregiver (91%). Most respondents had asked a patient to stop driving (94%), but only 27% had reported a patient to the Driver Licensing Authority. Only 14% of respondents were in consensus with the guidelines in providing driving advice to a patient with asymptomatic brain metastases. Most doctors (64%) advise patients to refrain temporarily from driving post-short-acting oral morphine, with 4 h (36%) being the most common time period for not driving. CONCLUSIONS:This is the first survey investigating the practice of Australian doctors in assessing fitness to drive of patients with advanced disease. The survey found wide variability in practice and substantial discordance with current driving guidelines.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Weir N,Fischer A,Good Pdoi
10.1111/imj.13571subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1161-1165issue
10eissn
1444-0903issn
1445-5994journal_volume
47pub_type
杂志文章abstract:BACKGROUND:The Northern Territory (NT) has a long history of heavy alcohol consumption with a correspondingly high attributable morbidity and mortality. AIMS:We aimed to describe the number of admissions to Intensive Care associated with alcohol misuse. METHODS:Prospective case-control study including all admissions ...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.15212
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:Type 2 diabetes (T2D) in young adults is associated with a high risk of diabetes complications. AIMS:To investigated the demography and the emergence of complications of young adults with T2D in the central Auckland region where there has been substantial immigration. METHODS:In total, 310 young adults wit...
journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.14994
更新日期:2020-07-20 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2009.01699.x
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Clopidogrel is an antiplatelet drug increasingly used in the secondary prevention of atherosclerotic vascular events. Compared with aspirin, clopidogrel has marginal additional efficacy and similar safety, but carries a substantial price premium. It remains unclear whether its use is cost-effective. AIMS:(i...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2004.00697.x
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:There is a high risk of developing venous thromboembolism (VTE) following total knee arthroplasty (TKA). Conventional thromboprophylactic agents have limitations, such as route of administration, the need for monitoring, narrow therapeutic windows and interactions. Apixaban is a new oral anticoagulant with t...
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更新日期:2016-09-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,meta分析
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2019-11-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2011.02432.x
更新日期:2012-03-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.12481
更新日期:2014-08-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-04-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2009.02043.x
更新日期:2010-10-01 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2020-01-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,评审
doi:10.1046/j.1445-5994.2001.00067.x
更新日期:2001-07-01 00:00:00
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pub_type: 历史文章,杂志文章
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更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Smartphones have become novel healthcare tools for patients with diabetes. However, it is uncertain whether the smartphone application support system helps in glycaemic control in patients with type 2 diabetes. AIMS:To evaluate the efficacy and plausibility of smartphone-based integrated online real-time di...
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pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
abstract::Many publications have highlighted a lack of practical competencies in recently qualified interns. Consultation between the University of Queensland and the Medical Education Unit at Redcliffe Hospital identified key areas where intervention could lead to greater work readiness, and the development of a complementary ...
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pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/imj.15071
更新日期:2020-09-25 00:00:00
abstract::The Australian National Chronic Obstructive Pulmonary Disease (COPD) guidelines recommend that inhaled corticosteroids (ICS) be reserved for patients with a post-bronchodilator forced expiratory volume in 1 s (FEV1 ) less than 50% predicted and those who experience ≥2 exacerbations in 12 months. In total, 707 COPD pat...
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pub_type: 杂志文章
doi:10.1111/imj.13611
更新日期:2017-11-01 00:00:00
abstract::Autologous stem cell transplantation (ASCT) has a well-established role in the treatment of haematological malignancies. Stem cells are commonly collected following salvage chemotherapy although there may be advantages in collecting earlier in the disease course. A 'rainy day' harvest (RDH) refers to the collection of...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2008.01632.x
更新日期:2008-04-01 00:00:00
abstract::Here we report the case of a 69-year-old Chinese Han woman who presented with liver cirrhosis, diabetes mellitus, skin hyperpigmentation, hyperferritinaemia and high transferrin saturation. Subsequent genetic analyses identified a novel heterozygous mutation (p.Cys326Phe) in the SLC40A1 gene. This is the first report ...
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/imj.13632
更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1111/imj.12566
更新日期:2015-04-01 00:00:00