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Ayer — Octubre 2nd 2025Tus fuentes RSS

Australian research priorities for inherited retinal diseases: a James Lind Alliance priority setting partnership

Por: Robertson · E. G. · Hetherington · K. · Prain · M. · Ma · A. · Ayton · L. N. · Jamieson · R. V. · Shepard · E. · Boyd · L. · Hall · J. · Boyd · R. · Karandrews · S. · Feller · H. · Simunovic · M. P. · Grigg · J. R. · Yamamoto · K. · Wakefield · C. E. · Gonzalez-Cordero · A.
Objectives

Inherited retinal diseases (IRDs) are a broad range of diseases associated with abnormalities/degeneration of retinal cells. We aimed to identify the top 10 Australian research priorities for IRDs to ultimately facilitate more meaningful and potentially cost-effective research.

Design

We conducted a James Lind Alliance priority setting partnership that involved two Australian-wide surveys and online workshops.

Setting

Australia-wide.

Participants

Individuals aged 16 years or older were eligible to participate if they had an IRD, were caregivers of an individual with an IRD or were health professionals providing care to this community.

Outcome measure

In Survey 1, we gathered participants’ unanswered questions about IRDs. We grouped these into summary questions and undertook a literature review to verify if they were truly unanswered (ie, evidence uncertainties). In Survey 2, participants voted for the uncertainties that they considered a priority. Top-ranked uncertainties progressed for discussion and final prioritisation in two workshops.

Results

In Survey 1, we collected 223 questions from 69 participants. We grouped these into 42 summary questions and confirmed 41 as evidence uncertainties. In Survey 2, 151 participants voted, with the 16 uncertainties progressing to final prioritisation. The top 10 priorities, set by the 24 workshop participants, represented (1) treatment/cure; (2) symptoms and disease progression; (3) psychosocial well-being and (4) health service delivery. The #1 priority was for treatment to prevent, slow down or stop vision loss, followed by the #2 priority to address the psychological impact of having an IRD.

Conclusion

The top 10 research priorities highlight the need for IRD research that takes a whole-person, systems approach. Collaborations to progress priorities will accelerate the translation of research into real-world benefits.

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Development of Order Sets to Improve the Rate of Obesity Counseling by Healthcare Providers in a Women’s Health Clinic

imageObesity is health epidemic associated with health conditions specific to women’s health. Healthcare providers must identify and develop a follow-up plan for patients with a body mass index of greater than 30 kg/m2 to meet the Merit-Based Incentive Payment System Quality Program rate for body mass index screening and follow-up. Barriers to addressing obesity in this population by healthcare providers include time available for counseling and knowledge about appropriate diagnosis and treatment options. This is a quality improvement project that implements a clinical template within an existing electronic health record platform that includes a treatment order set and prepopulated counseling prompts to improve the rate of which healthcare providers address obesity within the women’s health clinic. After 12 weeks, 27 patients started a weight management plan, and the Merit-Based Incentive Payment System rate increased from 59% to 67%. Implementation of order set templates into electronic health record platforms with counseling guidance provides a framework for providers to develop a plan to address obesity to meet their patient’s health goals and reduce health disparities related to obesity in women.
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