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Issue

Vol 123 No 1325: 05 November 2010

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Issue Summary

SUMMARY

Pathology referrals for skin lesions—are we giving the pathologist sufficient clinical information?

Marius Rademaker, Murray Thorburn

This audit shows that in over a third of histology requests, important clinical information was not included. Sixty percent of confirmed malignant lesions had not been identified on the request form as being malignant, including 87% of melanomas, 55% of basal cell carcinomas (BCCs) and 43% of squamous cell carcinomas (SCCs). The specimen was inadequate to make a diagnosis in 6.7% of cases. Finally, 40% of lesions suspected of being a melanoma were sampled by punch biopsy, which is considered suboptimal. Clearly there is room for improvement.

SUMMARY

Predictors of physical activity and quality of life in New Zealand prostate cancer survivors undergoing androgen-deprivation therapy

Justin W L Keogh, Daniel Shepherd, Christian U Kr 00e4geloh, Clare Ryan, Jonathan Masters, Greg Shepherd, Rod MacLeod

Men with prostate cancer had lower levels of quality of life than those without the cancer. Although less than 50% of the cancer survivors were categorised as physically active, those who were active had greater quality of life than those who were less active. Increased levels of physical activity may therefore help increase the cancer survivors quality of life; and this may be achieved by focusing on the survivors attitudes to exercise as well as the extent to which they believe they control their exercise behaviour.

SUMMARY

Robot-assisted laparoscopic prostatectomy: a 2010 update

James B Duthie, Joanna E Pickford, Peter J Gilling

RALP is a technique which has replaced Open Prostatectomy in most major institutions in the US and Europe. The learning curve is short for skilled open surgeons and satisfactory outcomes can be achieved after a relatively small number of cases. This procedure has been successfully introduced into Australasia in recent times with results which are similar to large international series.

SUMMARY

Immunohistochemical testing for colon cancer—what do New Zealand surgeons know?

Simon J Harper, Alison R McEwen, Elizabeth R Dennett

8-12% of colorectal cancers are associated with genetic syndromes, i.e. are hereditary. The most common of these is Lynch Syndrome for which there are clinical criteria (Bethesda) that can be used to identify colorectal cancer patients who may have this syndrome. If identified testing can be undertaken to confirm the diagnosis. A pathologist who screens the cancer specimens with special stains initially undertakes the testing. Treating surgeons need to know these clinical criteria in order to request appropriate testing from pathologists. The aim of this study was to assess the knowledge of New Zealand surgeons about the Bethesda criteria.

SUMMARY

A comparative analysis of cardiovascular disease risk profiles of five Pacific ethnic groups assessed in New Zealand primary care practice: PREDICT CVD-13

Corina Grey, Sue Wells, Tania Riddell, Romana Pylypchuk, Roger Marshall, Paul Drury, Raina Elley, Shanthi Ameratunga, Dudley Gentles, Stephanie Erick-Peleti, Fionna Bell, Andrew Kerr, Rod Jackson

Few studies have compared the cardiovascular risk factor profiles of different Pacific ethnic groups in New Zealand. The PREDICT study is the largest to date measuring cardiovascular disease risk factors in Pacific peoples (11,642 aged 35-74 years). We found differences in various cardiovascular disease risk factors, including smoking, cholesterol and blood pressure levels, between five Pacific ethnic groups (Samoan, Tongan, Cook Island Maori, Niuean or Other Pacific). Despite these differences in individual risk factors, the estimated risk of experiencing a cardiovascular event varied very little between Pacific groups.

ALL ARTICLES
SUMMARY

Isolated melanoma metastasis to stomach with possible regressed primary lesion: the importance of pursuing solitary melanoma metastases

James D McKay, Alf Deacon

Melvin Athol Brieseman

Pathology referrals for skin lesions—are we giving the pathologist sufficient clinical information?

Marius Rademaker, Murray Thorburn

BCG sepsis following inadvertent intravenous BCG administration for the treatment of bladder cancer can be effectively cured with anti-tuberculosis medications

Ziya Akbulut, Abdullah E Canda, Ali F Atmaca, Haci I Cimen, Canan Hasanoglu, Mevlana D Balbay

BCG and bladder cancer

Peter J Gilling

Graham Collingwood (Mont) Liggins

Sugar consumption in New Zealand—with Thornley and McRobbie response

Winsome Parnell, Jane Dodd, Donnell Alexander

Pelvic floor exercises

David H B Speary

Predictors of physical activity and quality of life in New Zealand prostate cancer survivors undergoing androgen-deprivation therapy

Justin W L Keogh, Daniel Shepherd, Christian U Kr 00e4geloh, Clare Ryan, Jonathan Masters, Greg Shepherd, Rod MacLeod

Medical image. Varicella-zoster virus pneumonia

Hsi-Che Shen, Tsu-Tuan Wu, Sheng-Hsiang Lin

Ultrasound-guided nerve blocks are costly

Geoffrey Horne

Robot-assisted laparoscopic prostatectomy: a 2010 update

James B Duthie, Joanna E Pickford, Peter J Gilling

Screening for diabetes during and after an acute myocardial infarction: when and how?

Lakshminarayanan Varadhan, David Barton

Immunohistochemical testing for colon cancer—what do New Zealand surgeons know?

Simon J Harper, Alison R McEwen, Elizabeth R Dennett

Obituary: Thomas Hocken

Changes to the eligibility to bill on Medicare in Australia: a threat to New Zealand’s medical workforce?

Katie Elkin

A case of a testosterone-secreting oncocytic adrenocortical carcinoma

Munanga Mwandila, Hayley Waller, Victoria Stott, Philippa Mercer

Non-melanoma skin cancers in New Zealand—a neglected problem

Nicholas D L Brougham, Elizabeth R Dennett, Swee T Tan

Managing the skin cancer surge

Jeremy W Simcock

Sample, send, screen, survive—simple. Rotary Club-subsidised community trial points way to simple screen for bowel cancer risk

Derek Anderson, Frik de Beer

A comparative analysis of cardiovascular disease risk profiles of five Pacific ethnic groups assessed in New Zealand primary care practice: PREDICT CVD-13

Corina Grey, Sue Wells, Tania Riddell, Romana Pylypchuk, Roger Marshall, Paul Drury, Raina Elley, Shanthi Ameratunga, Dudley Gentles, Stephanie Erick-Peleti, Fionna Bell, Andrew Kerr, Rod Jackson

Proceedings of the Waikato Clinical School Biannual Research Seminar, Wednesday 13 October 2010

SUMMARY

Pathology referrals for skin lesions—are we giving the pathologist sufficient clinical information?

Marius Rademaker, Murray Thorburn

This audit shows that in over a third of histology requests, important clinical information was not included. Sixty percent of confirmed malignant lesions had not been identified on the request form as being malignant, including 87% of melanomas, 55% of basal cell carcinomas (BCCs) and 43% of squamous cell carcinomas (SCCs). The specimen was inadequate to make a diagnosis in 6.7% of cases. Finally, 40% of lesions suspected of being a melanoma were sampled by punch biopsy, which is considered suboptimal. Clearly there is room for improvement.

SUMMARY

Predictors of physical activity and quality of life in New Zealand prostate cancer survivors undergoing androgen-deprivation therapy

Justin W L Keogh, Daniel Shepherd, Christian U Kr 00e4geloh, Clare Ryan, Jonathan Masters, Greg Shepherd, Rod MacLeod

Men with prostate cancer had lower levels of quality of life than those without the cancer. Although less than 50% of the cancer survivors were categorised as physically active, those who were active had greater quality of life than those who were less active. Increased levels of physical activity may therefore help increase the cancer survivors quality of life; and this may be achieved by focusing on the survivors attitudes to exercise as well as the extent to which they believe they control their exercise behaviour.

SUMMARY

Robot-assisted laparoscopic prostatectomy: a 2010 update

James B Duthie, Joanna E Pickford, Peter J Gilling

RALP is a technique which has replaced Open Prostatectomy in most major institutions in the US and Europe. The learning curve is short for skilled open surgeons and satisfactory outcomes can be achieved after a relatively small number of cases. This procedure has been successfully introduced into Australasia in recent times with results which are similar to large international series.

SUMMARY

Immunohistochemical testing for colon cancer—what do New Zealand surgeons know?

Simon J Harper, Alison R McEwen, Elizabeth R Dennett

8-12% of colorectal cancers are associated with genetic syndromes, i.e. are hereditary. The most common of these is Lynch Syndrome for which there are clinical criteria (Bethesda) that can be used to identify colorectal cancer patients who may have this syndrome. If identified testing can be undertaken to confirm the diagnosis. A pathologist who screens the cancer specimens with special stains initially undertakes the testing. Treating surgeons need to know these clinical criteria in order to request appropriate testing from pathologists. The aim of this study was to assess the knowledge of New Zealand surgeons about the Bethesda criteria.

SUMMARY

A comparative analysis of cardiovascular disease risk profiles of five Pacific ethnic groups assessed in New Zealand primary care practice: PREDICT CVD-13

Corina Grey, Sue Wells, Tania Riddell, Romana Pylypchuk, Roger Marshall, Paul Drury, Raina Elley, Shanthi Ameratunga, Dudley Gentles, Stephanie Erick-Peleti, Fionna Bell, Andrew Kerr, Rod Jackson

Few studies have compared the cardiovascular risk factor profiles of different Pacific ethnic groups in New Zealand. The PREDICT study is the largest to date measuring cardiovascular disease risk factors in Pacific peoples (11,642 aged 35-74 years). We found differences in various cardiovascular disease risk factors, including smoking, cholesterol and blood pressure levels, between five Pacific ethnic groups (Samoan, Tongan, Cook Island Maori, Niuean or Other Pacific). Despite these differences in individual risk factors, the estimated risk of experiencing a cardiovascular event varied very little between Pacific groups.

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