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Your search keyword '"Khong, T Yee"' showing total 13 results
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13 results on '"Khong, T Yee"'

1. Healthcare costs of investigations for stillbirth from a population-based study in Australia

Author

Gordon, Louisa G., Elliott, Thomas M., Marsden, Tania, Ellwood, David A., Khong, T. Yee, Sexton, Jessica, Flenady, Vicki, Gordon, Louisa G., Elliott, Thomas M., Marsden, Tania, Ellwood, David A., Khong, T. Yee, Sexton, Jessica, and Flenady, Vicki

Abstract

Objective: Stillbirth investigations incur healthcare costs, but these investigations are necessary to provide information that will help reduce the risk of a recurrent stillbirth, as well as advice regarding family planning and future pregnancies. The aims of this study were to determine the healthcare costs of investigations for stillbirths, identify drivers and assess cost differences between explained and unexplained stillbirths. Methods: Data from 697 stillbirths were extracted from the Stillbirth Causes Study covering the period 2013-18. The dataset comprised all investigations related to stillbirth on the mother, baby and placenta. Unit costs applied were sourced from the Australian Medicare Benefits Schedule, local hospital estimates and published literature. Multivariable regression analyses were used to assess key factors in cost estimates. Results: In all, 200 (28.7%) stillbirths were unexplained and 76.8% of these had between five and eight core investigations. Unexplained stillbirths were twice as likely to have eight core investigations as explained stillbirths (16.5% vs 7.7%). The estimated aggregated cost of stillbirth investigations for 697 stillbirths was A$2.13 million (mean A$3060, median A$4246). The main cost drivers were autopsies or cytogenetic screening. Mean costs were similar when stillbirths had known or unknown causes and by reason for stillbirth among cases with definable causes. Conclusion: Investigations for stillbirth in Australia cost approximately A$4200 per stillbirth on average and are critical for managing future pregnancies and preventing more stillbirths. These findings improve our understanding of the costs that may be averted if stillbirths can be prevented through primary prevention initiatives. What is known about the topic?: Approximately 2000 stillbirths occur each year in Australia, and this trend has not changed for several decades. Stillbirth investigations incur healthcare costs, but these investigations are neces

Published
2021

2. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

3. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

4. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

5. Umbilical Cord Coiling

Author

Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, Cesar Peres, Luiz, Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, and Cesar Peres, Luiz

Published
2019

6. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

7. Umbilical Cord Coiling

Author

Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, Cesar Peres, Luiz, Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, and Cesar Peres, Luiz

Published
2019

8. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

9. Umbilical Cord Coiling

Author

Pathologie Pathologen staf, Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, Cesar Peres, Luiz, Pathologie Pathologen staf, Khong, T. Yee, Mooney, Eoghen E., Nikkels, Peter G. J., Morgan, Terry K., Gordijn, Sanne J., Nikkels, PGJ, and Cesar Peres, Luiz

Published
2019

10. Pathology of the placenta: a practical guide

Author

Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, Gordijn, Sanne J., editor, Khong, T. Yee, editor, Mooney, Eoghan E., editor, Nikkels, Peter G. J., editor, Morgan, Terry K., editor, and Gordijn, Sanne J., editor

Published
2019

11. Stillbirths : recall to action in high-income countries

Author

Flenady, Vicki, Wojcieszek, Aleena M., Middleton, Philippa, Ellwood, David, Jaap Erwich, Jan, Coory, Michael, Khong, T Yee, Silver, Robert M., Smith, Gordon C. S., Boyle, Frances M., Law, Joy E., Blencowe, Hannah, Hopkins Leisher, Susannah, Gross, Mechthild Maria, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J., Joseph, K. S., Zeitlin, Jennifer, Reinebrant, Hanna E., Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E. P., Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J. Frederik, Goldenberg, Robert L., Flenady, Vicki, Wojcieszek, Aleena M., Middleton, Philippa, Ellwood, David, Jaap Erwich, Jan, Coory, Michael, Khong, T Yee, Silver, Robert M., Smith, Gordon C. S., Boyle, Frances M., Law, Joy E., Blencowe, Hannah, Hopkins Leisher, Susannah, Gross, Mechthild Maria, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J., Joseph, K. S., Zeitlin, Jennifer, Reinebrant, Hanna E., Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E. P., Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J. Frederik, and Goldenberg, Robert L.

Abstract

Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20–30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

Published
2018

12. Stillbirths : recall to action in high-income countries

Author

Flenady, Vicki, Wojcieszek, Aleena M., Middleton, Philippa, Ellwood, David, Jaap Erwich, Jan, Coory, Michael, Khong, T Yee, Silver, Robert M., Smith, Gordon C. S., Boyle, Frances M., Law, Joy E., Blencowe, Hannah, Hopkins Leisher, Susannah, Gross, Mechthild Maria, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J., Joseph, K. S., Zeitlin, Jennifer, Reinebrant, Hanna E., Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E. P., Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J. Frederik, Goldenberg, Robert L., Flenady, Vicki, Wojcieszek, Aleena M., Middleton, Philippa, Ellwood, David, Jaap Erwich, Jan, Coory, Michael, Khong, T Yee, Silver, Robert M., Smith, Gordon C. S., Boyle, Frances M., Law, Joy E., Blencowe, Hannah, Hopkins Leisher, Susannah, Gross, Mechthild Maria, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J., Joseph, K. S., Zeitlin, Jennifer, Reinebrant, Hanna E., Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E. P., Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J. Frederik, and Goldenberg, Robert L.

Abstract

Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20–30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

Published
2018

13. Stillbirths : recall to action in high-income countries.

Author

Flenady, Vicki, Wojcieszek, Aleena M, Middleton, Philippa, Ellwood, David, Erwich, Jan Jaap, Coory, Michael, Khong, T Yee, Silver, Robert M, Smith, Gordon C S, Boyle, Frances M, Lawn, Joy E, Blencowe, Hannah, Leisher, Susannah Hopkins, Gross, Mechthild M, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J, Joseph, K S, Zeitlin, Jennifer, Reinebrant, Hanna E, Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E P, Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J Frederik, Goldenberg, Robert L, Flenady, Vicki, Wojcieszek, Aleena M, Middleton, Philippa, Ellwood, David, Erwich, Jan Jaap, Coory, Michael, Khong, T Yee, Silver, Robert M, Smith, Gordon C S, Boyle, Frances M, Lawn, Joy E, Blencowe, Hannah, Leisher, Susannah Hopkins, Gross, Mechthild M, Horey, Dell, Farrales, Lynn, Bloomfield, Frank, McCowan, Lesley, Brown, Stephanie J, Joseph, K S, Zeitlin, Jennifer, Reinebrant, Hanna E, Ravaldi, Claudia, Vannacci, Alfredo, Cassidy, Jillian, Cassidy, Paul, Farquhar, Cindy, Wallace, Euan, Siassakos, Dimitrios, Heazell, Alexander E P, Storey, Claire, Sadler, Lynn, Petersen, Scott, Frøen, J Frederik, and Goldenberg, Robert L

Abstract

Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19,439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities., Ingela Rådestad ingår i Lancet Stillbirths in High-Income Countries Investigator Group.

Published
2016
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