Surgery for rheumatic heart disease in the Northern Territory, Australia, 1997-2016: what have we gained?
James DoranDavid CantyKaren DempseyAlan CassNadarajah KangaharanBo RemenyiGeorgie BrunsdonMalcolm McDonaldClare HealZhiqiang WangColin RoyseAlistair RoyseJacqueline MeinNigel GrayJayme BennettsRobert A BakerMaida StewartSteven SutcliffeBenjamin ReevesUpasna DoranPatricia RankineRichard FejoElisabeth HeenanRipudaman JalotaMarcus IltonRoss Roberts-ThomsonJason KingRosemary WyberJonathan DoranAndrew WebsterJoshua HansonPublished in: BMJ global health (2023)
Survival after valve replacement for RHD in this region of Australia has not improved. Although the patients were young, many had multiple comorbidities, which influenced long-term outcomes. The increasing prevalence of complex comorbidity in the region is a barrier to achieving optimal health outcomes.