Dr Claudia Dobler

Field:

Epidemiology, Respiratory Diseases, Decision Making, Evidence and Procedure

Contact Details

Email:

c.dobler@unsw.edu.au

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Conjoint Senior Lecturer

Dr Claudia Dobler is a respiratory physician who works at Liverpool Hospital, Sydney, and is interested in evidence-based medicine, clinical, health services and epidemiological research with the aim to improve health care for patients with pulmonary diseases. Dr Dobler is currently a visiting research scholar at the Mayo Clinic in Rochester, USA (NHMRC Neil Hamilton Fairley Overseas Fellowship). From 2015 to 2016 she was medical chair of the respiratory network at the New South Wales Agency for Clinical Innovation, which works with clinicians, patients and managers to design and promote better healthcare. Dr Dobler was also an NHMRC TRIP (translating research into practice) fellow 2015-16, based at the Woolcock Institute of Medical Research in Sydney.

Society Memberships & Professional Activities:

Member: International Society for Evidence-Based Health Care, Health Services Research Association of Australia and New Zealand, Thoracic Society of Australia and New Zealand, Asia-Pacific Society for Respirology, European Respiratory Society, American Thoracic Society, Tuberculosis Network European Trialsgroup (TB-NET), International Union against Tuberculosis and Lung Disease,

International links:

Evidence-Based Practice Research Program, Mayo Clinic, Rochester, USA (Prof M. Hassan Murad). Collaboration on projects to improve the evidence-base for the care of patients with pulmonary diseases.
Mayo Clinic Center for Tuberculosis, Rochester, USA (Prof Zelalem Temesgen)
National Tuberculosis Program of Mongolia (Dr O Batbayar). Collaboration on research to improve tuberculosis care and control in Mongolia. An Australian Volunteers for International Development (AVID) position (Australian Government-funded) was approved based on this collaboration in 2014.

Specific Research Keywords:
evidence-based medicine, medical decision making, tuberculosis, pneumonia, COPD, respiratory diseases, health services and policies

Qualifications

MB BS, MD (Basel), PhD (USyd), FRACP

Grants

An integrated approach to improving patient-centred care in chronic obstructive pulmonary disease, NHMRC Neil Hamilton Fairley Overseas Clinical Fellowship, 2017-2020

NSW Early-Mid Career fellowship 2017-2019, Health services and system design. (relinquished in order to take up NHMRC fellowship), 1 of 19 successful applicants out of 277 eligible applications (success rate 6.9%)

Improving evidence-based treatment of latent tuberculosis infection in public-hospital based chest clinics, NHMRC TRIP (translating research into practice) fellowship, 2015-16

Awards

NHMRC Neil Hamilton Fairley Overseas Clinical Fellowship, 2017-20
NSW Early-Mid Career fellowship 2017-19 (relinquished in order to take up NHMRC fellowship)
South Western Sydney Local Health District Post-Doctoral Award, 2016-18
NHMRC TRIP (translating research into practice) fellowship, 2015-16
Evidence Based Medicine Prize, Thoracic Society of Australia and New Zealand, 2014
International Postgraduate Research Scholarship (IPRS), Australian Government, Department of Innovation, Industry, Science and Research (DIISR), 2010-13
International Travel Award, Thoracic Society of Australia and New Zealand, 2007
Best Poster Prize, Sydney South West Area Health Service, 2007

Research

Research activities

Research Interests:
Evidence based medicine, clinical decision making, knowledge translation, improving care for patients with pulmonary diseases, tuberculosis, COPD

Teaching & Supervision

I am available to supervise

Yes

Areas of supervision

PhD projects available from January 2019 onwards in different pulmonary diseases with focus on evidence synthesis and implementation, health care delivery and medical decision making.

Supervision keywords

chronic obstructive pulmonary disease (copd)

clinical decision making

tuberculosis

health services

evidence-based practices

evidence-based medicine

guidelines

knowledge translation

copd

lung diseases

Publications related to this Person

Journal articles

Dobler CC, 2019, 'Shared Decision Making Rarely Happens for Lung Cancer Screening', JAMA Internal Medicine, vol. 179, pp. 122, http://dx.doi.org/10.1001/jamainternmed.2018.6983

Dobler CC, 2019, 'Too much or too little medicine? Overdiagnosis, underdiagnosis, overtreatment and undertreatment in respiratory diseases.', Breathe (Sheff), vol. 15, pp. 2 - 3, http://dx.doi.org/10.1183/20734735.0006-2019

Dobler CC, 2019, 'Overdiagnosis of pulmonary embolism: definition, causes and implications.', Breathe (Sheff), vol. 15, pp. 46 - 53, http://dx.doi.org/10.1183/20734735.0339-2018

Dobler CC; Farah WH; Alsawas M; Mohammed K; Breeher LE; Hassan Murad M; Molella RG, 2018, 'Tuberculin skin test conversions and occupational exposure risk in US healthcare workers', Clinical Infectious Diseases, vol. 66, pp. 706 - 711, http://dx.doi.org/10.1093/cid/cix861

Dobler CC; Morgan RL; Falck-Ytter Y; Montori VM; Murad MH, 2018, 'Assessing the validity of surrogate endpoints in the context of a controversy about the measurement of effectiveness of hepatitis C virus treatment', Evidence-Based Medicine, vol. 23, pp. 50 - 53, http://dx.doi.org/10.1136/bmjebm-2017-110852

Dobler CC; Wilson ME; Murad MH, 2018, 'A pulmonologist's guide to understanding network meta-analysis', European Respiratory Journal, vol. 52, http://dx.doi.org/10.1183/13993003.00525-2018

Dobler CC; Fox GJ; Douglas P; Viney KA; Khan FA; Temesgen Z; Marais BJ, 2018, 'Screening for tuberculosis in migrants and visitors from high-incidence settings: Present and future perspectives', European Respiratory Journal, vol. 52, http://dx.doi.org/10.1183/13993003.00591-2018

Wilson ME; Majzoub AM; Dobler CC; Curtis JR; Nayfeh T; Thorsteinsdottir B; Barwise AK; Tilburt JC; Gajic O; Montori VM, 2018, 'Noninvasive ventilation in patients with do-not-intubate and comfort-measures-only orders: A systematic review and meta-analysis', Critical Care Medicine, vol. 46, pp. 1209 - 1216, http://dx.doi.org/10.1097/CCM.0000000000003082

Dobler CC, 2018, 'The IMPACT of triple versus dual single-inhaler therapy on exacerbations of COPD', Breathe, vol. 14, pp. 333 - 335, http://dx.doi.org/10.1183/20734735.026418

Dobler CC, 2018, 'Breathe: Surgical interventions in pulmonary diseases', Breathe, vol. 14, pp. 262 - 263, http://dx.doi.org/10.1183/20734735.031418

Dobler CC; Morrow AS; Kamath CC, 2018, 'Clinicians' cognitive biases: A potential barrier to implementation of evidence-based clinical practice', BMJ Evidence-Based Medicine, http://dx.doi.org/10.1136/bmjebm-2018-111074

Dobler CC, 2018, 'The IMPACT of triple versus dual single-inhaler therapy on exacerbations of COPD.', Breathe (Sheff), vol. 14, pp. 333 - 335, http://dx.doi.org/10.1183/20734735.026418

Abu Dabrh AM; Hill AT; Dobler CC; Asi N; Farah WH; Haydour Q; Wang Z; Benkhadra K; Prokop LJ; Murad MH, 2018, 'Prevention of exacerbations in patients with stable non-cystic fibrosis bronchiectasis: a systematic review and meta-analysis of pharmacological and non-pharmacological therapies', BMJ evidence-based medicine, vol. 23, pp. 96 - 103, http://dx.doi.org/10.1136/bmjebm-2018-110893

Dobler CC; Harb N; Maguire CA; Armour CL; Coleman C; Murad MH, 2018, 'Treatment burden should be included in clinical practice guidelines', BMJ (Online), vol. 363, http://dx.doi.org/10.1136/bmj.k4065

Kaushik N; Lowbridge C; Scandurra G; Dobler CC, 2018, 'Post-migration follow-up programme for migrants at increased risk of developing tuberculosis: a cohort study.', ERJ Open Res, vol. 4, http://dx.doi.org/10.1183/23120541.00008-2018

Dobler CC; Bosnic-Anticevich S; Armour CL, 2018, 'Physicians' perspectives on communication and decision making in clinical encounters for treatment of latent tuberculosis infection.', ERJ Open Res, vol. 4, http://dx.doi.org/10.1183/23120541.00146-2017

Hakim MA; Garden FL; Jennings MD; Dobler CC, 2018, 'Performance of the LACE index to predict 30-day hospital readmissions in patients with chronic obstructive pulmonary disease', Clinical Epidemiology, vol. 10, pp. 51 - 59, http://dx.doi.org/10.2147/CLEP.S149574

Dobler CC; Murad MH, 2017, 'Interpreting diagnostic tests with continuous results and no gold standard: A common scenario explained using the tuberculin skin test', Evidence-Based Medicine, vol. 22, pp. 199 - 201, http://dx.doi.org/10.1136/ebmed-2017-110825

Dobler CC; Midthun DE; Montori VM, 2017, 'Quality of Shared Decision Making in Lung Cancer Screening: The Right Process, With the Right Partners, at the Right Time and Place', Mayo Clinic Proceedings, vol. 92, pp. 1612 - 1616, http://dx.doi.org/10.1016/j.mayocp.2017.08.010

Dobler CC, 2017, 'Cumulative incidence and incidence rate ratio for estimation of risk of tuberculosis in patients with cancer', Clinical Infectious Diseases, vol. 65, pp. 1423, http://dx.doi.org/10.1093/cid/cix516

Dobler CC; Cheung K; Nguyen J; Martin A, 2017, 'Risk of tuberculosis in patients with solid cancers and haematological malignancies: a systematic review and meta-analysis', The European respiratory journal, vol. 50, http://dx.doi.org/10.1183/13993003.00157-2017

Dobler CC; Spencer-Bonilla G; Gionfriddo MR; Brito JP, 2017, 'Shared Decision Making in Immigrant Patients.', Cureus, vol. 9, pp. e1461, http://dx.doi.org/10.7759/cureus.1461

Dobler CC; West CP; Montori VM, 2017, 'Can Shared Decision Making Improve Physician Well-Being and Reduce Burnout?', Cureus, vol. 9, pp. e1615, http://dx.doi.org/10.7759/cureus.1615

Rendell NL; Bekhbat S; Ganbaatar G; Dorjravdan M; Pai M; Dobler CC, 2017, 'Implementation of the Xpert MTB/RIF assay for tuberculosis in Mongolia: A qualitative exploration of barriers and enablers', PeerJ, vol. 2017, http://dx.doi.org/10.7717/peerj.3567

Harb N; Foster JM; Dobler CC, 2017, 'Patient-perceived treatment burden of chronic obstructive pulmonary disease', International Journal of COPD, vol. 12, pp. 1641 - 1652, http://dx.doi.org/10.2147/COPD.S130353

Fox GJ; Dobler CC; Marais BJ; Denholm JT, 2017, 'Response to: Socio-political prescriptions for latent tuberculosis infection are required to prevent reactivation of tuberculosis', International Journal of Infectious Diseases, vol. 58, pp. 117 - 118, http://dx.doi.org/10.1016/j.ijid.2017.03.004

Chan IHY; Kaushik N; Dobler CC, 2017, 'Post-migration follow-up of migrants identified to be at increased risk of developing tuberculosis at pre-migration screening: a systematic review and meta-analysis', The Lancet Infectious Diseases, vol. 17, pp. 770 - 779, http://dx.doi.org/10.1016/S1473-3099(17)30194-9

Dobler CC, 2017, 'Unwarranted prescription variations for treatment of latent tuberculosis infection', The Lancet Infectious Diseases, vol. 17, pp. 134, http://dx.doi.org/10.1016/S1473-3099(17)30004-X

Fox GJ; Dobler CC; Marais BJ; Denholm JT, 2017, 'Preventive therapy for latent tuberculosis infection—the promise and the challenges', International Journal of Infectious Diseases, vol. 56, pp. 68 - 76, http://dx.doi.org/10.1016/j.ijid.2016.11.006

Dobler CC, 2016, 'Screening strategies for active tuberculosis: Focus on cost-effectiveness', ClinicoEconomics and Outcomes Research, vol. 8, pp. 335 - 347, http://dx.doi.org/10.2147/CEOR.S92244

Dobler CC; Martin A; Marks GB, 2016, 'Benefit of treatment of latent tuberculosis infection in individual patients', The European respiratory journal, vol. 47, pp. 1594 - 1595, http://dx.doi.org/10.1183/13993003.00175-2016

Dobler CC; Chidiac R; Williamson JP; Jelfs PJ, 2016, 'Repeat exposure to active tuberculosis and risk of re-infection', MEDICAL JOURNAL OF AUSTRALIA, vol. 204, pp. 77 - +, http://dx.doi.org/10.5694/mja15.00749

Dobler CC, 2016, 'Biologic agents and tuberculosis', Microbiology Spectrum, vol. 4, http://dx.doi.org/10.1128/microbiolspec.TNMI7-0026-2016

Rendell NL; Batjargal N; Jadambaa N; Dobler CC, 2016, 'Risk of tuberculosis during pregnancy in Mongolia, a high incidence setting with low HIV prevalence', International Journal of Tuberculosis and Lung Disease, vol. 20, pp. 1615 - 1620, http://dx.doi.org/10.5588/ijtld.16.0314

Dobler CC, 2016, 'Defragmenting health care for patients with chronic obstructive pulmonary disease', Australasian Medical Journal, vol. 9, pp. 185 - 188, http://dx.doi.org/10.4066/AMJ.2016.2649

Pathak V; Harrington Z; Dobler CC, 2016, 'Attitudes towards preventive tuberculosis treatment among hospital staff', PeerJ, vol. 2016, http://dx.doi.org/10.7717/peerj.1738

Dobler CC; Chidiac R; Williamson JP; Jelfs PJ, 2016, 'Repeat exposure to active tuberculosis and risk of re-infection', Medical Journal of Australia, vol. 204, pp. 77 - 78.e1, http://dx.doi.org/10.5694/mja15.00749

Wright CM; Westerkamp L; Korver S; Dobler CC, 2015, 'Community-based directly observed therapy (DOT) versus clinic DOT for tuberculosis: A systematic review and meta-analysis of comparative effectiveness', BMC Infectious Diseases, vol. 15, http://dx.doi.org/10.1186/s12879-015-0945-5

Dobler CC; Martin A; Marks GB, 2015, 'Benefit of treatment of latent tuberculosis infection in individual patients', EUROPEAN RESPIRATORY JOURNAL, vol. 46, pp. 1397 - 1406, http://dx.doi.org/10.1183/13993003.00577-2015

Dobler CC; Martin A; Marks GB, 2015, 'Benefit of treatment of latent tuberculosis infection in individual patients', European Respiratory Journal, vol. 46, pp. 1397 - 1406, http://dx.doi.org/10.1183/13993003.00577-2015

Khandkar C; Harrington Z; Jelfs PJ; Sintchenko V; Dobler CC, 2015, 'Epidemiology of peripheral lymph node tuberculosis and genotyping of M. tuberculosis strains: A case-control study', PLoS ONE, vol. 10, http://dx.doi.org/10.1371/journal.pone.0132400

Dobler CC; Korver S; Batbayar O; Nyamdulam B; Oyuntsetseg S; Tsolmon B; Surmaajav B; Bayarjargal B; Marais BJ, 2015, 'Multidrug-resistant tuberculosis in patients for whom first-line treatment failed, Mongolia, 2010–2011', Emerging Infectious Diseases, vol. 21, pp. 1451 - 1454, http://dx.doi.org/10.3201/eid2108.141860

Dobler CC; Korver S; Batbayar O; Oyuntsetseg S; Tsolmon B; Wright C; Solongo B; Marais BJ, 2015, 'Success of community-based directly observed anti-tuberculosis treatment in Mongolia', International Journal of Tuberculosis and Lung Disease, vol. 19, pp. 657 - 662, http://dx.doi.org/10.5588/ijtld.14.0927

Dobler CC, 2015, 'Biological agents and tuberculosis: Risk estimates and screening strategies', International Journal of Rheumatic Diseases, vol. 18, pp. 264 - 267, http://dx.doi.org/10.1111/1756-185X.12672

Dobler CC, 2013, 'What do we know about the outcomes of tuberculosis contact investigations in NSW?', New South Wales public health bulletin, vol. 24, pp. 34 - 37, http://dx.doi.org/10.1071/NB12099

Dobler CC, 2013, 'Challenges in the use of tests to diagnose tuberculosis infection', New South Wales public health bulletin, vol. 24, pp. 93, http://dx.doi.org/10.1071/NB13012c

Dobler CC; Marks GB, 2013, 'Correction: Completion of Treatment for Latent Tuberculosis Infection with Monthly Drug Dispensation Directly through the Tuberculosis Clinic.', PLoS One, vol. 8, http://dx.doi.org/10.1371/annotation/4498fd07-acae-49bb-abf2-d2e914a249d0

Dobler CC; Luu Q; Marks GB, 2013, 'What patient factors predict physicians' decision not to treat latent tuberculosis infection in tuberculosis contacts?', PLoS One, vol. 8, pp. e76552, http://dx.doi.org/10.1371/journal.pone.0076552

Dobler CC; Waterer G, 2013, 'Healthcare-associated pneumonia: A US disease or relevant to the Asia Pacific, too?', Respirology, vol. 18, pp. 923 - 932, http://dx.doi.org/10.1111/resp.12132

Dobler CC; Marks GB, 2013, 'Risk of tuberculosis among contacts in a low-incidence setting', European Respiratory Journal, vol. 41, pp. 1459 - 1461, http://dx.doi.org/10.1183/09031936.00183812

Dobler CC; Flack JR; Marks GB, 2012, 'Risk of tuberculosis among people with diabetes mellitus: An Australian nationwide cohort study', BMJ Open, vol. 2, http://dx.doi.org/10.1136/bmjopen-2011-000666

Dobler CC; Marks GB, 2012, 'Completion of Treatment for Latent Tuberculosis Infection with Monthly Drug Dispensation Directly through the Tuberculosis Clinic', PLoS ONE, vol. 7, http://dx.doi.org/10.1371/journal.pone.0048900

Fox GJ; Dobler CC; Marks GB, 2011, 'Active case finding in contacts of people with tuberculosis.', Cochrane database of systematic reviews (Online), vol. 9

Dobler CC; McDonald SP; Marks GB, 2011, 'Risk of tuberculosis in dialysis patients: A nationwide cohort study', PLoS ONE, vol. 6, http://dx.doi.org/10.1371/journal.pone.0029563

Dobler CC; Marks GB, 2010, 'Medical Decision Making at the Individual Patient Level', ARCHIVES OF INTERNAL MEDICINE, vol. 170, pp. 1275 - 1275, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000280347400020&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a

Dobler CC; Marks GB, 2010, 'Medical decision making at the individual patient level', Archives of Internal Medicine, vol. 170, pp. 1275, http://dx.doi.org/10.1001/archinternmed.2010.241

Dobler CC; Crawford ABH, 2009, 'Bronchoscopic diagnosis of endoscopically visible lung malignancies: should cytologic examinations be performed routinely?', Intern Med J, http://dx.doi.org/10.1111/j.1445-5994.2009.01882.x

Dobler CC; Crawford ABH; Jelfs PJ; Gilbert GL; Marks GB, 2009, 'Recurrence of tuberculosis in a low-incidence setting', European Respiratory Journal, vol. 33, pp. 160 - 167, http://dx.doi.org/10.1183/09031936.00104108

Dobler CC; Crawford ABH, 2009, 'Bronchoscopic diagnosis of endoscopically visible lung malignancies: Should cytological examinations be carried out routinely?', Internal Medicine Journal, vol. 39, pp. 806 - 811, http://dx.doi.org/10.1111/j.1445-5994.2008.01882.x

Dobler CC; Wong KK; Marks GB, 2009, 'Associations between statins and COPD: A systematic review', BMC Pulmonary Medicine, vol. 9, http://dx.doi.org/10.1186/1471-2466-9-32

Dobler CC; Marks GB; Simpson SE; Crawford ABH, 2008, 'Recurrence of tuberculosis at a Sydney chest clinic between 1994 and 2006: Reactivation or reinfection?', Medical Journal of Australia, vol. 188, pp. 153 - 155

Zimmerli L; Dobler C; Aschwanden M, 2002, 'Repetitive painful bluish discoloration of the fingers and palms: A 56-year-old housewife', Praxis, vol. 91, pp. 1664 - 1666, http://dx.doi.org/10.1024/0369-8394.91.40.1664

Conference Abstracts

Harb N; Foster JM; Dobler CC, 2017, 'TREATMENT BURDEN IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE', in RESPIROLOGY, WILEY, Vol. 22, pp. 129 - 129, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000396791000237&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a

Dobler CC; Luu Q; Marks GB, 2013, 'WHAT PATIENT FACTORS PREDICT PHYSICIANS' RELUCTANCE TO TREAT LATENT TUBERCULOSIS INFECTION IN TB CONTACTS?', in RESPIROLOGY, WILEY-BLACKWELL, Vol. 18, pp. 33 - 33, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000315589700120&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a

Dobler CC; Marks GB, 2012, 'TUBERCULOSIS CONTACT INVESTIGATIONS IN NSW', in RESPIROLOGY, WILEY-BLACKWELL, Vol. 17, pp. 17 - 17, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000301120800057&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a

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