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(Brisbane & Adelaide) (previously the SMACC Unit) |
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4 — th Floor AMP Place, 10 Eagle St Brisbane Qld 4000. |
2 — nd Floor Blackburn House, 199 Grenfell St Adelaide SA 5000. |
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Facsimile: 07 3223 8722. |
Facsimile: 08 8290 0412 |
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Maureen Anderson |
08 8290 0365 |
(Manager) |
Dr Jon Kelley |
07 3223 8412 |
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Duncan Cape |
07 3223 8757 |
Sue Lee |
08 8290 0227 |
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Gaynor Cavanagh |
07 3223 8331 |
Bernadette McCabe |
07 3223 8393 |
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Dr Bev Grehan |
07 3223 8376 |
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SOP BULLETIN # 28 |
4 November 1999
THE FOLLOWING SOPS ARE TO BE GAZETTED ON 10 NOVEMBER 1999
New SOPs |
Cluster headache Secondary Parkinsonism Malignant neoplasm of the eye |
Revocations & Replacements |
Migraine Tension-type headache (replaces tension headache) Parkinson's disease (replaces Parkinson's disease and Parkinson's syndrome) Myeloma (replaces multiple myeloma) Polycythaemia vera Diabetes mellitus Non-Hodgkin's lymphoma |
Amendments |
Nil |
IMPORTANT OPERATIONAL FEATURES
Cluster headache syndrome |
New – 66 & 67 of 1999 |
Migraine |
Revocation - 74 & 75 of 1999 |
Tension-type headache |
Revocation - 76 & 77 of 1999 |
These SOPs have resulted from a formal investigation into whether head or neck trauma is causal for headaches.
The RMA has decided that head or neck trauma is not a cause of migraine or tension-type headache. Cluster headache syndrome does include a head trauma factor. For SOP purposes “post-traumatic headache” is not a separate entity. Claims for “post-traumatic headache” should be determined under one of the above three SOPs, depending on the clinical presentation. The exception is if the headaches are due to a demonstrable structural abnormality (eg. subdural haematoma), in which case that abnormality should be diagnosed. The diagnostic protocols will provide full details.
Note that for tension-type headache to be diagnosed there must be at least 5 headaches/month on average. Headaches occurring at a lower frequency should be regarded as not a disease (N.I.F.).
Parkinson's disease |
Revocation – 68 & 69 of 1999 |
Secondary Parkinsonism |
New - 70 &n 71 of 1999 |
These SOPs have resulted from a formal investigation into whether carbon tetrachloride or head trauma is causal (outcome - no).
The previous Parkinson's disease and Parkinson's syndrome SOP has been split in two. The Parkinson's syndrome part is now called secondary Parkinsonism.
In the Secondary Parkinsonism SOP there is a new factor for encephalitis and some of the time periods in the factors have been standardised.
New diagnostic protocols (DPs) advising what to do if you cannot establish whether the diagnosis is Parkinson's disease or secondary Parkinsonism, should be available on CCPS Research (hopefully) about a week after SOP gazettal. In the mean time the gist of the existing DP should be followed.
Malignant neoplasm of the eye |
New – 64 & 65 of 1999 |
The definition in this SOP contains a range of exclusions, requiring care with the diagnosis to ensure that the SOP applies.
Myeloma |
Revocation – 72 & 73 of 1999 |
This SOP has been revised following a formal investigation into whether benzene is causal (it was found not to be).
The SOP has been extended to cover plasma cell leukaemia and solitary plasmacytoma and has hence been renamed (previously multiple myeloma).
The herbicide/Vietnam factors have been updated as per other recent SOPs with these factors.
Polycythaemia vera |
Revocation – 74 & 75 of 1999 |
This SOP has been revised following a formal investigation into whether ionising radiation is causal (the requesting veteran's case received some media attention, including on 60 Minutes).
The SOP contains a new definition.
The only factor remains inability to obtain appropriate clinical management.
Non-Hodgkin's lymphoma |
Revocation – 80 & 81 of 1999 |
Diabetes mellitus |
Revocation – 82 & 83 of 1999 |
These SOPs have been revised to correct minor typographical errors.
The opportunity has also been taken to make the change to ICD-10-AM codes.
Remember! If you are having any problems with SOPs, or SOPs in CCPS, talk to us!