Professor Steven Boyages

PhD FRACP FAFPHM DDU
Clinical Professor
Medicine, Westmead Clinical School

Telephone +61 2 88602551
Fax +61 2 88602553

Curriculum vitae Curriculum vitae

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Biographical details

Professor Steven Boyages is currently the Medical Director for eHealth NSW. Previously Steven was the Foundation Chief Executive of the Clinical Education and Training Institute (CETI) of NSW. Steven was formerly the Chief Executive of the Sydney West Area Health Service (SWAHS) and has professorial appointments to the University of Sydney and the University of Western Sydney.

CETI was established as one of the four pillars to reform health as part of the recommendations of the Garling inquiry into acute care services. The functions of CETI are tp provide leradership to ensure the development and the delivery of clinical education and training across the NSW public health system which: a. supports safe, high quality, multi-disciplinary team based, patient centred care b. meets service delivery needs and operational requirements; and c. enhances workforce skills, flexibility and productivity. In the former role as CE of SWAHS employed over 15,000 staff, covers a population of 1.2 million people and has a gross operating budget of $2.0 billion and manages $ 1.6 billion worth of assets. The Area extended from Auburn to Lithgow local government authorities approximately the size of Holland. He was appointed CEO of the former Western Sydney AHS in 2002. The AHS was broken into two local health networks at the end of 2010 as part of the National Health Reform agenda. Steven is a unique hybrid of clinician manager who continues to work in the clinical field of endocrinology. He was previously the Director of Diabetes and Endocrinology at Westmead Hospital from 1990 to 1999. In that role his major achievements were to define the pathophysiology of thyroid hormone deficiency on brain development secondary to iodine deficiency; to develop prevention strategies in iodine deficient communities in China, India, Indonesia and Northern Italy; to define the impact of Growth Hormone excess and deficiency in adults and to develop innovative population health models of care for people with diabetes. Steven continues an active research career in a range of domains, but mostly in the pursuit of better models of chronic disease prevention and management. Steven previously was the foundation director of the Centre for Research and Clinical Policy in NSW Health in 1999. During that time he established the Priority Health Programs funded to the tune of $15 million per annum; doubled the Research Infrastructure Grants Program; established the Quality Branch of NSW Health and was appointed as Clinical Advisor to the Director General to implement the Government Action Plan for Health Reform. Steven was also instrumental in establishing and securing funding for the State's biotechnology strategy BioFirst, a $150 million investment. Steven's current interests are varied and include the application of health technology to health care delivery, in particular the development of IT applications that add value to the enterprise, to the community and to the patient. Steven's teams have developed sophisticated web based business information tools that allow real time enterprise monitoring. In addition, Steven has pioneered innovative models of organizational design, and re-engineered clinical models of care. Most importantly his chief interest is providing the best possible care to patients, their carers and to the communities he serves.

Research interests

Professor Steven Boyages is a world authority on the impact of iodine nutrition in at risk populations. His PhD thesis established the basis to understanding the impact of iodine deficiency acting through maternal and fetal thyroid hormone deficiency on the developing fetal brain. This thesis led to a range of other studies, in vitro and at the population level that adopted universal iodisation of food as the preferred method to prevent these devastating disorders.

His studies also led to an understanding of the effects of iodine excess at the cellular level and in human studies. In particular he developed an animal model for the study of the effects of amiodarone on thyroid and other tissues. Further research revealed new knowledge in how iodine impairs cell proliferation as well as the mechanism of cytotoxicity of various forms of iodine on thyroid follicular cells. Further research interests include, understanding the cellular mechanisms of action of GH and somatostatin;

Selected grants

2011

  • The effect of a coordinated care intervention, Care Navigation, on the readmission rate of chronically ill patients at Nepean Hospital.; Leeder S, Gillespie J, Usherwood T, Boyages S; National Health and Medical Research Council (NHMRC)/Project Grants.

Selected publications

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Journals

  • Stalgis-Bilinski, K., Boyages, S. (2013). Evidence of overtesting for vitamin D in Australia: an analysis of 4.5 years of Medicare Benefits Schedule (MBS) data. BMJ Open, 3(6), 1-7. [More Information]
  • Plant, N., Mallitt, K., Kelly, P., Usherwood, T., Gillespie, J., Boyages, S., Jan, S., McNab, J., Essue, B., Gradidge, K., Aspin, C., Leeder, S., et al (2013). Implementation and effectiveness of 'care navigation', coordinated management for people with complex chronic illness: rationale and methods of a randomised controlled. BMC Health Services Research, 13(1), 1-6. [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2013). The Vitamin D paradox: Bone density testing in females aged 45 to 74 did not increase over a ten year period despite a marked increase in testing for vitamin D. Journal of endocrinological investigation, 36(11), 914-922. [More Information]
  • Kahn, C., Simonella, L., Sywak, M., Boyages, S., Ung, O., O'Connell, D. (2012). Pathways to the diagnosis of thyroid cancer in New South Wales: a population-based cross-sectional study. Cancer Causes and Control: an international journal of studies of cancer in human populations, 23(1), 35-44. [More Information]
  • Kahn, C., Simonella, L., Sywak, M., Boyages, S., Ung, O., O'Connell, D. (2012). Postsurgical pathology reporting of thyroid cancer in New South Wales, Australia. Thyroid, 22(6), 604-610. [More Information]
  • Boyages, S., Stalgis-Bilinski, K. (2012). Seasonal reduction in vitamin D level persists into spring in NSW Australia: implications for monitoring and replacement therapy. Clinical Endocrinology, 77(4), 512-523. [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2012). The rise and rise of vitamin D testing. BMJ, 345(7866). [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2012). The rising cost of vitamin D testing in Australia: time to establish guidelines for testing. Medical Journal of Australia, 197(2), 90-90. [More Information]
  • Boyages, S. (2012). UK survey finds that 69% of a sample of teenage schoolgirls have some degree of iodine deficiency. Evidence-Based Nursing, 15(2), 47-48. [More Information]
  • Piatkov, I., Rochester, C., Jones, T., Boyages, S. (2010). Warfarin toxicity and individual variability-clinical case. Toxins, 2, 2584-2592. [More Information]
  • Sivagangabalan, G., Ong, A., Narayan, A., Sadick, N., Hansen, P., Nelson, G., Flynn, M., Ross, D., Boyages, S., Kovoor, P. (2009). Effect of Prehospital Triage on Revascularization Times, Left Ventricular Function, and Survival in Patients With ST-Elevation Myocardial Infarction. The American Journal of Cardiology, 103(7), 907-912. [More Information]
  • Mitchell, P., Gopinath, B., McMahon, C., Rochtchina, E., Wang, J., Boyages, S., Leeder, S. (2009). Relationship of Type 2 diabetes to the prevalence, incidence and progression of age-related hearing loss. Diabetic Medicine, 26(5), 483-488. [More Information]
  • McGrath, K., Bennett, D., Ben-Tovim, D., Boyages, S., Lyons, N., O'Conner, T. (2008). Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign. Medical Journal of Australia, 188(6 Supplement), S32-S35. [More Information]
  • Travers, C., Guttikonda, K., Norton, C., Lewis, P., Mollart, L., Wiley, V., Wilcken, B., Eastman, C., Boyages, S. (2006). Iodine status in pregnant women and their newborns: are our babies at risk of iodine deficiency? Medical Journal of Australia, 184(12), 617-620. [More Information]
  • Orr, N., Boyages, S. (2005). Patterns of care as a risk factor for the development of vision-threatening diabetic retinopathy: a population-based matched case–control study using insurance claims (Medicare) data. Diabetic Medicine, 22(8), 1083-1090. [More Information]
  • Wong, V., Boyages, S., McLean, M., Cheung, N. (2004). C-Reactive Protein Levels Following Acute Myocardial Infarction: Effect Of Insulin Infusion And Tight Glycemic Control. Diabetes Care, 27(12), 2971-2973.
  • Wong, V., Ross, D., Park, K., Boyages, S., Cheung, N. (2004). Hyperglycemia: Still An Important Predictor Of Adverse Outcomes Following Ami In The Reperfusion Era. Diabetes Research and Clinical Practice, 64(2), 85-91. [More Information]
  • Li, M., Ma, G., Guttikonda, K., Boyages, S., Eastman, C. (2001). The Re-emergence of Iodine Deficiency in Sydney, Australia. Asia Pacific Journal of Clinical Nutrition, 10(3), 200-203.
  • Brahmbhatt, S., Fearnley, R., Brahmbhatt, R., Eastman, C., Boyages, S. (2000). Study of biochemical prevalence indicators for the assessment of iodine deficiency disorders in adults at field conditions in Gujarat (India). Asia Pacific Journal of Clinical Nutrition, 10, 51-57.
  • Pitsiavus, V., Smerdely, P., Li, M., Boyages, S. (1997). Endemic goitre in central China caused by excessive iodine intake. European Journal of Endocrinology, 137, 89-98.
  • Li, M., Boyages, S. (1997). Expression of beta-2 thyroid hormone receptor in euthyroid and hypothyroid rat pituitary gland: an in situ hybridisation and immunocytochemical study. Brain Research, 773(1-2), 125-131.

Conferences

  • Boyages, S., Orr, N. (2005). Patterns of care delivery is a stronger predictor of diabetes complications than the late diagnosis of diabetes. 40th General Assembly of the EASD, Germany: Springer-Verlag.
  • Li, M., Fearnley, R., Guttikonda, K., Boyages, S., Ma, G., Eastman, C. (2000). Iodine Deficiency in Sydney, Australia. 12th International Thyroid Congress.

2013

  • Stalgis-Bilinski, K., Boyages, S. (2013). Evidence of overtesting for vitamin D in Australia: an analysis of 4.5 years of Medicare Benefits Schedule (MBS) data. BMJ Open, 3(6), 1-7. [More Information]
  • Plant, N., Mallitt, K., Kelly, P., Usherwood, T., Gillespie, J., Boyages, S., Jan, S., McNab, J., Essue, B., Gradidge, K., Aspin, C., Leeder, S., et al (2013). Implementation and effectiveness of 'care navigation', coordinated management for people with complex chronic illness: rationale and methods of a randomised controlled. BMC Health Services Research, 13(1), 1-6. [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2013). The Vitamin D paradox: Bone density testing in females aged 45 to 74 did not increase over a ten year period despite a marked increase in testing for vitamin D. Journal of endocrinological investigation, 36(11), 914-922. [More Information]

2012

  • Kahn, C., Simonella, L., Sywak, M., Boyages, S., Ung, O., O'Connell, D. (2012). Pathways to the diagnosis of thyroid cancer in New South Wales: a population-based cross-sectional study. Cancer Causes and Control: an international journal of studies of cancer in human populations, 23(1), 35-44. [More Information]
  • Kahn, C., Simonella, L., Sywak, M., Boyages, S., Ung, O., O'Connell, D. (2012). Postsurgical pathology reporting of thyroid cancer in New South Wales, Australia. Thyroid, 22(6), 604-610. [More Information]
  • Boyages, S., Stalgis-Bilinski, K. (2012). Seasonal reduction in vitamin D level persists into spring in NSW Australia: implications for monitoring and replacement therapy. Clinical Endocrinology, 77(4), 512-523. [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2012). The rise and rise of vitamin D testing. BMJ, 345(7866). [More Information]
  • Stalgis-Bilinski, K., Boyages, S. (2012). The rising cost of vitamin D testing in Australia: time to establish guidelines for testing. Medical Journal of Australia, 197(2), 90-90. [More Information]
  • Boyages, S. (2012). UK survey finds that 69% of a sample of teenage schoolgirls have some degree of iodine deficiency. Evidence-Based Nursing, 15(2), 47-48. [More Information]

2010

  • Piatkov, I., Rochester, C., Jones, T., Boyages, S. (2010). Warfarin toxicity and individual variability-clinical case. Toxins, 2, 2584-2592. [More Information]

2009

  • Sivagangabalan, G., Ong, A., Narayan, A., Sadick, N., Hansen, P., Nelson, G., Flynn, M., Ross, D., Boyages, S., Kovoor, P. (2009). Effect of Prehospital Triage on Revascularization Times, Left Ventricular Function, and Survival in Patients With ST-Elevation Myocardial Infarction. The American Journal of Cardiology, 103(7), 907-912. [More Information]
  • Mitchell, P., Gopinath, B., McMahon, C., Rochtchina, E., Wang, J., Boyages, S., Leeder, S. (2009). Relationship of Type 2 diabetes to the prevalence, incidence and progression of age-related hearing loss. Diabetic Medicine, 26(5), 483-488. [More Information]

2008

  • McGrath, K., Bennett, D., Ben-Tovim, D., Boyages, S., Lyons, N., O'Conner, T. (2008). Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign. Medical Journal of Australia, 188(6 Supplement), S32-S35. [More Information]

2006

  • Travers, C., Guttikonda, K., Norton, C., Lewis, P., Mollart, L., Wiley, V., Wilcken, B., Eastman, C., Boyages, S. (2006). Iodine status in pregnant women and their newborns: are our babies at risk of iodine deficiency? Medical Journal of Australia, 184(12), 617-620. [More Information]

2005

  • Orr, N., Boyages, S. (2005). Patterns of care as a risk factor for the development of vision-threatening diabetic retinopathy: a population-based matched case–control study using insurance claims (Medicare) data. Diabetic Medicine, 22(8), 1083-1090. [More Information]
  • Boyages, S., Orr, N. (2005). Patterns of care delivery is a stronger predictor of diabetes complications than the late diagnosis of diabetes. 40th General Assembly of the EASD, Germany: Springer-Verlag.

2004

  • Wong, V., Boyages, S., McLean, M., Cheung, N. (2004). C-Reactive Protein Levels Following Acute Myocardial Infarction: Effect Of Insulin Infusion And Tight Glycemic Control. Diabetes Care, 27(12), 2971-2973.
  • Wong, V., Ross, D., Park, K., Boyages, S., Cheung, N. (2004). Hyperglycemia: Still An Important Predictor Of Adverse Outcomes Following Ami In The Reperfusion Era. Diabetes Research and Clinical Practice, 64(2), 85-91. [More Information]

2001

  • Li, M., Ma, G., Guttikonda, K., Boyages, S., Eastman, C. (2001). The Re-emergence of Iodine Deficiency in Sydney, Australia. Asia Pacific Journal of Clinical Nutrition, 10(3), 200-203.

2000

  • Li, M., Fearnley, R., Guttikonda, K., Boyages, S., Ma, G., Eastman, C. (2000). Iodine Deficiency in Sydney, Australia. 12th International Thyroid Congress.
  • Brahmbhatt, S., Fearnley, R., Brahmbhatt, R., Eastman, C., Boyages, S. (2000). Study of biochemical prevalence indicators for the assessment of iodine deficiency disorders in adults at field conditions in Gujarat (India). Asia Pacific Journal of Clinical Nutrition, 10, 51-57.

1997

  • Pitsiavus, V., Smerdely, P., Li, M., Boyages, S. (1997). Endemic goitre in central China caused by excessive iodine intake. European Journal of Endocrinology, 137, 89-98.
  • Li, M., Boyages, S. (1997). Expression of beta-2 thyroid hormone receptor in euthyroid and hypothyroid rat pituitary gland: an in situ hybridisation and immunocytochemical study. Brain Research, 773(1-2), 125-131.

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