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Professor Ruth Hubbard

Masonic Chair of Geriatric Medicine

Centre for Health Services Research
Faculty of Medicine
r.hubbard1@uq.edu.au
*

Overview

Ruth E. Hubbard is a Consultant Geriatrician at the Princess Alexandra Hospital and in October 2020 was appointed as the Masonic Chair of Geriatric Medicine at the University of Queensland.

She qualified from St Mary’s Hospital Medical School in London and trained in general internal medicine and geriatric medicine in Cardiff, Wales. As a clinical academic, she has always combined hospital practice with research and teaching. She has completed an MSc in Medical Education, an MD on pathophysiological changes in frail older people and a post-doctoral fellowship in Dalhousie University, Nova Scotia with Professor Ken Rockwood. Here, she was able to test hypotheses regarding the determinants and manifestations of frailty through the interrogation of large datasets. She has published widely on the inflammatory aetiology of frailty, the difficulties of measuring frailty in clinical practice and the relationships between frailty and obesity, smoking, socioeconomic status and exercise. Based on the impact of her publications, she is currently ranked number 4 in a list of frailty experts worldwide (http://expertscape.com/ex/frail+elderly).

In the last 5 years, she has generated $24.5M in grant income including as CIA on the following: MRFF Dementia Ageing and Aged Care Mission ($5M), a Centre for Research Excellence in Frailty ($2.5M), an Ideas Grant ($1.6M) and the NHMRC Targeted Call for Frailty Research ($1.5M). As Founder and Director of the Australia Frailty Network (AFN), she has established a team of consumer partners, multidisciplinary clinical academics, behavioural psychologists and statisticians answering critical questions relating to the measurement and management of frailty.

Research Interests

  • Measurement of Frailty in Clinical Practice
    Older people in hospital are at high risk of adverse outcomes, a vulnerability commonly referred to as frailty. In community-dwelling older people, frailty status can be measured precisely with a Frailty Index score. We are currently leading a research programme to develop a Frailty Index from the interRAI instrument, a standardised comprehensive geriatric assessment tool used in the routine care of many patients in hospital. This would assist clinicians to identify vulnerable older inpatients, improving their care in the acute setting.
  • Optimisation of Medication Prescribing in Older Inpatients
    Polypharmacy is strongly associated with increased mortality, frailty, disability, and falls, and is the most significant risk factor for adverse drug reactions. Medications can also improve quality of life through symptom control and maintenance of function. Individualisation of therapy should therefore underpin prescribing, weighing up the potential benefits and risks of medication with reference to the patient’s own goals of care. Our research is interrogating large datasets to explore associations between inpatient prescribing and functional outcomes as well as prospective evaluation relating prescribing to frailty status.
  • Telehealth for Older People in Residential Aged Care Facilities
    This study is examining the effectiveness of telehealth to reduce utilization of external health services by residents in long-term care. These services include visits to emergency departments, hospital admissions and visits to specialists in ambulatory clinic settings. It will also evaluate effects on quality of care, appropriateness of medication use and costs. The design is a pragmatic randomised control trial, which will recruit 880 residents in 10 residential care facilities (5 intervention facilities) and monitor outcomes over 6 months.
  • Sex differences in frailty
  • Education in geriatric medicine
  • Using balance and mobility to track disease progression in older inpatients

Qualifications

  • Bachelor of Science, Imperial College
  • Doctoral Diploma of Medicine, Cardiff University
  • Masters (Coursework) of Science, Cardiff University
  • Bachelor of Medicine Surgery, Imperial College

Publications

  • Journal Article: Delirium and incident dementia in hospital patients in New South Wales, Australia: retrospective cohort study

    Gordon, Emily H, Ward, David D, Xiong, Hao, Berkovsky, Shlomo and Hubbard, Ruth E (2024). Delirium and incident dementia in hospital patients in New South Wales, Australia: retrospective cohort study. BMJ, 384, e077634. doi: 10.1136/bmj-2023-077634

  • Journal Article: Training healthcare professionals to administer Goal Attainment Scaling as an outcome measure

    Logan, Benignus, Viecelli, Andrea K., Pascoe, Elaine M., Pimm, Bonnie, Hickey, Laura E., Johnson, David W. and Hubbard, Ruth E. (2024). Training healthcare professionals to administer Goal Attainment Scaling as an outcome measure. Journal of Patient-Reported Outcomes, 8 (1) 22, 1-11. doi: 10.1186/s41687-024-00704-0

  • Journal Article: Core requirements of frailty screening in the emergency department: an international Delphi consensus study

    Moloney, Elizabeth, O'Donovan, Mark R, Carpenter, Christopher R, Salvi, Fabio, Dent, Elsa, Mooijaart, Simon, Hoogendijk, Emiel O, Woo, Jean, Morley, John, Hubbard, Ruth E, Cesari, Matteo, Ahern, Emer, Romero-Ortuno, Roman, Mcnamara, Rosa, O'Keefe, Anne, Healy, Ann, Heeren, Pieter, Mcloughlin, Darren, Deasy, Conor, Martin, Louise, Brousseau, Audrey Anne, Sezgin, Duygu, Bernard, Paul, Mcloughlin, Kara, Sri-On, Jiraporn, Melady, Don, Edge, Lucinda, O'Shaughnessy, Ide, Van Damme, Jill ... O'Caoimh, Rónán (2024). Core requirements of frailty screening in the emergency department: an international Delphi consensus study. Age and Ageing, 53 (2) afae013. doi: 10.1093/ageing/afae013

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Grants

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Supervision

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Publications

Book Chapter

  • Frailty and comorbidities: frailty in women

    Navarro-Pardo, Esperanza, Villacampa-Fernández, Patricia, Hubbard, Ruth E. and Gordon, Emily (2017). Frailty and comorbidities: frailty in women. Menopause: a comprehensive approach. (pp. 303-315) edited by Antonio Cano. Cham, Switzerland: Springer International Publishing. doi: 10.1007/978-3-319-59318-0_19

  • Impact of exercise in community-dwelling older adults

    Hubbard, Ruth E., Fallah, Nader, Searle, Samuel D., Mitnitski, Arnold and Rockwood, Kenneth (2016). Impact of exercise in community-dwelling older adults. Social work and geriatric services. (pp. 106-118) edited by Sharon Duca Palmer. Oakville, ON, Canada: Apple Academic Press. doi: 10.1201/b13135-10

  • Sex differences in frailty

    Hubbard, R.E. (2015). Sex differences in frailty. Frailty in Aging: Biological, Clinical and Social Implications. (pp. 42-53) Basel, Switzerland: S. Karger AG. doi: 10.1159/000381161

  • Education in Geriatric Medicine

    Hubbard, Ruth E. (2010). Education in Geriatric Medicine. Brocklehurst's Textbook of Geriatric Medicine and Gerontology. (pp. 1032-1037) Elsevier Ltd. doi: 10.1016/B978-1-4160-6231-8.10124-2

  • Impaired Mobility

    Hubbard, Ruth E., Eeles, Eamonn and Rockwood, Kenneth (2010). Impaired Mobility. Brocklehurst's Textbook of Geriatric Medicine and Gerontology. (pp. 886-893) Elsevier Ltd. doi: 10.1016/B978-1-4160-6231-8.10105-9

Journal Article

Conference Publication

  • Measurement of environmental factors affecting sleep within rehabilitation wards, sub-acute care wards, and aged care facilities: a scoping review

    Dunstan, O., Shafiee Hanjani, L., Young, A., Ellender, C., Hoang, T. and Hubbard, R. (2023). Measurement of environmental factors affecting sleep within rehabilitation wards, sub-acute care wards, and aged care facilities: a scoping review. Sleep DownUnder 2023, Adelaide, SA Australia, 8-11 November 2023. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/sleepadvances/zpad035.171

  • Mental health diagnoses, frailty, and outcomes in a large cohort of Australian inpatients

    Baral, S., Reid, N., Siskind, D., Warren, N., Gordon, E. and Hubbard, R. (2022). Mental health diagnoses, frailty, and outcomes in a large cohort of Australian inpatients. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2022, Perth, WA Australia, 8 - 10 June 2022. Richmond, VIC Australia: John Wiley & Sons.

  • Frailty: A cost incurred by reproduction?

    Gordon, Emily, Peel, Nancye, Chatfield, Mark, Lang, Iain and Hubbard, Ruth (2021). Frailty: A cost incurred by reproduction?. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2021, 20/20 Hindsight: Vision for the Future, Melbourne, VIC, Australia, 19-21 May 2021. Richmond, VIC, Australia: John Wiley & Sons.

  • Gait speed change and its relationship to adverse outcomes in geriatric rehabilitation

    Arjunan, Aparna, Hubbard, Ruth and Peel, Nancye (2021). Gait speed change and its relationship to adverse outcomes in geriatric rehabilitation. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, 19 - 21 May 2021. Hoboken, NJ, United States: Wiley-Blackwell.

  • THE GOAL TRIAL PROTOCOL: Comprehensive Geriatric Assessment for Frail Older People With Chronic Kidney Disease to increase attainment of patient-identified goals - A cluster randomised controlled trial

    Logan, B., Viecelli, A. K., Johnson, D. W., Tong, A., Comans, T., Janda, M., Pond, C., Pascoe, E., Peel, N. M., Gray, L., Pole, J., Polkinghorne, K., Jose, M., Gordon, E. H., Scholes-Robertson, N., Bailey, J., Robison, L., Hawley, C., Varghese, J., Kiriwandeniya, C., Reidlinger, D. and Hubbard, R. E. (2020). THE GOAL TRIAL PROTOCOL: Comprehensive Geriatric Assessment for Frail Older People With Chronic Kidney Disease to increase attainment of patient-identified goals - A cluster randomised controlled trial. 55th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology (ANZSN), Online, 28 November‐2 December 2020. Richmond, VIC Australia: Wiley-Blackwell.

  • Adverse outcome prediction in geriatric rehabilitation using gait speed and frailty index

    Arjunan, A., Hubbard, R. and Peel, N. (2019). Adverse outcome prediction in geriatric rehabilitation using gait speed and frailty index. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2019 “Geriatric Medicine ‐ Best care to the end”, Adelaide, Australia, 13 - 15 May 2019. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12660

  • Change in frailty index following a 12-month weight loss intervention in Australian breast cancer survivors

    Reid, Natasha, Hubbard, Ruth E., Peel, Nancye and Reeves, Marina (2019). Change in frailty index following a 12-month weight loss intervention in Australian breast cancer survivors. COSA's 46th Annual Scientific Meeting, Adelaide, SA, Australia, 12–14 November 2019. Chichester, West Sussex, United Kingdom: Wiley-Blackwell. doi: 10.1111/ajco.13262

  • Comparison of morbidity and mortality outcomes of fractured humerus with fractured neck of femur in older adults

    Bukkapatnam, S., Peel, N. M., Ward, S. and Hubbard, R. E. (2019). Comparison of morbidity and mortality outcomes of fractured humerus with fractured neck of femur in older adults. British Geriatrics Society Communications to the Autumn Meeting, London, United Kingdom, 14-16 November 2018. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afy214.05

  • Quantifying the effect of health assets for older community-dwellers

    Gunawardana, C., Hubbard, R. E., Peel, N. M., Woods, L. and Zaman, S. (2019). Quantifying the effect of health assets for older community-dwellers. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2019 “Geriatric Medicine ‐ Best care to the end”, Adelaide, Australia, 13 - 15 May 2019. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12660

  • The Gap - Does gender impact life expectancy and health status in Australian Aboriginal and Torres Strait Islanders?

    Naughton, S., Strivens, E., Hubbard, R., Russell, S., Quigley, R. and Sagigi, B. (2019). The Gap - Does gender impact life expectancy and health status in Australian Aboriginal and Torres Strait Islanders?. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2019 “Geriatric Medicine ‐ Best care to the end”, Adelaide, SA, Australia, 13 -15 May 2019. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12660

  • Therapeutic prevention of fractures after neck of femur fracture - a rehabilitation perspective

    Sin, J. C. K., Bell, K., Kelly, L., Gordon, E. and Hubbard, R. (2019). Therapeutic prevention of fractures after neck of femur fracture - a rehabilitation perspective. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2019 “Geriatric Medicine ‐ Best care to the end”, Adelaide, Australia, 13-15 May 2019. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12661

  • Protocol for the validation of the health assets index to predict improved outcomes for frail older adults admitted to hospital

    Gregorevic, Kate J., Hubbard, Ruth E., Peel, Nancye M. and Lim, Wen Kwang (2018). Protocol for the validation of the health assets index to predict improved outcomes for frail older adults admitted to hospital. HOBOKEN: WILEY.

  • Comparison of morbidity and mortality of fractured humerus with fractured neck of femur in older adults

    Bukkapatnam, S., Hubbard, R. and Peel, N. (2018). Comparison of morbidity and mortality of fractured humerus with fractured neck of femur in older adults. HOBOKEN: WILEY.

  • Do co-morbidities affect the predictive validity of the frailty index?

    Hubbard, R. E., Peel, N. M. and Gray, L. C. (2018). Do co-morbidities affect the predictive validity of the frailty index?. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • Evaluating the feasibility and utility of assessing balance and mobility in older rehabilitation inpatients

    Huang, Y., Peel, N. M., Ranasinghe, C. C. and Hubbard, R. E. (2018). Evaluating the feasibility and utility of assessing balance and mobility in older rehabilitation inpatients. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • Interventions to optimise prescribing in older people with dementia: a systematic review

    Shafiee Hanjani, Leila, Long, Duncan, Peel, Nancye M., Peeters, Geeske, Freeman, Christopher R. and Hubbard, Ruth E. (2018). Interventions to optimise prescribing in older people with dementia: a systematic review. 2018 APSA Annual Conference, Adelaide, SA Australia, 2- 5 December 2018.

  • Peri-operative assessment of older surgical patients using a frailty index-feasibility and association with adverse post-operative outcomes

    Lin, H., Peel, N., Scott, I., Vardesh, D., Sivalingam, P., McBride, R., Morong, J., Nelson, M. and Hubbard, R. (2018). Peri-operative assessment of older surgical patients using a frailty index-feasibility and association with adverse post-operative outcomes. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • Telehealth residential care medication reviews to enable collaboration of pharmacists and geriatricians

    Hanjani, L. S., Peel, N., Freeman, C., Caffery, L., Chatfield, M., Hubbard, R. and Gray, L. (2018). Telehealth residential care medication reviews to enable collaboration of pharmacists and geriatricians. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC Australia: Wiley-Blackwell Publishing Asia.

  • The impact of health assets on functional trajectories for hospitalised older adults

    Gregorevic, K. J., Hubbard, R. E., Peel, N. M., Lau, W. and Lim, W. K. (2018). The impact of health assets on functional trajectories for hospitalised older adults. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • The male-female health-survival paradox in hospitalised older adults

    Gordon, E., Peel, N. and Hubbard, R. (2018). The male-female health-survival paradox in hospitalised older adults. British Geriatrics Society Communications to the Autumn Meeting, London, United Kingdom, 22-24 November 2017. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afy030.01

  • Toward the Older Person Friendly Hospital: barriers and enablers within the Australian context

    Young, A., Mudge, A. M., McRae, P., Gray, L., Beattie, E., Graham, F., Whiting, E., Banks, M. and Hubbard, R. (2018). Toward the Older Person Friendly Hospital: barriers and enablers within the Australian context. Annual Scientific Meeting of the American Geriatrics Society (AGS), Orlando, Florida, 3-5 May 2018. Malden, MA, United States: Wiley-Blackwell.

  • Urinary incontinence and catheterisation in older inpatients: incidence, risk factors and adverse outcomes

    Mon, A. S., Peel, N. M., Ward, S. and Hubbard, R. E. (2018). Urinary incontinence and catheterisation in older inpatients: incidence, risk factors and adverse outcomes. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • Walking and texting: investigating the effect of age on dual-task gait costs

    Alapatt, L. J., Peel, N., Gray, L. and Hubbard, R. (2018). Walking and texting: investigating the effect of age on dual-task gait costs. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2018, Cutting Edge: Optimising the Journey for Older Surgical Patients, Sydney, Australia, 27-29 June 2018. Richmond, VIC, Australia: Wiley-Blackwell.

  • Derivation and Validation of a feasible Emergency Department specific Frailty Index to predict adverse outcomes

    Brousseau, A., Dent, E., Hubbard, R., Melady, D., Emond, M., Mercier, E. and Costa, A. (2017). Derivation and Validation of a feasible Emergency Department specific Frailty Index to predict adverse outcomes. Annual Scientific Meeting of the American-Geriatrics-Society (AGS), San Antonio Tx, May 18-20, 2017. HOBOKEN: WILEY.

  • Associations of 12-year trajectories of sitting time with frailty in Australian middle-aged women

    Susanto, Maja, Hubbard, Ruth E. and Gardiner, Paul (2017). Associations of 12-year trajectories of sitting time with frailty in Australian middle-aged women. HOBOKEN: WILEY.

  • Clinical characteristics of older people referred for specialist geriatric consultation

    Peel, Nancye M., Watts, Jacqueline N., Hubbard, Ruth E. and Gray, Leonard C. (2017). Clinical characteristics of older people referred for specialist geriatric consultation. HOBOKEN: WILEY.

  • Feasibility and validity of frailty measurement in geriatric rehabilitation

    Arjunan, A., Peel, N. and Hubbard, R. (2017). Feasibility and validity of frailty measurement in geriatric rehabilitation. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting “Older People's Care through Community, Collaboration & Communication”, Rotorua, New Zealand, 10–12 May 2017. Hoboken, NJ United States: Wiley.

  • Frailty and cerebral small vessel disease: A cross-sectional analysis of the Tasmanian Study of Cognition and Gait (TASCOG)

    Siejka, Timothy, Srikanth, Velandai, Hubbard, Ruth, Moran, Chris, Beare, Richard, Thanh Phan and Callisaya, Michele (2017). Frailty and cerebral small vessel disease: A cross-sectional analysis of the Tasmanian Study of Cognition and Gait (TASCOG). First Australia and New Zealand Conference on Sarcopenia and Frailty Research, Albert Park, Melbourne, VIC, 11–12 November 2016. Richmond, VIC Australia: Wiley.

  • Health assets in frail older patients

    Gregorevic, Kate, Peel, Nancye M., Lim, W. K., Tacey, Mark and Hubbard, Ruth E. (2017). Health assets in frail older patients. Unknown, Unknown, Unknown. HOBOKEN: WILEY.

  • Prognostic significance of a gait speed of zero

    Arjunan, A., Peel, N. and Hubbard, R. (2017). Prognostic significance of a gait speed of zero. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting “Older People's Care through Community, Collaboration & Communication”, Rotorua, New Zealand, 10–12 May 2017. Hoboken, NJ United States: Wiley.

  • The Frailty Index of cumulative health deficits: Derivation from the interRAI acute care instrument

    Hubbard, Ruth E., Peel, Nancye M., Samanta, Mayukh, Gray, Leonard C., Fries, Brant E., Mitnitski, Arnold and Rockwood, Kenneth (2017). The Frailty Index of cumulative health deficits: Derivation from the interRAI acute care instrument. Unknown, Unknown, Unknown. HOBOKEN: WILEY.

  • The association between gait speed and cognitive impairment in community-dwelling older people: a systematic review

    Alapatt, L. J., Hubbard, R. and Peel, N. (2017). The association between gait speed and cognitive impairment in community-dwelling older people: a systematic review. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting “Older People's Care through Community, Collaboration & Communication”, Rotorua, New Zealand, 10–12 May 2017. Hoboken, NJ United States: Wiley.

  • The male-female health-survival paradox in hospitalised older adults

    Gordon, E., Peel, N. and Hubbard, R. (2017). The male-female health-survival paradox in hospitalised older adults. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting “Older People's Care through Community, Collaboration & Communication”, Rotorua, New Zealand, 10-12 May 2017. Hoboken, NJ United States: Wiley-Blackwell.

  • Derivation and validation of a frailty index from the interRAI home care instrument

    Bum, R., Peel, N., Abbey, R., Heppenstall, C., Hubbard, R., Schluter, P. and Jamieson, H. (2016). Derivation and validation of a frailty index from the interRAI home care instrument. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, QLD, Australia, 1–3 June 2016. Richmond, VIC, Australia: John Wiley and Sons. doi: 10.1111/ajag.12339

  • Dignity and older inpatients: the photo-next-to-the-bed study

    Shum, D., Bak, M., Peel, N. M. and Hubbard, R. E. (2016). Dignity and older inpatients: the photo-next-to-the-bed study. HOBOKEN: WILEY-BLACKWELL.

  • Baseline vulnerability and inpatient frailty in relation to adverse outcomes in a surgical cohort

    Lin, H-S, Peel, N. M. and Hubbard, R. E. (2016). Baseline vulnerability and inpatient frailty in relation to adverse outcomes in a surgical cohort. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12337

  • Clinical characteristics of older people referred for specialist geriatric consultation

    Peel, N. M., Watts, J. N., Hubbard, R. E. and Gray, L. C. (2016). Clinical characteristics of older people referred for specialist geriatric consultation. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12339

  • Development and testing of a rapid functional and psychosocial assessment system for adult inpatients of acute hospitals

    Gray, L. C., Peel, N. M., Hornby-Turner, Y., Pimm, B., Wood, S. and Hubbard, R. E. (2016). Development and testing of a rapid functional and psychosocial assessment system for adult inpatients of acute hospitals. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12339

  • Frailty Index (Fi) Predicts Chemotherapy Outcomes in Patients with Solid Tumors Aged >= 65 Years: Prospective, Longitudinal Study

    McCarthy, Alexandra, Hubbard, Ruth, Peel, Nancye, Gillespie, Kerri, Berry, Robyn, Yates, Patsy and Walpole, Euan (2016). Frailty Index (Fi) Predicts Chemotherapy Outcomes in Patients with Solid Tumors Aged >= 65 Years: Prospective, Longitudinal Study. COSA's 43rd and ANZBCTG's 38th Annual Scientific Meetings, Gold Coast Queensland, 15–17 November 2016. Hoboken, NJ United States: Wiley.

  • Frailty index in chronic kidney disease (FI-CKD) study

    Chowdhury, R., Peel, N. M., Saweirs, W., Johnson, D., Krosch, M., Senff, S., Basev, A. and Hubbard, R. E. (2016). Frailty index in chronic kidney disease (FI-CKD) study. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12339

  • Gait speed and frailty status in relation to adverse outcomes in geriatric rehabilitation: A prospective cohort study

    Arjunan, A., Hubbard, R. E. and Peel, N. M. (2016). Gait speed and frailty status in relation to adverse outcomes in geriatric rehabilitation: A prospective cohort study. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12338

  • Health assets improve outcomes for hospitalised older adults

    Gregorevic, K., Peel, N. M., Lim, W. K. and Hubbard, R. E. (2016). Health assets improve outcomes for hospitalised older adults. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12339

  • Impact of inpatient rehabilitation on frailty and various health domains

    Wong, D. L-Y, Peel, N. M., Watts, J. N. and Hubbard, R. E. (2016). Impact of inpatient rehabilitation on frailty and various health domains. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12338

  • Morbidity and mortality among older people with fractures of the humerus: a systematic review

    Bukkapatnam, S., Hubbard, R. E. and Peel, N. M. (2016). Morbidity and mortality among older people with fractures of the humerus: a systematic review. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12338

  • Sex differences in frailty: a systematic review and meta-analysis

    Gordon, E., Peel, N. M., Samanta, M. and Hubbard, R. E. (2016). Sex differences in frailty: a systematic review and meta-analysis. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, QLD Australia, 1–3 June 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12337

  • The utility of the frailty index in clinical decision making

    Khatry, K., Peel, N. M., Gray, L. C. and Hubbard, R. E. (2016). The utility of the frailty index in clinical decision making. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12337

  • Validation of the interRAI Acute Care assessment tool for recording medical diagnoses against the recorded diagnoses in the medical records

    Kewalram, G., Peel, N. M. and Hubbard, R. E. (2016). Validation of the interRAI Acute Care assessment tool for recording medical diagnoses against the recorded diagnoses in the medical records. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016, “The AGEnder Paradox”, Cairns, Queensland, Australia, 1–3 June, 2016. Richmond, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12338

  • Potentially Inappropriate Prescribing in Older People Discharged to Residential Aged Care Facilities

    Poudel, A., Peel, N. M., Nissen, L., Mitchell, C., Gray, L. C. and Hubbard, R. E. (2014). Potentially Inappropriate Prescribing in Older People Discharged to Residential Aged Care Facilities. NEW YORK: ELSEVIER SCIENCE INC. doi: 10.1016/j.sapharm.2014.07.118

  • Enhancing dignity for older inpatients: the photograph next to the bed study

    Bak, Melissa, Peel, Nancye, Lynch, Angelica and Hubbard, Ruth E. (2014). Enhancing dignity for older inpatients: the photograph next to the bed study. Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne Australia, 28–30 May 2014. Richmond Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/ajag.12179

  • Feasibility and construct validity of a frailty index for patients with chronic kidney disease

    Smith, Morgan, Peel, Nancye, Dawson, Blake, Lambat, Zahed, Bak, Melissa, Johnson, David W. and Hubbard, Ruth E. (2014). Feasibility and construct validity of a frailty index for patients with chronic kidney disease. Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, 28–30 May 2014. Richmond, VIC, Australia: Wiley-Blackwell. doi: 10.1111/ajag.12177

  • Physical independence in centenarians - better or worse than expected? A systematic review

    Macdonald, James, Peel, Nancye and Hubbard, Ruth (2014). Physical independence in centenarians - better or worse than expected? A systematic review. Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, 28–30 May 2014. Richmond, VIC, Australia: Wiley-Blackwell. doi: 10.1111/ajag.12177

  • Polypharmacy in older patients discharged from hospital: a descriptive analysis

    Runganga, Maureen, Peel, Nancye and Hubbard, Ruth E. (2014). Polypharmacy in older patients discharged from hospital: a descriptive analysis. Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, 28–30 May 2014. Richmond, VIC, Australia: Wiley-Blackwell. doi: 10.1111/ajag.12177

  • Potentially inappropriate prescribing in older patients admitted to acute care hospitals and discharged to residential aged care facilities

    Poudel, A., Nissen, L., Mitchell, C., Peel, N. M., Gray, L. C. and Hubbard, R. E. (2014). Potentially inappropriate prescribing in older patients admitted to acute care hospitals and discharged to residential aged care facilities. Annual Scientific Meeting of the American Geriatrics Society, Orlando Fl, 15-17 May 2014. Hoboken, NJ United States: Wiley-Blackwell Publishing, Inc.. doi: 10.1111/jgs.12870

  • Risk stratification of older inpatients using a Frailty Index

    Hubbard, Ruth E., Peel, Nancye, Gray, Len, Mitnitski, Arnold and Rockwood, Kenneth (2014). Risk stratification of older inpatients using a Frailty Index. Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Melbourne, VIC, Australia, 28–30 May 2014. Richmond, VIC, Australia: Wiley-Blackwell. doi: 10.1111/ajag.12177

  • The impact of frailty and polypharmacy on adverse outcomes in older inpatients

    Poudel, A., Peel, N. M., Nissen, L., Mitchell, C., Gray, L. C. and Hubbard, R. E. (2014). The impact of frailty and polypharmacy on adverse outcomes in older inpatients. Annual Scientific Meeting of the American Geriatrics Society, Orlando Fl, 15-17 May 2014. Hoboken, NJ United States: Wiley-Blackwell Publishing, Inc.. doi: 10.1111/jgs.12870

  • Attitudes of medical students towards ageing - a systematic review

    Chan, K. W., Peel, N. M. and Hubbard, R. E. (2013). Attitudes of medical students towards ageing - a systematic review. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Adelaide, SA, Australia, 17-19 June 2013. Richmond, VIC, Australia: Wiley-Blackwell Publishing. doi: 10.1111/ajag.12078

  • Frailty and illness severity in relation to delirium in older inpatients

    Eeles, E. M. P., Peel, N. M., White, S., V, O'Mahony, M. S., Bayer, A. J., Bhat, R. and Hubbard, R. E. (2013). Frailty and illness severity in relation to delirium in older inpatients. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Adelaide, SA, Australia, 17-19 June 2013. Richmond, VIC, Australia: Wiley-Blackwell Publishing. doi: 10.1111/ajag.12078

  • Gait speed in nursing home residents: a systematic review

    Peel, N. M., Kuys, S. S., Slater, A., Klein, K., Paul, S. and Hubbard, R. E. (2013). Gait speed in nursing home residents: a systematic review. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Adelaide, SA, Australia, 17-19 June 2013. Richmond, VIC, Australia: Wiley-Blackwell Publishing. doi: 10.1111/ajag.12078

  • Polypharmacy among older inpatients in Australia

    Hubbard, R. E., Peel, N. M., Scott, I. A., Martin, J. H., Pillans, P., I and Gray, L. C. (2013). Polypharmacy among older inpatients in Australia. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Adelaide, SA, Australia, 17-19 June 2013. Richmond, VIC, Australia: Wiley-Blackwell Publishing. doi: 10.1111/ajag.12078

  • Predicting outcome after hip fracture: using frailty index to integrate comprehensive geriatric assessment results

    Krishnan, M., Beck, S., Cowen, O., Hughes, M., Havelock, W., Eeles, E., Hubbard, R. and Johansen, A. (2013). Predicting outcome after hip fracture: using frailty index to integrate comprehensive geriatric assessment results. British Geriatrics Society, Belfast, Ireland, 17-19 April 2013. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/aft101

  • The Drug Burden Index and its association with frailty, function and prescribing patterns in Australian hospital inpatients

    French, A., Peel, N., Smith, A., Gray, L. and Hubbard, R. (2013). The Drug Burden Index and its association with frailty, function and prescribing patterns in Australian hospital inpatients. The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, Adelaide, SA, Australia, 17-19 June 2013. Richmond, VIC, Australia: Wiley-Blackwell Publishing. doi: 10.1111/ajag.12080

  • Use of benzodiazepines and Z-durgs in older nursing home residents in Europe and their association with adverse outcomes: results from the EU SHELTER project

    Ballokova, A., Fialova, D., Peel, N., Gray, L. C. and Hubbard, R. E. (2013). Use of benzodiazepines and Z-durgs in older nursing home residents in Europe and their association with adverse outcomes: results from the EU SHELTER project. 42nd ESCP symposium on clinical pharmacy: implementation of pharmacy practice, Prague Czech Republic, 16-18 October 2013. Dordrecht Netherlands: Springer Netherlands. doi: 10.1007/s11096-013-9886-5

  • Use of benzodiazepines and history of falls in older people admitted to acute care settings in Australia

    Ballokova, A., Peel, N., Fialova, D., Scott, I. A., Gray, L. C. and Hubbard, R. E. (2013). Use of benzodiazepines and history of falls in older people admitted to acute care settings in Australia. 42nd ESCP symposium on clinical pharmacy: implementation of pharmacy practice, Prague, Czech Republic, 16-18 October 2013. Dordrecht, Netherlands: Springer Netherlands. doi: 10.1007/s11096-013-9886-5

  • Changes in health status amongst the oldest old: trends over two decades in the English population aged 85+

    Goodwin, V. A., Hubbard, R. E., Llewellyn, D. J. and Lang, I. A. (2012). Changes in health status amongst the oldest old: trends over two decades in the English population aged 85+. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afs112

  • Changes in health status amongst the oldest-old: Trends over two decades in the English population aged 85+

    Goodwin, V. A., Hubbard, R. E., Llewellyn, D. and Lang, I. (2012). Changes in health status amongst the oldest-old: Trends over two decades in the English population aged 85+. British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

  • Changes in medication prescribing for the oldest old

    Hubbard, R. E., Lang, I. A., Goodwin, V. and Llewellyn, D. J. (2012). Changes in medication prescribing for the oldest old. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

  • Changes in medication prescribing for the oldest old

    Hubbard, R. E., Goodwin, V., Llewellyn, D. J. and Lang, I. A. (2012). Changes in medication prescribing for the oldest old. ANZSGM Annual Scientific Meeting 2012 Dementia: Managing not to Forget, Sydney, Australia, 2-4 May 2012. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/j.1741-6612.2012.00603.x

  • Frailty and obesity in later life

    Hubbard, R. E., Goodwin, V., Llewellyn, D. J. and Lang, I. A. (2012). Frailty and obesity in later life. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afs112

  • Frailty and obesity in later life

    Hubbard, R. E., Lang, I. A., Goodwin, V. and Llewellyn, D. J. (2012). Frailty and obesity in later life. British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afs112

  • Frailty in older people: Measurement, management and prevention

    Hubbard, R. (2012). Frailty in older people: Measurement, management and prevention. RACP Future Directions in Health Congress 2012, Brisbane, QLD, Australia, 6-9 May 2012. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/j.1445-5994.2012.02779.x

  • Gait speed at usual pace as a predictor of outcomes in transitional care program (TCP) recipients

    Navanathan, S., Peel, N. and Hubbard, R. E. (2012). Gait speed at usual pace as a predictor of outcomes in transitional care program (TCP) recipients. ANZSGM Annual Scientific Meeting 2012 Dementia: Managing not to Forget, Sydney, Australia, 2-4 May 2012. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia.

  • Health, Wealth and Well-Being in Older People

    Goodwin, V. A., Hubbard, R. E., Llewellyn, D. J. and Lang, I. A. (2012). Health, Wealth and Well-Being in Older People. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

  • Health, wealth and well-being in older people

    Goodwin, V., Hubbard, R. E., Llewellyn, D. J. and Lang, I. A. (2012). Health, wealth and well-being in older people. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afs112

  • Health, wealth and well-being in older people

    Hubbard, R. E., Goodwin, V., Llewellyn, D. J. and Lang, I. A. (2012). Health, wealth and well-being in older people. ANZSGM Annual Scientific Meeting 2012 Dementia: Managing not to Forget, Sydney, Australia, 2-4 May 2012. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia. doi: 10.1111/j.1741-6612.2012.00603.x

  • Healthy Behaviours in Middle Age and Long-Term Consequences for Mortality, Physical and Cognitive Function, and Mental Health

    Lang, I. A., Goodwin, V., Hubbard, R. and Llewellyn, D. J. (2012). Healthy Behaviours in Middle Age and Long-Term Consequences for Mortality, Physical and Cognitive Function, and Mental Health. 56th Annual Scientific Meeting of the Society for Social Medicine, London, England, 12-14 September 2012. London, United Kingdom: B M J Group. doi: 10.1136/jech-2012-201753.087

  • Healthy behaviours in middle age: Long-term consequences for functioning and mortality

    Lang, I. A., Goodwin, V., Hubbard, R. E. and Llewellyn, D. (2012). Healthy behaviours in middle age: Long-term consequences for functioning and mortality. British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

  • Impact of Geriatrician-Led Care On An Intermediate Care Unit

    Eeles, E. M., Morse, R. E., Lazarus, G., Murison, J., Heade, S., Wiltshire, H. and Hubbard, R. E. (2012). Impact of Geriatrician-Led Care On An Intermediate Care Unit. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

  • Impact of geriatrician-led care on an intermediate care unit

    Eeles, E. M., Morse, R. E., Lazarus, G., Murison, J., Heade, S., Wiltshire, H. and Hubbard, R. E. (2012). Impact of geriatrician-led care on an intermediate care unit. Communications to the British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/ageing/afs112

  • Physical Impairment and Frailty in Patients with Chronic Obstruction Pulmonary Disease (Copd)

    Gale, N. S., Albarrati, A. M., Munnery, I., Munnery, M., Tal-Singer, R., Hubbard, R., Cockcroft, J. R. and Shale, D. J. (2012). Physical Impairment and Frailty in Patients with Chronic Obstruction Pulmonary Disease (Copd). Winter Meeting of the British Thoracic Society 2012, London England, 05-07 December 2012. London, United Kingdom: B M J Group. doi: 10.1136/thoraxjnl-2012-202678.317

  • Total hip replacement after hip fracture - implications of the new nice guidance

    Krishnan, Manju, Beck, Sue, Havelock, William, Eeles, Eamonn, Hubbard, Ruth and Johansen, Antony (2012). Total hip replacement after hip fracture - implications of the new nice guidance. Osteoporosis and Bone Conference, Manchester, United kingdom, 1-4 July 2012. London, United Kingdom: Springer. doi: 10.1007/s00198-012-2005-y

  • Use of a Frailty Index based on a comprehensive geriatric assessment in an acute care setting

    Rockwood, M. R. H., Hubbard, R. E., Eeles, E., Mitnitski, A. and Rockwood, K. (2012). Use of a Frailty Index based on a comprehensive geriatric assessment in an acute care setting. British Geriatrics Society Spring Meeting, Llandudno, Wales, 16-18 May 2012. Oxford, United Kingdom: Oxford University Press.

Other Outputs

Grants (Administered at UQ)

PhD and MPhil Supervision

Current Supervision

  • Addressing Frailty in Older Adults with Solid Organ Malignancies

    Doctor Philosophy — Principal Advisor

    Other advisors:

  • Comprehensive Geriatric Assessment: How does it work and what are the key active ingredients?

    Doctor Philosophy — Principal Advisor

    Other advisors:

  • Organ transplantation and frailty

    Doctor Philosophy — Principal Advisor

    Other advisors:

  • Frailty and Goals of Care in Older People with Moderate to Severe Chronic Kidney Disease

    Doctor Philosophy — Principal Advisor

    Other advisors:

  • Addressing frailty in older people with haematological malignancies

    Doctor Philosophy — Principal Advisor

    Other advisors:

  • A life course approach to frailty: its biopsychosocial determinants and impact on dementia and other ageing-related outcomes

    Doctor Philosophy — Associate Advisor

    Other advisors:

  • Sleepless in the geriatric rehabilitation unit?

    Master Philosophy — Associate Advisor

    Other advisors:

  • Core outcomes in frail inpatients.

    Doctor Philosophy — Associate Advisor

    Other advisors:

  • Outcomes of importance to frail older vascular surgery patients and their caregivers.

    Doctor Philosophy — Associate Advisor

    Other advisors:

  • Understanding sex differences in cognitive impairment and dementia to design targeted interventions

    Doctor Philosophy — Associate Advisor

    Other advisors:

  • A study of the pathophysiological cellular mechanisims and biomedical phenotypes of frailty

    Doctor Philosophy — Associate Advisor

    Other advisors:

Completed Supervision

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ResearcherID: G-5414-2010

ORCID: 0000-0002-8688-5836

Scopus ID: 7202298718

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