Opinions

Rheumatology 25 August 2025

Sjögren’s disease in Australia: why we need to pay attention

Most of us have heard of Sjögren’s disease (or Sjögren’s syndrome), an autoimmune condition that targets moisture-producing glands. We associate it with dry eyes and dry mouth (sicca symptoms), and while those symptoms are certainly hallmark features, they are only part of the story.

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Respiratory disease 18 August 2025

Delivering spirometry testing where it’s needed most

Spirometry testing is necessary for an accurate diagnosis of chronic obstructive pulmonary disease (COPD) and is a cornerstone of optimised COPD management. A new report from the Australian Commission on Safety and Quality in Health Care (the Commission) highlights that the people who need it most are missing out.

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Smoking and vaping 18 August 2025

Balancing practicality with care in smoking cessation for patients with cancer

On oncology wards, busy clinicians are often burdened by time pressure and competing demands and may struggle to implement the 5As (Ask, Advise, Assess, Assist, Arrange) or ABC (Assess, Brief, Counsel) models for smoking cessation. However, despite various suggested models of care, implementation of cessation programs after a cancer diagnosis has been poor, with its management frequently perceived as being “out of scope” to core clinical care. But since the 2014 US Surgeon General’s (SG) report on smoking cessation, there has been increasing recognition that it is vital for improving patient outcomes.

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Consumer health 11 August 2025

When consumerism meets continuity: the tension between patient autonomy and soft paternalism

Market-driven health care is reshaping the GP–patient relationship, threatening the continuity, time, and trust that define general practice. This commentary examines how rising consumerism, marketing-led misinformation, and digitally fragmented care are undermining the foundations of clinical judgement, effective communication, and the evolving professional identity of general practitioners.

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