Issues
Volume 204 Issue 8
Editorials
The role of neurosurgery in the treatment of chronic pain
Neurosurgical training should formally incorporate chronic pain management
Peter J Teddy DPhil, FRACS, FFPMANZCA
Futility and utility
The physician should focus on what can be done, not on what cannot
Ian Maddocks MD, FRACP, FAChPM
Improving quality in prostate cancer
Quality indicators can provide reassurance that cancer care is achieving the predicted outcomes
Paul S Craft MB BS, FRACP, MPH
Lost in translation: the gap between what we know and what we do about cardiovascular disease
A million Australians at high risk may not be receiving recommended preventive treatments
Clara K Chow MB BS, FRACP, PhD · Anthony Rodgers MB ChB, PhD
News
Tackling smoking, childhood obesity and back pain: it’s not for want of trying
A recent crop of Cochrane reviews shows mixed results
Steve McDonald · Tari Turner
Perspectives
Forsaking cures for cancer: why are we discarding the tumour biospecimens of most patients?
Discarding patients’ cancer samples because of problems with consent processes forgoes potential advances in cancer research, ignores public intent and squanders unique bioresources
Craig Gedye MB ChB, FRACP, PhD · Jennifer Fleming BA, MHA, PhD
Surgical management of low back pain
Spinal surgery for chronic low back pain is controversial, and the disproportionate number of fusions in private hospitals is unexplained
Leigh Atkinson FACS, FRCS, FAFRM · Andrew Zacest MB BS, FRACS, FFPMANZCA
Short reports
Kitesurfing — playing with water or with fire?
Despite its image as a dangerous sport, serious kitesurfing accidents seem uncommon
Steven JG Leeuwerke MSc · Manimaran Sinnathamby MB BS, MSurg · René Zellweger MD, FRACS, FACS
Ladder-related injuries in New South Wales
Ladder-related injury imposes a significant burden on the health system
Jenny Miu PhD, MPH · Michael M Dinh MB BS, MPH · Kate Curtis RN, PhD · Zsolt J Balogh MD, PhD, FRACS
Increasing incidence of type 2 diabetes in Indigenous and non-Indigenous children in Western Australia, 1990–2012
Children at risk of developing type 2 diabetes need early diagnosis and screening for diabetes-related complications
Aveni Haynes MB BChir, PhD · Rachelle Kalic BPsych, MAppEc · Matthew Cooper BSc · Jacqueline K Hewitt MB BS, FRACP · Elizabeth Ann Davis Paediatric Endocrinologist
Clinical focus
Using opioids in general practice for chronic non-cancer pain: an overview of current evidence
Careful clinical selection of patients can help optimise the evidence-based use of opioids for chronic non-cancer pain
David C Currow PhD, FRACP, FAHMS · Jane Phillips PhD · Katherine Clark MMed, FRACP, FAChPM
What is new in the surgical management and prevention of breast cancer?
Major changes are occurring in breast surgery to help improve quality-of-life outcomes for women who survive breast cancer
Andrew J Spillane MD, FRACS
Acute pain management: scientific evidence, fourth edition, 2015
The increase in evidence over the past 15 years in acute pain management is impressive
Stephan A Schug MD, FANZCA, FPMANZCA · Greta M Palmer MB BS, FANZCA, FFPMANZCA · David A Scott PhD, FANZCA, FFPMANZCA · Richard Halliwell MB BS, FANZCA · Jane Trinca MM(Pain Management), FANZCA, FPPMANZCA
Research
What does “futility” mean? An empirical study of doctors’ perceptions
Despite a broad conceptual consensus, there is variability in how the concept is applied in clinical decision making
Ben White LLB(Hons), DPhil · Lindy Willmott LLB, LLM, PhD · Eliana Close BSc(Hons), BA(Hons) · Nicole Shepherd BSc, BSocSci(Hons) · Cindy Gallois PhD, MA, BSL · Malcolm H Parker MB BS, MHlthMedLaw, MD · Sarah Winch BA(Hons), PhD · Nicholas Graves PhD · Leonie K Callaway MB BS(Hons), FRACP, PhD
Quality of care achievements of the Prostate Cancer Outcomes Registry–Victoria
The performance of the Victorian health system has improved according to three processes of care indicators
Fanny Sampurno BA, BSci(Hons) · Arul Earnest PhD, MSc, BSocSc(Hons) · Patabendi B Kumari MB BS, MSc, MD · Jeremy L Millar MB ChB, FRANZCR, FAChPM · Ian D Davis MB BS(Hons), PhD, FRACP · Declan G Murphy FRCS(Urol) · Mark Frydenberg MB BS, FRACS · Paul A Kearns MB BS, FRACS(Urol) · Sue M Evans PhD, MClinEpi
Absolute risk of cardiovascular disease events, and blood pressure- and lipid-lowering therapy in Australia
An estimated 970 000 Australians may not be receiving recommended combination blood pressure- and lipid-lowering therapy
Emily Banks MB BS, PhD, FAFPHM · Simon R Crouch MB BS, PhD, FAFPHM · Rosemary J Korda PhD · Bill Stavreski BEcon, MPPM · Karen Page RN, MNursStud, BEd · Katherine A Thurber MPhil · Robert Grenfell MB BS, MPH, FAFPHM
Reflections
Alan Frederick Bromwich, OBE, KStJ, RFD, MB BS, FRCS, FRACS
An outstanding surgeon and an exceptional Australian
John H Pearn AO, MD, FRACP
Correction
Careers
Up, up and away
The medicine of flight and space travel is a burgeoning field filled with exciting prospects
Cate Swannell
Around the universities and research institutes
The Australian Government has named the eight-member Australian Medical Research Advisory Board, which will advise on how funds from the Medical Research Future Fund will be distributed. Professor Ian Frazer, co-developer of the human papillomavirus vaccine, has been appointed chairman of the Board, which will “develop the Australian Medical Research and Innovation Strategy every 5 years, and associated Australian Medical Research and Innovation Priorities every 2 years, according to an Australian Government press release. The Advisory Board will shortly begin a consultation to “distil the right strategic direction and priorities recommended for investment”. Professor Frazer was immediate past Chief Executive Officer (CEO) and Director of Research of the Translational Research Institute. He is now Chair of the Translation Research Institute Foundation Board. He is President of the Australian Academy of Health and Medical Science and member of the Commonwealth Science Council. He is also Chairman of the Australian Cancer Research Foundation’s Medical Research Advisory Committee. Other members of the board are: Professor Peter Høj, Vice Chancellor and President of the University of Queensland. Before this, he was Vice-Chancellor and President of the University of South Australia; CEO of the Australian Research Council; and Managing Director of the Australian Wine Research Institute. Professor Doug Hilton is president of The Association of Australian Medical Research Institute, Director of the Walter and Eliza Hall Institute, and Head of the Department of Medical Biology at The University of Melbourne. Throughout his career, Professor Hilton has been actively involved in the application of research through collaboration with industry and is an inventor on more than 20 patent families. Professor Karen Reynolds is Director of the Medical Device Research Institute and the Medical Device Partnering Program (MDPP), as well as Deputy Dean of the School of Computer Science, Engineering and Mathematics at Flinders University. She established the MDPP to convene researchers, industry and end users of medical technologies, resulting in novel devices that improve diagnosis, treatment and rehabilitation of patients. Dr Deborah Rathjen is the Managing Director of Bionomics Corporation, based in Thebarton, Adelaide. She began with a virtual company which has turned Bionomics into a notable Biotechnology/Biomedical firm with a $200 million market capitalisation. Her role in developing cancer treating drugs and other medications is a large contribution to Bionomics’ current success in the biotechnology market. Mr Yasser El-Ansary is the Chief Executive of the Australian Private Equity and Venture Capital Association where he is responsible for leading the strategic direction of the organisation’s work in representing the private equity and venture capital industry in Australia. He has almost 20 years’ experience as a business adviser and public policy expert, through his previous roles with PwC, Rio Tinto, Australand Property Group, as well as the Department of Treasury in Canberra. Ms Jennifer Williams is the previous Chief Executive of the Australian Red Cross Blood Service. Ms Williams has previously held the positions of Chief Executive Alfred Health, Chief Executive Austin Health, Director in the Department of Human Services (Victorian Government) and other senior management positions in the public and private sectors. Professor Anne Kelso, AO, is CEO of the National Health and Medical Research Council (NHMRC). The CEO of the NRMRC will have a permanent seat on the Advisory Board to support coordination of approaches. With the exception of the CEO of the NHMRC, members are appointed for a period of up to 5 years.
Cate Swannell
Calendar of conferences in Australia and New Zealand
This calendar will be updated each month. If you have an event you would like to add, please include relevant details in an email to cswannell@mja.com.au
Cate Swannell
To screen for depression or not?
Malcolm J Hopwood MB BS, MD, FRANZCP · Gin Malhi FRCPsych, MD, FRANZCP
How can we ensure that people with lung cancer living in rural and remote areas are treated surgically when appropriate?
Elizabeth Tracey BSc(Hons), MPH, PhD · Brian C McCaughan MB BS, FRACS · Jane M Young MPH, PhD, FAFPHM · Bruce K Armstrong MB BS(Hons), DPhil, FRACP
E-cigarettes should be regulated
Martin McKee MD, DSc · Mike Daube BA(Hons), HonDSci · Simon Chapman PhD, FASSA, HonFFPH
News briefs
Cate Swannell
News briefs
Cate Swannell
Zika preparedness in Australia
Chris Baggoley FACEM, BM BS, BVSc · Katrina Knope BSc, MPH · Anna Colwell MB BS(Hon), FRACGP, MPH · Jenny Firman MB BS, FRACGP
The ASID test
Cheryl A Jones MB BS(Hon), PhD, FRACP · Joshua S Davis MB BS, DTM · David FM Looke FRACP, FRCPA, MMedSci(ClinEpid)