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Financial Incentives Inappropriately Drive The Treatment of Prostate Cancer

In the November 4 issue of the New England Journal of Medicine, a study by Shahinian et al shows the influence of financial incentives on the delivery of prostate cancer treatment. The treatment option here is androgen deprivation therapy (ADT) with gonadotropin releasing hormone agonists (GnRH). Until 2005 Medicare reimbursed practitioners for these drugs at a rate that resulted in profits up […]

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PSA Screening: “If Saving Lives Is The Point of Testing, The Benefit Is Not So Great”

This quote is from Dr. Gerald Andriole, Chief of Urologic Surgery at Washington University School of Medicine after another study appeared concluding that screening for prostate cancer with PSA does not save lives. This confirms what was reported in many other studies. You see, cancers detected by screening most often are the ones that are  not […]

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PSA Screening-The Inane Recommendation of Lowering the PSA Threshold for Prostate Cancer Diagnosis

Many urologists are recommending lowering the upper limit of normal for PSA which now sits at 4.0 ng/ml. The reasoning is if the cancer can be diagnosed earlier it can be cured. However, recent retrospective studies of 123,934 men with newly diagnosed prostate cancer from 2004 to 2006 showed that a majority of men diagnosed with prostate […]

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PSA Screening-There’s More To Good Health Than Being Screened for Prostate Cancer

Although men have a 16% chance of being diagnosed with prostate cancer, there’s just a 4% chance of dying from the disease. This is because it’s a slow growing cancer which often strikes older men. On the other hand, cardiovascular disease is far more fatal and much more ignored. Our risk of dying from a heart attack beginning […]

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PSA Screening-Good News on Treating Advanced Prostate Cancer

Last weeks American Society of Clinical Oncology (ASCO) meetings in Chicago reported some good news on the advanced prostate cancer treatment front. By adding radiation treatment to hormone therapy, doctors were able to extend the life of men with advanced prostate cancer. Seventy four percent of men who received radiation therapy along with hormone therapy were […]

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