RENAL & UROLOGY NEWS: A US jury has found two doctors not guilty of failing to care properly for a prostate cancer patient who died, after his wife took a case based on absence of a timely PSA test. READ MORE>
Archive for the ‘Doctors' advice’ Category
Posted in Diagnosis, Doctors' advice, PROSTATE CANCER, tagged absence of timely PSA test, blood test, blood tests, catheter, failing to care properly, medical checkups, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate-specific antigen, PSA, PSA test, RENAL & UROLOGY NEWS, US jury on July 14, 2010 | Leave a Comment »
Posted in Checkups, Diagnosis, Doctors' advice, PROSTATE CANCER, PROSTATE RESEARCH, Screening debate, Treatment debate, tagged Australian research, cancer research, decision-making process, doctor-patient discussions, GP advice on prostate screening, medical checkups, Patient knowledge, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate cancer screening, prostate treatment debate, prostate-specific antigen, Screening debate, US Archives of Internal Medicine on October 1, 2009 | Leave a Comment »
PROSTABLOG NZ: How best to advise doctors on what they should tell their patients about prostate cancer testing is a key issue facing the Parliamentary inquiry in NZ – but they’re not alone in their deliberations.
A global debate is going on about whether men are being properly counselled, whether they should be tested, whether they should even be told about testing.
A recent report in the US Archives of Internal Medicine referred to some Australian research produced last year that asked men about their doctor-patient discussions on prostate cancer. It’s worth revisiting:
Patient knowledge, interest in being screened, and anxiety associated with considering the benefits and limitations with prostate cancer screening may all influence the manner in which patients interact with their doctor and what role is adopted during the decision-making process. READ MORE> and HERE>
Posted in Blue September, Doctors' advice, ETHNICITY, Maori mortality, Prostate advice, PROSTATE CANCER, tagged Air Chatham, Blue September, Chatham, Chatham Islands, Chatham Islands Māori Community Health, Chathams, encouragement of wives, fishermen and farmers, Hao Te Ora o Wharekauri Trust, Joe Tapara (Ngāti Ruanui), Kaingaroa Harbour, Maori TV, medical checkups, Owenga, partners and mothers, Port Hutt, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate cancer awareness, Prostate Cancer Foundation of NZ, prostate cancer screening, prostate cancer treatments, prostate treatment, Te Āti Awa Iwi, urology, Whitireia journalism on September 29, 2009 | Leave a Comment »
WHITIREIA journalism student CARL SUURMOND went to the Chatham Islands with the Prostate Cancer Foundation last weekend. Here’s his first report (see below for his SLIDE SHOW):
PROSTABLOG NZ: The men of the Chatham Islands are a tough breed of fishermen and farmers whose work environments have shaped their hardwearing demeanour – but it’s the women of the island who are really tough.
Without the support and encouragement of wives, partners and mothers, many of the male inhabitants of the island may not have turned up at the presentations on prostate cancer held over the weekend.
That’s the view of Joe Tapara (Ngāti Ruanui), cultural adviser for the Hao Te Ora o Wharekauri Trust and member of the Chatham Islands Māori Community Health.
“The wives and the partners were the reason why so many men turned up,” he said. “Without them nagging, I’m not sure how many would have bothered.”
The weekend presentations aimed to raise awareness of prostate cancer and promote early detection, with a focus on reducing fatalities amongst Māori men.
Maori are less likely to be diagnosed early and suffer a death rate after diagnosis that is twice that of non-Māori.
The trip was funded and organised by the NZ Prostate Cancer Foundation, in conjunction with Māori Community Health and Chatham Island Health Care.
The team included the expertise of urologist Dave Mason and trainee urologist registrar Daniel Marshall, both from Hastings.
Otaki’s Dene Ainsworth (Te Āti Awa Iwi), a board member on the foundation, and prostate cancer survivor, shared his own experience during four well-attended presentations to several communities around the island, which is 800km off the coast of Christchurch.
In total, 40 men out of 135 over the age of 40 – and a few women – turned out, and in small communities like Kaingaroa Harbour, Owenga and Port Hutt just about all the male population was there to have their questions and concerns answered.
The tour round the main of the Chathams group was organised by Mr Tapara, with plenty of help from other locals.
Mr Ainsworth said the weekend was a great success and the desired outcome had been achieved.
“It was a bloody awesome weekend. I think we achieved more than we could have ever hoped for. The reaction from the islanders was first class and they’re really keen to get us to go back and do this on a regular basis.”
Mr Mason and his colleague were there to address medical concerns and provide advice.
“I think the turnout has been amazing,” said Dave Mason. “Each place that we’ve been to, the guys have come out and talked about things in different ways and brought up different concerns.
“There was a good bit of interest and a good spread of age groups.”
Mr Marshall said the men were not shy about asking questions.
“From talking to them afterwards it seems they’ve got a lot out of it. They certainly haven’t been shy in asking questions and finding out what they want to know, which is what it’s all about.
“Seeing the island, seeing the style of life here, the way everyone gets on so well in the community here – it’s been brilliant.”
The weekend came about through a serendipitous meeting between Dene Ainsworth and Joe Tapara at the first-ever Māori men’s health conference, Tane Ora, held in Blenheim earlier this year.
Dene spoke about prostate cancer in a presentation at the conference and was heard by Joe Tapara.
The two talked about men’s health and prostate cancer and Joe told Dene that his presentation was needed on the Chatham Islands.
“I agreed that Chatham Islands men should have the same access and opportunity to these sorts of presentations as ‘mainland’ New Zealanders,” said Dene.
The trip, which was funded by the Prostate Cancer Foundation, was filmed by a crew from Maori Television, which will show it on its top current affairs programme, Native Affairs.
Posted in Checkups, Doctors' advice, PROSTATE CANCER, PROSTATE RESEARCH, Screening debate, tagged cancer research, collaboration, health-care professionals, medical checkups, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate cancer screening, prostate cancer treatments, prostate treatment, prostate treatment debate, PSA, PSA test, Screening debate, shared decision-making, Wall Street Journal on September 29, 2009 | Leave a Comment »
Posted in Doctors' advice, Enlarged prostate, Good news recovery stories, Incontinence, PROSTATE CANCER, Prostate stories, PSA tests, Urination, tagged BHP, catheter, Dominion Post, Enlarged prostate, Incontinence, medical checkups, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate treatment, PSA, PSA test, surgery, TURP, urination problems, urine flow on September 21, 2009 | Leave a Comment »
DOMINION POST: In this personal account, a Lower Hutt man recalls the dire effects on his life of an enlarged prostate – and how he finally got it fixed.
…was too late. I was in trouble again – this time on an island miles from a hospital. I returned in some discomfort to the company and tried to act as if everything was OK. We left soon after. When we got to the cottage I sat on the toilet until I got…read more…
Posted in Doctors' advice, ETHNICITY, Govt prostate policy, Maori mortality, PROSTATE CANCER, PROSTATE RESEARCH, Public health system, Screening debate, Treatment debate, tagged "cultural competence" training, BreastScreen South Limited, cancer guidelines for GPs, cancer research, cancer statistics, ethnic disparities, Maori and prostate cancer, Maori cancer cases, Maori cancer deaths, Ministry of Health, NZ Guidelines Group, Pacific people and cancer, prostate, prostate blog, PROSTATE CANCER, prostate cancer screening, prostate cancer treatments, prostate treatment, prostate treatment debate, Screening debate, Suspected Cancer in Primary Care on September 12, 2009 | Leave a Comment »
PROSTABLOG NZ: Maori and Pacific people living in NZ suffer big disparities in the way cancer is detected and treated, and how well they survive it. READ MORE>
This has been known for some time, but the problem is newly highlighted in the Ministry of Health-funded cancer guidelines for GPs that have just been released.
For example, it reminds us that as many as 17% of Maori cancer cases and 6% of deaths are never reported.
It also points out that health statistics tend to be five years old before they are published, which suggests that in the rapidly changing detection/treatment environment for prostate cancer, decision-making on how best to screen and treat is seriously hampered by lack of knowledge.
While the overall, 174-page report, avoids discussion of population-based screening, it does touch on the issue in the ethnicity section:
Cormack et al. noted that national screening programme data have identified that equitable screening for breast and cervical cancer has not been achieved for Mäori women.
However, BreastScreen South Limited’s results (70% of eligible Mäori women screened in 2005) suggest that the inclusion of focused efforts and leadership are the key to achieving equity in screening.
The report analyses available data on ethnic disparities in cancer detection and treatment, and makes a number of suggestions, including more “cultural competence” training for health workers.
For the full report, CLICK HERE>
Posted in Biopsy, Diagnosis, Doctors' advice, Gleason grade, PROSTATE CANCER, Prostate prognosis, PROSTATE RESEARCH, PSA tests, Screening debate, tagged Biopsy, cancer research, comparison of treatments, Gleason grade, individual life expectancy, newly diagnosed prostate cancer, nomogram, nomogram accuracy, prostablog, prostate, prostate blog, PROSTATE CANCER, Prostate prognosis, prostate-specific antigen, PSA, PSA test, Screening debate, Sloan Kettering, University of Montreal Health Center, URO TODAY on July 31, 2009 | Leave a Comment »
JULY 31: URO TODAY: What’s the most accurate way your specialist can predict your fate when you first learn you have prostate cancer? Using something called a nomogram, according to latest analysis. READ MORE>
Researchers at the University of Montreal Health Center reviewed tools available to clinicians involved in treatment decisions in newly diagnosed prostate cancer and examined their accuracy to provide individual life expectancy.
“…nomograms provide the most accurate health-adjusted life expectancy prognostication,” they conclude.
What’s a nomogram?
It’s a calculation that gives an estimate – in this case, of life expectancy – after known information is fed into it.
The Memorial Sloan Kettering Cancer Center in the US has one for prostate cancer on its website. Anyone who knows the results of PSA, biopsy and Gleason grade can use it: CLICK HERE>
Here’s an example:
UK GPs issued with updated guidelines on how to advise patients about prostate cancer screening results
Posted in Checkups, Doctors' advice, PROSTATE CANCER, PSA tests, tagged blood test, blood tests, British GPs, CANCER RESEARCH UK.COM, medical checkups, patient queries, prostablog, prostate, prostate blog, PROSTATE CANCER, prostate-specific antigen, PSA, PSA test, Screening debate, UK Prostate Cancer Risk Management Programme on July 23, 2009 | Leave a Comment »
JULY 23: CANCER RESEARCH UK.COM: A new edition of the Prostate Cancer Risk Management Programme has been produced to help British GPs give men clear and balanced information about testing for prostate cancer. The second edition of the information pack is designed to assist GPs when responding to patient queries about prostate specific antigen testing. READ MORE>