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Posts Tagged ‘prostate cancer overtreatment’

URO TODAY: Current standard prostate biopsy protocols have limited accuracy in identifying candidates for less drastic focal therapy for prostate cancer (as opposed to total removal or treatment). READ MORE>

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NEW PROSTATE CANCER INFOLINK: “Are we over-treating 50,000 men each year? Could it be even more?” asks Mike Scott, the sitemaster of America’s leading prostate cancer discussion website.

These questions begin his analysis of an article by Welch and Albertsen in this week’s issue of the Journal of the National Cancer Institute, which estimates how much “over-treatment” may have occurred during the 20-year period from 1986 and 2005. READ MORE>

It is their belief that it is of the order of 1 million men (an average of about 50,000 per year) or higher — and we have no reason to disagree with them.

Later, Mike writes:

If we can’t come up with a better way to differentiate between high risk and indolent prostate cancer (and quickly), then we need to come up with a better way to manage prostate cancer based on the information currently available.

The academic discussion is of intellectual interest, but is not a basis for clinical decision making.

We need a way to help men and their doctors make the right decision about management once a diagnosis is made (as opposed to telling them that diagnosing prostate cancer may be  the wrong thing to do).

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