Palliative care vs. hospice care; there is a difference

Another interesting media story — particularly for those men and their families who are dealing with very late stage forms of prostate cancer — if the one about palliative care published yesterday in the San Francisco Chronicle. Palliative care (as opposed to hospice care) is a growing option for many who live in or near major metropolitan centers here in the USA.

New technology, over-treatment (it ain’t just a prostate cancer issue), and PCORI

We are probably all aware that the “commercialization” of medicine in the past 30+ years — in association with the development of new technologies that may (or may not) actually improve outcomes for individual patients — has driven up medical costs. Many hospitals and doctors want to generate revenue (and profits); so do most developers of new drugs and devices. … READ MORE …

Time for clinicians to take some responsibility for patient CARE over time

If one is to believe a recent blog post on ACCCBuzz (promoting the upcoming annual meeting of the Association of Community Cancer Centers), the average community-based medical oncologist (not to mention the average community-based urologist) apparently makes little attempt to implement high quality guidance about quality of life for men with prostate cancer. … READ MORE …

Health Affairs asks tough questions about cost, value, and medical care of men at risk for prostate cancer

One of four articles published yesterday in the journal Health Affairs is causing another major furor in the urology community. The article reports that urology practices that carry out their own pathological analysis of biopsy samples in house order more biopsy samples than practices that send samples to independent laboratories. … READ MORE …

New guidance from ASCO on the role of palliative care in cancer therapy

The American Society for Clinical Oncology (ASCO) has just released a formal “provisional clinical opinion” on the integration of palliative care into standard care for patients with cancer. The full text of this article is available on line. … READ MORE …

PPACA, cancer disparities, and health care reform

As reported last Friday on the Medscape web site, the American Society for Clinical Oncology (ASCO) has recently issued a new policy statement addressing the opportunities presented by the Patient Protection and Affordable Care Act (PPACA) to reduce the disparities in cancer care. … READ MORE …

Delayed follow-up care of men with a high PSA found to be common

For any man with a first-time PSA level > 10 ng/ml, there is significant risk for prostate cancer, and early follow-up care — including a repeat PSA test and potentially a biopsy — is probably a priority unless the patient has a life expectancy of 10 years or less. … READ MORE …

One urologist’s opinion … on the value of “high tech” medicine

Craig Turner, MD, practices urology in Portland, Oregon, and for the past 6 years or so he has been carrying out laparoscopic radical prostatectomies with the help of a da Vinci robot … but he doesn’t seem to think this has made him a better prostate cancer surgeon. … READ MORE …

ASCO issues guidance on end-of-life care for cancer patients

The idea that having good policies and procedures in place to help patients and family members to address end-of-life care is highly controversial in some quarters. However, The “New” Prostate Cancer InfoLink believes that there is a great need for clear professional and consumer guidance on end-of-life care related to cancer … … READ MORE …

Race, patterns of care, and quality of care in the USA

Barocas and Penson have offered a helpful new review of racial variation in the patterns and the quality of care offered to prostate cancer patients in the USA. The entire paper is available on line through the UroToday web site. … READ MORE …

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