“Best care” doesn’t equate to better outcomes! That’s not good!

A poster by Schroeck et al. — to be presented on May 20 at the upcoming annual meeting of the American Urological Association (AUA) — presents the latest set of data suggesting that “best care” does not lead to appropriate outcomes quality for men receiving standard forms of treatment for localized prostate cancer. … READ MORE …

Increasing transparency about quality of sexual function after surgery

A recent study in the Journal of Endourology reports prospective data on the recovery of potency following radical prostatectomy and concludes that the “overwhelming majority of men experience a deterioration in the overall quality of erection” after robot-assisted prostatectomy. … READ MORE …

Gee … on-line support systems for prostate cancer patients actually work!

In the management of patients being treated for prostate cancer, “Providing support using online methods is effective; the length of time this intervention should be provided to patients will require further research.” … READ MORE …

Of cost, quality, and care for low-risk prostate cancer

A newly published study in the Annals of Internal Medicine has offered an analysis of the cost-effectiveness of “observation” as compared to immediate initial treatment for men diagnosed with low-risk, localized prostate cancer. … READ MORE …

“Raising the bar” for outcomes after radical prostatectomy

There is another rather entertaining, 10-minute video today on the Medscape Oncology web site showing a conversation  between Dr. Matt Cooperberg of the University of California, San Francisco and Dr. Andrew Vickers of the Memorial Sloan-Kettering Cancer Center in New York. … READ MORE …

Men in minorities or treated under Medicaid receive lower quality care

In yet another utterly unsurprising “research” finding, a new article in the Journal of Urology has shown that — in the USA — minority prostate cancer patients and prostate cancer patients treated under Medicaid are less likely to have their prostates removed at high-experience and high-volume hospitals where there is high use of robot-assisted surgical techniques. … READ MORE …

Tumor boards, outcomes, and quality of cancer care

If I happened to be a U.S. military veteran with or at risk for cancer (which I am not) or a senior official with the Veterans Administration, I would likely be more than a little distressed by a recent article in the Journal of the National Cancer Institute. … READ MORE …

How doctors interpret published data from clinical trials of new drugs

Although it has nothing to do with prostate cancer in particular, there is an interesting article in this week’s issue of the New England Journal of Medicine that assesses how physicians interpret the published results of clinical trials of new drugs — based on the quality of the trials (their “rigor”) and who put up the money to carry the trial out (“funding”). … READ MORE …

(Wal)nuts for your young nuts?

OK … so this has nothing to do with prostate cancer … but we couldn’t resist it … A paper just published on line in Biology of Reproduction suggests that eating walnuts actually does improve sperm quality in young males otherwise eating a pretty standard western diet! … READ MORE …

Delaying surgery for localized prostate cancer … what’s the downside?

A paper published in June this year in the Journal of Sexual Medicine suggests that delaying radical prostatectomy (RP) as a first-line treatment for localized prostate cancer has no significant effects on post-surgical pathology or mortality but may lead to higher risk for incontinence and erectile dysfunction. … READ MORE …

Active surveillance or immediate surgery for low-risk prostate cancer: let’s look at the math

A new study has attempted to calculate the impact of age, health status, and patient preference on the relative outcomes (and merits) of immediate surgery as compared to active surveillance for the management of low-risk prostate cancer. … READ MORE …

Medicaid patients do get better health care than America’s uninsured

The “New” Prostate Cancer InfoLink is delighted to see the early results of a major study conducted by the National Bureau of Economic Research which has effectively proven that patients on Medicaid find regular doctors, see those doctors more often, feel better, are less depressed, and are better able to maintain financial stability than those with no health care insurance. … 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 …

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 …

Three important editorials

The October issue of the Journal of Urology carries three editorials that we consider to be very important to the world of prostate cancer — for professionals and patients alike. … READ MORE …

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