“If all you have is a hammer, everything looks like a nail”

It was called “instrument bias” by Abraham Maslow and Abraham Kaplan, but for present purposes, we’ll call it “specialty bias” — over-reliance on the tool one is most familiar with. … READ MORE …

How can shared decision-making work well if we aren’t starting from the same point?

Now here is a very interesting set of data from (admittedly) a small pilot study by a group of Italian researchers. … READ MORE …

How well did your urologist do for you?

A new report in the journal JAMA Surgery has suggested that urologists who see fewer patients tend to get higher satisfaction ratings than those with higher-volume practices. … READ MORE …

Florida-based urologist arrested for practicing prostate cancer treatment without a license

Just over 3 years ago we reported that Dr. Ronald Wheeler, a Sarasota, Florida-based urologist, had been suspended and fined for unethical medical practices. … READ MORE …

Columnist calls on urologists to disclose prostatectomy rates and related data

In one of his regular video columns on the Medscape web site, Dr. Gerald Chodak has called on his colleagues in the urology community to voluntarily disclose data about their prostatectomy experience to patients interested in surgical treatment for localized prostate cancer. … READ MORE …

Patients and urologists both prefer active surveillance (maybe, in the Netherlands)

It has been a while since we saw data from a contemporary survey of the views of urologists and patients on their preferences for appropriate management of early stage, localized prostate cancer. … READ MORE …

When will what they say correspond to what they do?

In reading through the abstracts of the presentations to be given at the upcoming annual meeting of the American Urological Association (AUA), the results of a national survey of radiation oncologists and urologists on active surveillance (AS) for low-risk prostate cancer is the most striking item that we have seen to date. … READ MORE …

How am I meant to get THERE from HERE?

A new report just published on line in the Journal of Urology has shown that — at least in the state of North Carolina — distance from the nearest urologist affects prostate cancer risk category at diagnosis and may disproportionately impact black as opposed to white patients. … READ MORE …

Are US urologists really acceptant of active surveillance?

According to a new study published on line in Prostate Cancer and Prostatic Diseases, 370/425 urologists who responded to a recent survey felt that active surveillance was a reasonable management strategy and about 350/425 actually manage patients by using this approach. But … READ MORE …

Cancer management guidelines are exactly that — guidelines!

A new article in BJU International provides patients with some insight into just how closely members of the urology community tend to follow some of the guidelines issued by their professional organizations with regard to the management of prostate cancer. … READ MORE …

PSA levels, prostate cancer risk, and diagnosis in the “real world”

For all of the academic literature and the recommendations of guideline-generating organizations on testing, diagnosis, and management of prostate cancer, urologists out in community practice may show considerable variation in their clinical practice patterns. … READ MORE …

AUA report and update no. 6: Monday, April 27, 2009

We learned a few other interesting tidbits during a variety of sessions and conversations today. … READ MORE …