Is the increase in orchiectomy for prostate cancer patients appropriate?
β Scribed by Gerald W. Chodak
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 37 KB
- Volume
- 112
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
β¦ Synopsis
An increase in the use of bilateral orchiectomy has been observed coinciding with a decrease in the use of lutenizing hormoneβreleasing hormone therapy for men who require castration for their prostate cancer. This finding has raised 2 questions: 1) is this good or bad for patients? and 2) are economic factors driving this decision? Currently, it is not possible to conclude that patient care is being compromised without knowing more regarding the clinical factors resulting in this change; however, compromised care is 1 possibility. The other question also cannot be answered; however, changes in reimbursement may contribute partially to this change. Regardless of the reason, the author believes that optimal care of patients dictates an honest and open discussion of the pros and cons for the various options available for castration.
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BACKGROUND. An increase in the proportion of prostate carcinomas diagnosed at early, potentially curable stages has led to several changes in treatment of patients with this disease. Greater use of radical prostatectomy and external beam radiation has been documented, and recent data suggest that th