The major cancers centers in the US are rated on stringent criteria. They are the best because they offer a complete approach to treating cancers. I find it interesting that anyone would consider that rogue private practices are better when only the claim to be better is available. The fact is that these private practices seldom take part in clinical trials, seldom post corroborated statistical data of any kind, often refuse participation in trials and studies that could verify the veracity of their claims to treatment success. Many are great doctors, but they leave far more questions
their practice than a nation institute or university.
The top major centers offer a complete package including top researchers, top clinical trial involvement, multiple treatment modality options, latest equipment and protocol, and less bias towards any treatment practice. These centers are typically responsible for bringing us the next generation of doctors, protocols, and accurate reporting of clinical data.
Does this mean they are flawless? But then no individual is either, and in fact they are more susceptible to miss opportunities to receive the latest information.
So what does this mean? Large centers will follow stringent protocol. Even to the point that they will only perform a proven protocol when a patient prefers to divert from standard protocol.
I personally refuse to accept questionable data on it's own merit. Uncontrolled studies are not my cup of tea. And I only give a little credence to retrospective data but only from larger institutions that have less biases and multiple programs in treating prostate cancer. Else it needs to be a controlled randomized trial that delivers level 1 study results.
You're likely only going to be able to find that at major centers...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas
Blog : www.caringbridge.org/visit/tonycrispino