This is a very loooonnnng but fascinating article that covers a wide range of issues , all related to the title...https://getpocket.com/explore/item/when-evidence-says-no-but-doctors-say-yes?utm_source=pocket-newtab
It was too long for me to get through. I did read half of it and skimmed the rest.
It talks about
, among other things, the 4 reasons why cardiologists continue to send patients with stable angina for stent placement in the absence of evidence to its benefit, to the weaknesses in almost all RCTs, including the one that got Provenge approved (I believe it was the “IMPACT’ trial?).
It’s worth a read, maybe in two sittings if you are short on patience.
I am not a doctor, just another guy without a prostate
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathology G6
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08 Start ADT. Sept 2018 Start SRT
Sept 2018 thru November 2018 – T = 4, PSA = <.05
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq
Post Edited (Pratoman) : 6/4/2019 5:30:21 PM (GMT-6)