My urologist says in his large practice that surgeries are down, AS is up and radiation is up.
The trend toward urology-owned radiology clinics has been harshly criticized by professional medical societies due to unethical self-referrals, but has been extremely profitable for many larger clinics across the country...so this local observation follows that pattern. LINK
He has also reported several times over the past couple of years that there are proportionately more men further advanced at diagnosis. Many of these are choosing combination brachytherapy and IMRT instead of surgery with the high probability of either adjuvant or salvage radiation.
The first part of this is correct not only in his little world but also nationally
, corresponding with the reduction of non-consequential PCs being diagnosed (aka, "smart" PSA testing), but in the big picture, nationally
in the US, your reference to "many"
high-risk cases being treated with EBRT+BT means about
2% and is on a slow downward trend, as I previously indicated. In 2014, for all
PC cases (high-, intermediate- and low-risk combined), EBRT+BT was used for only 3.4% of all
Unsupervised, free PSA testing pop-ups, which were initially launched by drug companies trolling for customers (I've previously written about
the interesting, albeit sordid, history of the PC-industry) are now deemed unethical. Do a site search.
Post Edited (Blackjack) : 7/12/2019 6:39:30 AM (GMT-6)