• Benign Prostatic Hyperplasia
  • Hormone Therapy
  • Genomic Testing
  • Next-Generation Imaging
  • UTUC
  • OAB and Incontinence
  • Genitourinary Cancers
  • Kidney Cancer
  • Men's Health
  • Pediatrics
  • Female Urology
  • Sexual Dysfunction
  • Kidney Stones
  • Urologic Surgery
  • Bladder Cancer
  • Benign Conditions
  • Prostate Cancer

Bladder cancer data must be taken in context


New bladder cancer data are food for thought, but are not conclusive proof that urologists are over-treating early-stage bladder cancer and running up costs.

Their study found that in regions where patients receive costly, high-intensity surveillance and treatment, outcomes seem to be no better than in areas where monitoring and treatment are less intensive (see, "Regional expenditures for early-stage bladder Ca vary," page 1).

These data are important in providing checks and balances to help ensure that urologists are providing appropriate care and not over-utilizing limited health care dollars-an issue that's particularly germane to the national debate over health care reform. However, the study's findings need to be interpreted carefully, and the following points need to be considered:

Badrinath Konety, MD

Dr. Konety is associate professor and vice chair, urology and associate professor, epidemiology & biostatistics, University of California, San Francisco.

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