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Howard Wolinsky's avatar

Thanks, Bert. Appreciate your weighing in. I underwent "shared decision-making," where my urologist only recommended surgery and wouldn't support AS.

Howard

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Bert Vorstman MD's avatar

Ok, so shared decision-making sounds reasonable but patients can easily be steered towards unnecessary evaluation and treatment by the physician.

> The PSA is horrible biomarker that is not cancer-specific and comes with a 78% false positive rate.

> MRI, other types of imaging and pathology, are subject to significant errors of interpretation.

> The grade 3 in the G6 is a bogus cancer.

> Biopsies weren't defined - if random, this "test" is risky and grossly unscientific - sampling blindly and randomly 0.1% of the prostate.

> MRIs should be undertaken only by real experts in the field and if hi Pirads areas are detected, further evaluated by MRI-guided biopsy.

All healthcare recommendations should be supported by irrefutable and reproducible scientific data.

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