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