Link here. Excerpt:
'Patients with prostate cancer may be encouraged to get radiation therapy by urologists who own the equipment, new research suggests.
According to study author Jean Mitchell, a professor of economics at Georgetown University, the use of expensive radiation treatments has increased substantially in practices that own the equipment.
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Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, said urologists make only about $1,100 for surgery to remove the prostate, and watchful waiting involves only the limited cost of office visits and imaging.
Radiation treatment, however, can cost between $31,000 and $40,000, depending on where in the country patients are treated, Mitchell said.
"This is really showing that financial incentives really influence physician behavior," she said. "Patients have to wonder, 'Am I getting the treatment because it's really the best, or am I getting the treatment because my urologist is making money off of it?'" Mitchell said.
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D'Amico advises patients to ask if the medical evidence for their case supports radiation or surgery.
"The correct answer is either yes or no. If there is a choice, the patient should be told that the medical evidence is inconclusive. That's what they need to hear, because that's the truth. Most of the time, there is a choice," he said. "If they say the medical evidence in your case says it should be radiation, then the patient has to wonder whether or not [they're] getting it straight."
Moreover, D'Amico said patients should get a second opinion.
One critic of the study, Dr. Deepak Kapoor, president of the Large Urology Group Practice Association, said the study represents a political agenda and that doctors aren't pushing radiation therapy when they own the equipment.