 |
|
|
|
July 11th, 2011
12:00 PM ET
Study: Bladder cancer patients get 'crummy care'Patients with aggressive non-invasive bladder cancer aren't getting the care they need, according to a study published Monday in the online journal Cancer. Researchers at UCLA's Jonsson Comprehensive Cancer Center found 99% of patients with high-grade bladder cancer that had not reached the muscle weren't getting the recommended follow-up care. According to medical billing records from 4,545 patients, only one patient got the recommended cancer care says Dr. Karim Chamie, lead author of the study. He says he considered every recommended treatment regimen and was very lenient and inclusive as to how doctors interpreted specific treatment and surveillance options. "There is something wrong, whether it's a patient factor, or whether it's a doctor factor is unclear," says Dr. Nicholas J. Vogelzang, chairman of the Cancer Communications Committee of the American Society of Clinical Oncology. He suggests some urologists aren't taking this type of cancer diagnosis seriously and neither are their patients. "Urologists have to be more vigorous and enforce their guidelines more," he adds. Dr. Gary D. Steinberg, who specializes in urology oncology at the University of Chicago Medical Center, agrees. "You've got a significant unnecessary death rate from bladder cancer due to our lack of following well established guidelines." Although he sees that some urologists are improving their follow-up, says Steinberg, he finds the majority are all over the place with their treatment practices. He believes the health care system in the United States is also partially to blame. "I really do think the overall reimbursement rate to take care of bladder cancer patients is not sufficient." The study suggests patients need to be more actively involved in their treatment plan. "This is a cancer - if it's high-grade, that has a very high risk of progressing to invasive disease, which can affect your quality of life," says Chamie. "It is up to you the patient to take ownership of your cancer diagnosis, to arrange a strict surveillance and treatment schedule because at the end of the day it's the patient that has to live with their cancer diagnosis." Wolf says patients should always be questioning their doctor about what's being done and why. "We definitely want to empower patients," he adds. Steinberg suggests patients refer to the Bladder Cancer Advocacy Network for more information. Dr. H. Barton Grossman, deputy chairman of urology at the M.D. Anderson Cancer Center, also believes, like the AUA spokesman, that the study overstates the number of patients who don't get the proper treatment. "It's good that they raise the issue but it's not as bad as they say," he says. Grossman, who was not involved in the study, suggests that urologists and patients need to be better informed but that "it's not 99% of the population not being adequately treated." He believes the number is more like 25% of patients and he acknowledges more needs to be done to educate doctors and patients with this prognosis. "There are different sets of guidelines out there," says Grossman and it can be confusing because none of them are completely the same. Grossman is referring to guidelines from the American Urology Association, the European Association of Urology, and the National Comprehensive Cancer Network. The study authors suggest the standard guidelines need to be more clearly defined and adhered to. They suggest they should include: – Check-ups every three months
Next entry »Tri Challenge: I ran my first 10K at 58
« Previous entryMy ear is clogged. Should I get antibiotics?
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
gay anal sex videos
https://treasuremunchkincattery.com/
https://www.instructables.com/member/James952/?publicPreview=true
https://www.skillshare.com/profile/Jodie-Roden/684572718
Everything is very open with a precise clarification of the issues. It was definitely informative. Your website is extremely helpful. Thanks for sharing!
http://www.sa-live.com/merror.html?errortype=1&url=https://massage5finnsuym797.mozello.com/blog/params/post/2838913/10-wrong-answers-to-common-questions-do-you-know-the-right-ones
Wonderful article! We will be linking to this great content on our website. Keep up the great writing.
https://padlet.com/n6pyejx982/Bookmarks
Itís nearly impossible to find well-informed people in this particular topic, however, you seem like you know what youíre talking about! Thanks
http://diveqa.com/user/z3rtlyr268
Pretty! This has been an extremely wonderful article. Thanks for supplying these details.
http://osclassbrasil.com.br/user/profile/224215
I'm excited to find this page. I want to to thank you for ones time for this fantastic read!! I definitely enjoyed every bit of it and I have you saved as a favorite to look at new stuff on your blog.
https://backforgood.faith/wiki/What_Is_a_Biodynamic_Massage
I was able to find good information from your articles.
http://multik.uz/user/thomascolon3/
Very few writers with correct knowledge of the subjects they blog about.
https://paddlingboat18.webgarden.at/
Pretty! This was an incredibly wonderful article. Many thanks for supplying these details.
http://anma1shanezqtv123.yousher.com/the-3-biggest-disasters-in-chuljang-anma-history
I blog frequently and I truly appreciate your information. The article has really peaked my interest. I am going to book mark your website and keep checking for new details about once per week. I opted in for your RSS feed too.
https://kinosrulad.ge/user/o9zrhfg134
The only point I lament is not having actually found your blog site earlier.
https://diigo.com/0ko93p
Oh my goodness! Amazing article dude! Thank you, However I am going through issues with your RSS. I donít understand why I am unable to subscribe to it. Is there anyone else getting similar RSS issues? Anybody who knows the answer can you kindly respond? Thanx!!
https://morphomics.science/wiki/Traditional_Oriental_Medicine_and_Massage_Therapy
Spot on with this write-up, I really believe that this site needs far more attention. Iíll probably be back again to read through more, thanks for the advice!
http://kanalim13.info/user/coffeegray3/
https://www.breaker.audio/tech-reviews-and-tutorials-with-techstat-dot-net
https://penzu.com/public/ec6cf779
I would like to thank you for the efforts you've put in penning this website. I am hoping to check out the same high-grade blog posts from you in the future as well. In fact, your creative writing abilities has inspired me to get my own blog now 😉
http://pixelscholars.org/engl202-022/members/anma4lungreward9/activity/770929/
Howdy! This article couldnít be written much better! Looking at this post reminds me of my previous roommate! He constantly kept talking about this. I most certainly will forward this information to him. Fairly certain he's going to have a very good read. Thanks for sharing!
http://23-taraz.balabaqshasy.kz/user/g7pljgd999
bookmarked!!, I like your web site!
https://massage5nodecourse0.bladejournal.com/post/2021/04/13/Massage-Therapy:-What-it-Can-Do-For-Your-Health
Of course, what a fantastic site and enlightening posts, I will bookmark your site.All the Best!
http://topmovesblog0791.timeforchangecounselling.com/looking-for-professional-boston-ma-to-florida-movers
You have made some really good points there. I checked on the internet for more info about the issue and found most people will go along with your views on this site.
https://rolainiciativa.pt/members/gambling9desertwall87/activity/448909/
Hi there! I could have sworn Iíve been to this site before but after looking at a few of the posts I realized itís new to me. Anyhow, Iím certainly pleased I found it and Iíll be bookmarking it and checking back regularly!
https://iprodam.by/user/profile/11744
What's up friends, fastidious paragraph and pleasant arguments commented at this place, I am in fact enjoying by these.|
http://www.gardenershub.xyz/
Good post. I learn something new and challenging on sites I stumbleupon everyday. It will always be exciting to read content from other writers and use a little something from other web sites.
https://anotepad.com/notes/3hwhyxyn
Howdy! I could have sworn Iíve been to this blog before but after looking at many of the articles I realized itís new to me. Anyways, Iím certainly happy I found it and Iíll be bookmarking it and checking back often!
http://isms.pk/members/massage4lycranancy2/activity/726435/
Do you would like to know about operational game hacks and what they can do for your favorite action mobile game? Our company provide free game hacks that provide limitless resources in any action mobile game. Furthermore, these hacks work flawlessly on almost all devices (Android & iOS) so there is absolutely no chance of compatibility challenges. Enjoy endless resources in your favorite action game with our tool.
https://gamehakz.netlify.app/ropenfly-4-hack-cheat/
https://samsungifa.com/
https://samsungifa.com/taking-a-tour-of-the-samsung-galaxy-s21-ultra-5g/
I really love your blog.. Excellent colors & theme. Did you develop this website yourself? Please reply back as Iím hoping to create my very own website and want to learn where you got this from or just what the theme is named. Many thanks!
https://jasondahlia02.bravejournal.net/post/2021/04/23/Turkish-Bath-Massage
Hi there, I do think your website could possibly be having internet browser compatibility issues. Whenever I take a look at your website in Safari, it looks fine however, when opening in IE, it has some overlapping issues. I just wanted to provide you with a quick heads up! Besides that, wonderful site!
https://pastebin.pl/view/2c7c7047
Excellent site you have got here.. Itís difficult to find good quality writing like yours nowadays. I really appreciate people like you! Take care!!
http://juntendo-english.jp/forums/user/y3wkynq759/
Way cool! Some very valid points! I appreciate you writing this post plus the rest of the site is also very good.
https://spacelyric43.tumblr.com/post/649703967975227392/history-of-swedish-massage-therapy
Various other articles where Manganese steel is reviewed: steel: Wear-resistant steels: Manganese steels are usually called Hadfield steels, after their creator, Robert Hadfield.
https://www.cheaperseeker.com/u/v7hdfvy153
http://feeds.feedburner.com/techstat/GHSw
http://feeds.feedburner.com/techstat/GHSw
You ought to be a part of a contest for one of the most useful sites online. I am going to recommend this web site!
http://israelbefv445.tearosediner.net/totosaiteu-11-thing-you-re-forgetting-to-do
This is a topic that is close to my heart... Many thanks! Where are your contact details though?
https://uceda.org/members/tailorhook6/activity/195130/
Good article. I'm experiencing a few of these issues as well..
http://tilengine.org/forum/member.php?action=profile&uid=30777
Hello there! I could have sworn Iíve been to your blog before but after looking at some of the articles I realized itís new to me. Nonetheless, Iím certainly pleased I discovered it and Iíll be book-marking it and checking back frequently!
https://squareblogs.net/blousecat77/heal-your-own-body-for-removing-toxins-and-clearing-the-skin-care-naturally
Next time I read a blog, I hope that it won't disappoint me just as much as this particular one. I mean, I know it was my choice to read, however I genuinely believed you would have something interesting to say. All I hear is a bunch of crying about something you can fix if you were not too busy seeking attention.
https://telegra.ph/Thai-Therapeutic-Massage-Locations-at-Bangkok-Thailand-04-23
Manganese resembles iron in its chemical and physical residential properties, yet it is harder as well as much more brittle. Manganese is perhaps one of the most flexible component that can be contributed to copper alloys.
https://pbase.com/topics/w0ucrvj334/caststee735
You do not need to be the one that consistently gets ruled out of the hype when it involves your favored adventure mobile game. You can effortlessly receive all the resources you require by utilizing our completely free game cheats! Our Android & iOS hacks let you enjoy your absolute favorite adventure games without being left behind by others. All this power is at your fingertips with just a couple of simple clicks – are you prepared?
https://gamecheatz.netlify.app/wilderless-hack-cheat/
This is the perfect webpage for anyone who hopes to understand this topic. You realize a whole lot its almost tough to argue with you (not that I personally will need toÖHaHa). You certainly put a fresh spin on a topic that has been discussed for ages. Great stuff, just excellent!
https://motherradio41.tumblr.com/post/649438829017776128/how-to-do-shiatsu-massage
Lawrence SLS 14 Manganese Steel is among the toughest steels offered
http://www.authorstream.com/n4lqumh403/
I'd like to thank you for the efforts you've put in writing this website. I'm hoping to check out the same high-grade content by you later on as well. In fact, your creative writing abilities has encouraged me to get my own, personal blog now 😉
http://abroadsanjal.com/index.php?qa=user&qa_1=couchcanvas69
Hi there! I'm at work surfing around your blog from my new iphone 4! Just wanted to say I love reading through your blog and look forward to all your posts! Carry on the fantastic work!
http://www.lekkoo.com/v/5d2f0faa5c4940e04900004b/St._PaulE28099s_Villa/#lat=0.000000&lng=0.000000&zoom=2
Everything is very open with a really clear clarification of the issues. It was definitely informative. Your website is useful. Many thanks for sharing!
https://xn--80ahda7ablsc9a.xn--p1ai/user/profile/217229
Spot on with this write-up, I seriously believe this amazing site needs a lot more attention. Iíll probably be returning to read more, thanks for the info!
https://www.allrecipes.com/cook/29514442/
Nice post. I learn something totally new and challenging on sites I stumbleupon every day. It's always interesting to read through content from other authors and use a little something from other websites.
https://massage8marcoggfr270.my-free.website/blog/post/513755/11-thing-you-re-forgetting-to-do
Chrome steel is utilized synonymously with stainless steel What are its residential or commercial properties ? Hardening of chrome steel.
https://postheaven.net/f7grawn498/it-is-thought-that-andquot-stainless-steel-is-not-rusted-and-also-rusty-steel-is
An impressive share! I have just forwarded this onto a friend who has been conducting a little homework on this. And he actually ordered me breakfast due to the fact that I stumbled upon it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending time to discuss this issue here on your web page.
https://zenwriting.net/fathersteam2/how-to-choose-the-right-care-for-your-child
Hello there! This post couldnít be written any better! Looking through this post reminds me of my previous roommate! He constantly kept talking about this. I am going to forward this article to him. Fairly certain he'll have a great read. Thank you for sharing!
http://essabre-90xx-rpi.sfb2.com/forum/member.php?action=profile&uid=55209