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- Feb 14, 2016
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My observation while setting up lab equipment in Private Labs vs Hospitals and also involved with Prostate cancer
Big laboratories setup small labs in Urologists offices so they can earn the technical component, which in turn gives an incentive to a Urologist to do more "million" core biopsies on anyone who walks in. Lab bills for "Professional component", performs unnecessary immunostains(triple stain, Pten, Erg) on multiple cores for no reason. It happens on multiple occasions to the same patient because they "just watch" and followup.
While in big hospitals, same twelve cores of prostatic tissue is put in two containers labelled "left" and "right". 88305x2. Rarely any immunostains(forget about Pten and Erg). Same information regarding diagnosis and tumor volume.
Then we read "overdiagnosing" and "overtreating" prostate cancer.
Am I missing something here?
Big laboratories setup small labs in Urologists offices so they can earn the technical component, which in turn gives an incentive to a Urologist to do more "million" core biopsies on anyone who walks in. Lab bills for "Professional component", performs unnecessary immunostains(triple stain, Pten, Erg) on multiple cores for no reason. It happens on multiple occasions to the same patient because they "just watch" and followup.
While in big hospitals, same twelve cores of prostatic tissue is put in two containers labelled "left" and "right". 88305x2. Rarely any immunostains(forget about Pten and Erg). Same information regarding diagnosis and tumor volume.
Then we read "overdiagnosing" and "overtreating" prostate cancer.
Am I missing something here?