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Urologists Debunk Misleading, Grossly Inaccurate Prostate Cancer Biopsy Study
Date:4/13/2012

TALLAHASSEE, Fla., April 13, 2012 /PRNewswire/ -- The Large Urology Group Practice Association (LUGPA), representing more than 1,800 urologists, today disputed a study published this week in the journal Health Affairs. LUGPA leaders stressed that the study grossly misrepresents the prevailing urological standard of care and scurrilously criticizes physicians for adopting evidence based clinical protocols. They pointed out that the study is methodologically flawed, misleading and factually inaccurate.

Jean Mitchell, the author of the study "Self-Referral for Pathology of Biopsy Specimens Linked to Increased Use and Lower Prostate Cancer Detection," states urology groups with integrated pathology services inappropriately perform prostate biopsies. This study, which reviewed data for only 2005‐07, was funded by the College of American Pathology (CAP) and the American Clinical Laboratory Association (ACLA) – organizations with vested interests in preserving historical monopolies in pathology services.

"This study simply furthers the political agenda of its sponsors to recapture lost market share and does not deserve credible recognition," states Dr. Deepak A. Kapoor, President of LUGPA and Chairman and CEO of Integrated Medical Professionals, PLLC. "To suggest that certain practices are performing extra and unnecessary pathology work for their own remuneration when they are working within rational clinical guidelines is offensive. It shows a total lack of understanding of proper prostate cancer diagnosis."

According to Kapoor, this study utilized suspect methodology in small numbers of hand selected groups, producing results inconsistent with both the scientific literature and direct clinical observations.

Mitchell asserts that common practice is to collect samples from six areas of the prostate for a total of six cores (known as sextant biopsies), but all of the standard criteria for grouping cancers into risk ar
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SOURCE Large Urology Group Practice Association
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