Navigation Links
Did Medicare Reimbursement Changes Affect Prostate Cancer Treatment?
Date:4/7/2008

Study suggests a link between less drug therapy and more surgical castration

MONDAY, April 7 (HealthDay News) -- In 2004, Medicare reduced its reimbursement rates to doctors for drugs that treat prostate cancer by blocking the activity of male hormones.

Coincidentally or not, the use of surgery -- castration -- to accomplish that same goal started to increase at just the same time, a new study found.

It's not possible to say that financial incentives had a direct influence on medical practice in the treatment of prostate cancer, said Dr. J. Stephen Jones, chairman of regional urology at the Cleveland Clinic, who led the study. "Certainly, I would not take that interpretation," he said, citing other possible explanations, such as increased concern about the side effects of the hormone-blocking drugs.

Still, Jones added, after the reimbursement rates were cut, "our study shows, essentially aligned with that change, progressive change in the two forms of treatment for prostate cancer. There was a major reduction in the use of lutenizing hormone-releasing (LHRH) agonists, which block the male hormone testosterone, and a less noticeable increase in surgery, which accomplishes the same thing," he said.

The use of only one of the LHRH agonists -- triptorelin -- increased after the Medicare reimbursement policy changed, the study said. It was the only drug in the class whose reimbursement rate was not changed.

The findings were expected to be published in the May 15 issue of the journal Cancer.

Medically, the drug therapy -- sometimes called hormonal castration -- and surgery are virtually equivalent in their effect on prostate cancer, Jones said. The goal is to combat the disease by shutting off the supply of male hormones -- called androgens, including testosterone -- that encourage prostate cancer growth.

But "socially or economically, there are other factors involved," Jon
'/>"/>

Copyright©2008 ScoutNews,LLC.
All rights reserved

Page: 1 2 3

Related medicine news :

1. Medicare Bidding Program in Kansas City is Plagued by Problems, Says American Association for Homecare
2. Errors Plague Medicare Competitive Bidding Program in Ohio, Says American Association for Homecare
3. The Quantum Group Announces Increased Patient Enrollment Following Medicare Advantage Open Enrollment Period
4. Owner of Medicare Billing Service Sentenced to 10 Years In Prison For Role in $170 Million Medicare Fraud Scheme
5. Rochester Medical Applauds Improved U.S. Medicare Coverage Policy for Intermittent Catheters
6. CMS Releases Final E-Prescribing Standards in Medicare
7. Seven Miami-Area Residents Charged in $11 Million Medicare Fraud Scheme
8. Front Line Caregivers from 16 States to Visit Capitol Hill to Urge State Congressional Delegation to Reject Medicare Cuts that Could Threaten Quality Care in Nations Nursing Homes
9. Medicare Advantage Plans Have New, Better Way to Access CMS Data
10. Two Florida Men Sentenced To Prison For Medicare Fraud
11. National, State Front Line Caregivers Warn About $64 Million Cut to Medicare Funding for Care of Michigan Seniors
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/24/2014)... the first in the world to discover a gene ... jaw. , Ameloblastoma is an odontogenic tumour with a ... often found in the posterior of the lower jaw. ... deficiencies in the jaws as well as loss of ... need for surgery and the recurrence of ameloblastoma, but ...
(Date:4/24/2014)... the first flu pandemic in the 21st century. The ... than 50 people in the country. Since 2011 the ... seasons). , Infections with influenza pH1N1 virus vary ... has recommended Tamiflu for treatment of patients with severe ... that it targets viral proteins which mutate quickly and ...
(Date:4/23/2014)... from Sub-Saharan Africa, Latin America and Caribbean islands ... new research from St. Michael,s Hospital. , The ... of Obstetrics and Gynaecology , assessed the differences ... native-born women in six high-immigration countries Australia ... Valencia) and the United States (California, New Jersey ...
(Date:4/23/2014)... looking to give exercise enthusiasts the extra nudge they ... that a cyber buddy can help. , The study, ... , is the first to indicate that although a ... a software-generated partner also can be effective. , "We ... still motivate people to give greater effort while exercising ...
(Date:4/23/2014)... have identified an important enzyme pathway that helps prevent ... chromosomes, a condition that has been directly linked to ... of biochemistry, found that near the end of cell ... ensures any breaks in DNA are fully repaired before ... daughter cells. This process helps safeguard against some of ...
Breaking Medicine News(10 mins):Health News:Pregnancy complications may be more common in immigrants from certain regions 2Health News:Cyber buddy is better than 'no buddy' 2Health News:Study identifies enzymes that help fix cancer-causing DNA defects 2
... for its complementary therapy. Silymarin, is a mixture made of ... number of active constituents called flavolignans, which protect the liver ... in the treatment of liver conditions like Cirrhosis and ... been suggested that Silymarin may also help control blood sugar ...
... the park; ,Age is grey,a toothless hag // ,Stumbling ... reflect the glory of youth and the dismal emotions that ... they shrink from the thought of greying hair, sagging flesh ... old age. ,With the changing trends, the ...
... of acquiring a sexually transmitted infection, according to the ... November issue of Pediatrics which reports the study suggests ... spreading such infections by up to 50 percent, which ... ,This study is only one of many ...
... is in a dilemma; whether to preserve the Roman ... a relative yes-sometimes //policy that gives us an effective ... on contraception, abortion and infallibility to new challenges," according ... a Catholic newspaper. ,Cardinal Javier Lozano Barragan ...
... health trusts, 300 sexual assault cases have been reported in ... ,During the period November 2003-March 2006, women have been ... England alone. Of these, patients attacked other patients in 224 ... the psychiatric wards have mixed sex. ,Mental health campaigner Marjorie ...
... across Indiana have no one to look out for them. ... homes //or in the community without any money or family ... or another condition that impairs their judgment or ability to ... explode as baby boomers age. ,There is only one ...
Cached Medicine News:Health News:A Wonder Drug From Milk Thistle 2Health News:Botox – The 'Celebrity' Dru 2Health News:Risk of STD Lowered with Circumcision 2Health News:Sexual assault cases in mixed-sex psychiatric wards on the high 2Health News:Hoosiers Live at the Mercy of Nursing Homes 2Health News:Hoosiers Live at the Mercy of Nursing Homes 3
(Date:1/15/2014)... Calif. , Jan. 15, 2014 Massachusetts ... (NASDAQ: AMGN ) announced today that ... discover and validate new therapeutic targets and develop ... chronic disorder that affects millions worldwide. The MGH-Broad-Amgen ...
(Date:1/15/2014)... 2014  In an unprecedented effort to curb the spread of "superbugs" ... transport vehicles, an advanced and portable UV germicidal lamp manufactured by ... time. In order to prevent EMS paramedics and ... West Palm Beach Fire Rescue is the first ...
(Date:1/15/2014)... 2014  According to Millennium Research Group (MRG), the ... the United States and European ... expand moderately through 2022, with embolization particles representing ... interest in drug-eluting beads (DEBs) and radioembolization spheres ...
Breaking Medicine Technology:Mass. General, Broad Institute and Amgen Will Work to Discover New Drugs for Inflammatory Bowel Disease 2Mass. General, Broad Institute and Amgen Will Work to Discover New Drugs for Inflammatory Bowel Disease 3Mass. General, Broad Institute and Amgen Will Work to Discover New Drugs for Inflammatory Bowel Disease 4Superbugs No Longer Ride In Rescue Vehicles 2US and European Transcatheter Embolization and Occlusion Device Market to Surpass $1.6 Billion by 2022 2US and European Transcatheter Embolization and Occlusion Device Market to Surpass $1.6 Billion by 2022 3
RapidStrep A test is a qualitative test that detects group A,streptococcal antigen. The test is a rapid, in vitro assay. It is,intended for professional use to help diagnose Strep A,infection i...
The IntraStent DoubleStrut Biliary Stent represents a completely new direction in stent design. The combination of parallel struts and unique cell geometry provide unparalleled performance....
Inquire...
OneStep Midstream Urine hCG Pregnancy InstaTest is a test kit for the determination of hCG(Human Chorionic Gonadotropin) in urine specimens. This test kit is used to obtain a visual, qualitative resu...
Medicine Products: