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Changes In Medicare Policy Might Have Prompted Increase In Surgical Castrations To Treat Prostate Cancer

Changes in Medicare reimbursement policy might have prompted more beneficiaries to undergo surgical castration to treat prostate cancer rather than a less invasive alternative, according to a study published Monday on the Web site of the journal Cancer, USA Today reports. Castration -- either through surgery or hormone injections -- is a common treatment for certain forms of prostate cancer.

In the 1990s and early 2000s, hormone injections became "far more popular ... with patients and doctors," in part because of high Medicare reimbursement rates for the treatment, but "doctors gave far fewer hormone injections after Medicare slashed what it paid them by half," according to USA Today. The study, led by J. Stephen Jones of the Cleveland Clinic, found that the number of hormone injections decreased by 14% from 2003 to 2005 and that the number of surgical castrations increased by 4% during the same period. Jones attributed the shifts to the changes in Medicare reimbursement policy.

However, Ethan Basch of Memorial Sloan-Kettering Cancer Center, who was not involved in the study, said that physicians have begun to administer hormone injections intermittently, rather than continuously, a shift that might account for the decrease in hormone injections. According to Otis Brawley, chief medical officer at the American Cancer Society, the shift resulted because of studies released around 2005 that found hormone injections can increase risk for osteoporosis and other health problems (Szabo, USA Today, 4/7).

Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation© 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.





Modificãri În Medicare politica ar putea avea Prompted creºtere Castrations chirurgicale pentru tratamentul cancerului de prostatã - Changes In Medicare Policy Might Have Prompted Increase In Surgical Castrations To Treat Prostate Cancer - articole medicale engleza - startsanatate