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Radiation Oncology • Genitourinary Cancers
How do I convince urologists to send patients for a discussion of adjuvant radiation after prostatectomy?
For instance: urologists who only refer for a rising PSA, even in a patient with high-risk features, those who use Decipher results to decide when to refer, or those who have a high PSA threshold for salvage RT.
Answer from: Radiation Oncologist at Community Practice
Howard's advice is spot on as usual.For the residents and even faculty reading this, I think there has been an unnecessary rivalry between radonc and uro-onc that predominately only negatively impacts patients. We are a team and I think if we approach the care of our patients as a team we will provi...
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Answer from: Radiation Oncologist at Academic Institution
There are no randomized trials to answer this question, i.e. how might one modify referring physician behavior? Note that I've been involved with published guidelines that strongly recommend consideration of adjuvant RT for appropriately selected cases and we all know how well that worked!So, we're ...