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Protons for Prostate Cancer

Protons for Prostate Cancer: the Dream Versus the Reality

January 25, 2013/in Cancer News Access to Care, Health Care Coverage, Payment Reform, Quality Cancer Care NCCS News /by actualize

In an editorial published in the January 2, 2013, issue of the Journal of the National Cancer Institute,  Theodore Lawrence and Mary Feng discuss a recent study that compared proton radiotherapy and photon radiotherapy for treatment of prostate cancer in Medicare patients.  Lawrence and Feng identify the shortcomings of the retrospective, population-based study of the prostate cancer therapies but say attention must be paid to the fact that the toxicities of the treatments are comparable and may not justify the 70% higher cost per patient of proton radiotherapy.  The editorialists urge prospective trials to compare the therapies and caution against our rush to the new and more expensive therapy where supporting data are lacking.

 Proton therapy has generated much excitement among physicians and patients. During the period from 2006 to 2009, the number of prostate cancer patients treated with protons nearly doubled (1) and use continues to rise. There are 11 operational proton facilities in the United States, opening at a rate of more than 1 per year over the past 6 years. Why is everyone so excited? There are at least three reasons. Two are clear, and one is complex.

 

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Tags: cancer care, Medicare, payment reform
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  • About
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      • Policy Advisors
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    • Partnerships
    • Financial Information
  • Policy
    • Quality Cancer Care
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    • 2021 State of Cancer Survivorship Survey
    • 2020 State of Cancer Survivorship Survey
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  • Get Involved
    • What is Advocacy?
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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

—Karen M. Saunders
President, Northeast Regional Cancer Institute