About 30% of the time, and usually within five years of treatment, the PSA level will rise again after prostate surgery.
Dear Dr. Roach: I am a 74-year-old man. I was diagnosed with prostate cancer in 2019 and had my prostate removed in 2021. My PSA level was 0.39 on my three-month follow-up visit, but it has increased to 1.460. In my mind, if the procedure was successful, the PSA should be zero. I had a PET scan in May 2022, showing that the gland was completely gone. I have complete confidence in my urologist, but I’m just wondering if there is something he may not be telling me.
However, the rising level suggests there is prostate tissue somewhere in your body. When a PSA level doubles in less than three months, that’s a sign that aggressive cancer has returned. Your doubling time is roughly one year. Men with a doubling time greater than three months had an excellent prognosis — a less than 1% prostate cancer mortality rate after eight years.
Dear Dr. Roach: I received an email from the office of my primary care physician, who is part of a hospital-based system, that said: “Your doctor is part of an accountable care organization. We’ve teamed up with other doctors, hospitals and health care providers to make sure you get the best care.” A recent review of all published studies suggests that ACOs do reduce costs without reducing quality of care . Most studies show that quality metrics are better in ACOs than in traditional fee-for-service models.
France Dernières Nouvelles, France Actualités
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