Re: Delayed Treatments for Prostate Cancer


"Skeptic" <bcs002b@xxxxxxxxx> wrote in message
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"George Conklin" <georgeconklin1@xxxxxxxxxxxxx> wrote in message
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"Skeptic" <bcs002b@xxxxxxxxx> wrote in message
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Are you talking about,
"Incidence of Initial Local Therapy Among Men With Lower-Risk
Prostate
Cancer in the United States " ?

All that that article finds is that we are overtreating some
men
with
low
grade prostate cancer - something which we all know already.

A major journal does not publish articles about what is
already
known.

LOL... yes they do - all the time. Confirmational studies.
They're
actually much easier to get published than are novel ideas. But
hey,
thanks
for expressing your ignorance.

The study cited is based on real-world experience rather than
from
a
self-selected group of volunteers. That is always a difference.

Good to know for future reference - so from now on, whenever I cite
a
study
based on the SEER database, you'll have to accept it as strong
evidence.

You have a real bias against large data bases. You seem want more
variables and confuse that with moe variables...those of your
choosing.


Oooh, no, I love large databases. I'm merely pointing out that you are
stating it is excellent to use the SEER database so when I use it later
you
will, of course, accept it as great evidence. (yes, I'm setting you up
here, so tread carefully).

These are real-world outcomes, not those projected from a few
hundred
self-selected men in a so-called 'clinical' study.

It was actually nothing more than a retrospective review, which
is
much
weaker than a randomized control trial would be.

Incorrect.

No, not incorrect. It was a retrospective study. If you don't
agree
with
that, then you don't understand the terminology being used.


Your assumption that using data on real-world out comes is WEAKER
(your
term) than some small-scale clinical study with self-selected
volunteers
is
pure BIAS. I know the terms used, but your biases are so horrid you
cannot
accept anything but what you want.

It is well established that strongest evidence is prospective. Yes,
even
smaller numbers of a prospective study are generally stronger than
larger
numbers of a retrospective study. That's not my opinion - it's an
established fact.

This is your personal bias

no. an established fact.



In fact, it is NOT an established fact. It is just an old wive's tale
and one accepted in your industry to try to limit authority and research
dollars. Not keeping track of real-world outcomes is criminal. To have
treatment protocols for millions of men with prostate cancer based on a
sample of a few hundred is a disgrace and you know it.


.