Magazine article Medical Economics

Cleveland Clinic

Magazine article Medical Economics

Cleveland Clinic

Article excerpt

CLEVELAND, OHIO

Along history of innovation and diverse research initiatives- from looking into possible causes of prostate cancer to predicting treatment outcomes-make the Cleveland Clinic a Clinical Center of Excellence in prostate cancer.

"Our philosophy for prostate cancer is that there isn't one single best treatment," says Eric Klein, MD, chairman of the Glickman Urological & Kidney Institute at the Cleveland Clinic. "We offer all available therapies: open surgery, laparoscopic surgery, robotic surgery, brachytherapy, and cryotherapy. And we have one of the world's largest comparative databases of cure rates for all of those treatments since 1987."

Clinic physician Andrew Stephenson, MD, director of the Center for Urologie Oncology, is the lead author of a study that analyzes radical prostatectomy outcomes from pooled data on 22,000 patients at five major institutions; the study has been submitted to the Journal of the American Medical Association.

By charting outcomes with a nomogram, urologists can predict the patient's likelihood of recurrent prostate cancer within 15 years.

"That allows us to reassure the vast, vast, vast amount [of patients] who are cured by surgery that they are cured. They don't need to worry about it, and they don't need additional treatment," Klein explains. "It's one of the best tools that's ever been developed."

In addition to comprehensive treatment protocols, the Cleveland Clinic receives more than $9 million annually in funding for prostate cancer research from the National Institutes of Health.

In research aimed at identifying a potential cause of prostate cancer, Klein and Robert Silverman, PhD, of the Clinic's Lerner Research Institute, have identified a xenotropic murine leukemia related virus (XMRV), a gamma retrovirus that can be found in the prostate. …

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