Tuesday, April 10, 2007

Perverse prioritisation of prostate patients

Thousands of UK men with prostate cancer are being given unnecessary and potentially harmful drug treatment to clear hospital waiting lists, according to a leading cancer specialist.

Oncologist Chris Hamilton claims the "crazy" system of Government targets means prostate patients often head the queue for radiotherapy treatment - even when they don't need it - ahead of other cancer patients.

But hospitals face penalties if cancer patients are not given treatment within four weeks, he said.
By giving hormones to some prostate patients, doctors can tick the box saying they've started treatment.

This allows them to move prostate patients down the waiting list to make way for other cancer sufferers who need radiation therapy more urgently, he said.

"You're caught in a bind" said Mr Hamilton, who works at Hull and East Yorkshire Hospitals NHS Trust.

"Either you give them unnecessary treatment with hormones and reclassify them or you put them at the front of the queue where they shouldn't really medically be, given that you've got a big waiting list.

"It's a real challenge to do the right thing by the patient.

"But if you've got a waiting list, you've somehow got to deal with this perverse prioritisation issue" he added.

More at the Daily Mail

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