Haloperidol br Respondents who were urologic oncology fellow
Respondents who were urologic oncology fellowship trained and more experienced tended to utilize FT in their practice. The regression analysis determined that being in practice for more than 15 years and diagnosing more than 10 CaP patients per month predicted utilization of FT. Man-aging more CaP patients may require being able to offer a variety of treatments. Interestingly, more than half of the participants endorsed using FT if they had better infrastruc-ture and access to a cost-effective method. Hence, we believe as the FT technology advances further, we can anticipate its cost Haloperidol and additional utilization in both smaller and larger centers.
Fig. 1. Practice patterns for focal therapy.
The results of this study should be interpreted with limi-tations in mind, the first being the survey design. As dis-cussed in the methods section, we are unable to determine the exact response rate, as well as the characteristics of those who did not respond to the survey. Those who are fel-lowship trained or those who are at academic centers may
be more likely to complete the survey. The low response rate is a limitation of this study. Thus, this study is subject to a degree of respondent bias since conceivably, those who are more familiar with FT or those more likely to use FT are more likely to submit their opinions. With the potential for a nonrandom sample of respondents, the degree of
generalizability to all urologists is tempered. Nevertheless, this study provides valuable information about the phys-icians’ psyche regarding FT utilization for CaP.
By current opinion, the usage of FT is supported for select men with low- and intermediate-risk CaP. There
are many obstacles, including the lack of long-term evi-dence, infrastructure, and cost-effective access, which prevent more extensive implementation of FT. Index lesion theory has been crucial in the adoption and implementation of FT in the urology world. Cryoabla-tion and HIFU and the most common modalities among those who use FT, and mp-MRI is frequently used in combination with FT. As this is an evolving field,
continuing survey studies will capture the change opin-ions and usage of FT.
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