Cost-containment protocols for prostate core needle biopsies: hypothetical scenarios to reduce procedural costs

Siegel, 2015, Cancer statistics, 2015, CA Cancer J Clin, 65, 5, 10.3322/caac.21254 Eichler, 2006, Diagnostic value of systematic biopsy methods in the investigation of prostate cancer: a systematic review, J Urol, 175, 1605, 10.1016/S0022-5347(05)00957-2 Bittner, 2010, Greater biopsy core number is associated with improved biochemical control in patients treated with permanent prostate brachytherapy, Int J Radiat Oncol Biol Phys, 78, 1104, 10.1016/j.ijrobp.2010.02.068 Chambo, 2014, What is the ideal core number for ultrasound-guided prostate biopsy?, Korean J Urol, 55, 725, 10.4111/kju.2014.55.11.725 El-Hakim, 2010, CUA guidelines on prostate biopsy methodology, Can Urol Assoc J, 4, 89, 10.5489/cuaj.10021 Allen, 2014, The incredible shrinking billing codes, Arch Pathol Lab Med, 138, 593, 10.5858/arpa.2014-0041-ED Klipp, 2012, Medicare slashes CPT 88305-TC by 52%, Lab Econ, 7 2013 Amin, 2014, The critical role of the pathologist in determining eligibility for active surveillance as a management option in patients with prostate cancer, Arch Pathol Lab Med, 138, 1387, 10.5858/arpa.2014-0219-SA Buesa, 2007 Bjurlin, 2013, Optimization of initial prostate biopsy in clinical practice: sampling, labelling and specimen processing, J Urol, 189, 2039, 10.1016/j.juro.2013.02.072 Yfantis, 2002 Singh, 2008, Use of tissue ink to maintain identification of individual cores on needle biopsies of the prostate, J Clin Pathol, 61, 1055, 10.1136/jcp.2008.058545 Kao, 2002, Individual prostate biopsy core embedding facilitates maximal tissue representation, J Urol, 168, 496 Bostwick, 2013, Adequate histologic sectioning of prostate needle biopsies, Ann Diagn Pathol, 17, 357, 10.1016/j.anndiagpath.2013.04.006 Rogatsch, 2000, Optimized preembedding method improves the histologic yield of prostatic core needle biopsies, Prostate, 42, 124, 10.1002/(SICI)1097-0045(20000201)42:2<124::AID-PROS6>3.0.CO;2-5 Rogatsch, 2000, Diagnostic effect of an improved preembedding method of prostate, Hum Pathol, 31, 1102, 10.1053/hupa.2000.9837 Firoozi, 2009, Tissue- marking scheme for a cost-effective extended prostate biopsy protocol, Urol Oncol, 27, 21, 10.1016/j.urolonc.2007.09.002