The fact that over 580,000 Americans will die from cancer this year, and over 1.6 million will get a diagnosis, means that the mortality rate on average is one in three. This is a frightening statistic in spite of the major advances made in diagnosis and treatment. One in six men now, will be diagnosed with prostate cancer in Canada, and the Ontario Government for example, has researched through a focus group of experts, the disease pathway management (DPM) system. Policy recommendations have followed from this experience as to how low grade, intermediate grade, and high grade prostate cancers are detected and treated. These have recently been communicated to hospital physicians.

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