In the 'Medicine needs to be more evidence-based' department, we have brachytherapy
The National Cancer Institute says 200,000 American women will get breast cancer this year and 20% will die from the disease.
A lumpectomy is a common treatment but up to 40 percent of women see the cancer return, a number that is reduced to about 10 percent with radiation of the (whole) breast.
But between 2001 and 2006 partial-breast treatments, brachytherapy, went up 1000% - despite real evidence it works.
How did it increase then? Because the FDA approved a device to deliver the radiation in 2002 and Medicare began reimbursement in 2004. "It brings to the front the…