{"id":11774,"date":"2025-05-27T05:00:51","date_gmt":"2025-05-27T09:00:51","guid":{"rendered":"https:\/\/www.med.unc.edu\/urology\/?p=11774"},"modified":"2025-05-23T12:23:28","modified_gmt":"2025-05-23T16:23:28","slug":"improving-prostate-cancer-care-through-diagnostic-excellence-unc-urology-faculty-highlight-national-framework-in-aua-spotlight","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/urology\/improving-prostate-cancer-care-through-diagnostic-excellence-unc-urology-faculty-highlight-national-framework-in-aua-spotlight\/","title":{"rendered":"Improving Prostate Cancer Care Through Diagnostic Excellence: UNC Urology Faculty Highlight National Framework in AUA Spotlight"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-11573\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-300x168.png\" alt=\"\" width=\"300\" height=\"168\" srcset=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-300x168.png 300w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-1024x572.png 1024w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-768x429.png 768w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-600x335.png 600w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz-560x313.png 560w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2024\/12\/Nielsen-Friedlander-horz.png 1200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>In a March 2025 AUA Spotlight article, UNC Urology\u2019s Drs. <a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/dave-friedlander\/\">David Friedlander<\/a> and <a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/matthew-nielsen-md-ms\/\">Matthew Nielsen<\/a> bring national attention to how diagnostic excellence can help reduce disparities and improve prostate cancer care for all patients. <a href=\"https:\/\/auanews.net\/issues\/articles\/2025\/march-2025\/aua-spotlight-diagnostic-excellence-in-urology-advancing-equity-and-precision-in-prostate-cancer-diagnosis-and-beyond\">The article outlines a strategic framework for improving diagnostic accuracy while supporting more consistent, patient-centered care<\/a>, particularly for Black men who face elevated risks for aggressive prostate cancer.<\/p>\n<h2>Beyond Accuracy: A Broader Definition of Excellence<\/h2>\n<p>As defined in the article, diagnostic excellence is more than achieving the \u201cright\u201d diagnosis. It is a process that must be timely, patient-centered, cost-effective, and fair \u2014 principles grounded in the National Academy of Medicine\u2019s vision for a high-performing health care system.<\/p>\n<p>The authors emphasize that these principles are particularly crucial in urology, where early and accurate diagnosis directly impacts treatment decisions and long-term outcomes. They cite the stark reality: while Black men represent 13% of the U.S. population, they account for 30% of prostate cancer deaths yet comprise less than 1% of participants in prostate cancer screening trials.<\/p>\n<h2>National Initiative with Local Impact<\/h2>\n<figure id=\"attachment_11777\" class=\"thumbnail wp-caption alignright\" style=\"width: 242px\"><a class=\"no-icon\" href=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/AUA-DxEx-EDPC-brochure.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-11777 size-medium\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-232x300.jpg\" alt=\"AUA Diagnostic Excellence Brochure\" width=\"232\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-232x300.jpg 232w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-791x1024.jpg 791w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-768x994.jpg 768w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-1187x1536.jpg 1187w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-1583x2048.jpg 1583w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-600x776.jpg 600w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-560x725.jpg 560w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2025\/05\/QUA-24-9623-Diagnostic-Excellence-Grant-ItemsBrochurePages-scaled.jpg 1978w\" sizes=\"auto, (max-width: 232px) 100vw, 232px\" \/><\/a><figcaption class=\"caption wp-caption-text\">(Click to download the brochure)<\/figcaption><\/figure>\n<p>The article showcases a national initiative funded by the Council of Medical Specialty Societies with support from the Gordon and Betty Moore Foundation and the John A. Hartford Foundation.<\/p>\n<p>As part of this effort, the AUA developed:<\/p>\n<ul>\n<li>Clinical decision tools for primary care providers (PCPs), based on the 2023 updated guideline on early detection.<\/li>\n<li>Infographics illustrating disparities and benefits of risk-adjusted screening.<\/li>\n<li>Patient-facing materials designed to support informed decision-making and shared conversations between patients and clinicians.<\/li>\n<\/ul>\n<p>These tools, developed in part through the leadership of Drs. Friedlander and Nielsen, are now being disseminated across urology and primary care networks to guide implementation at scale.<\/p>\n<h2>UNC\u2019s Leadership in Fair, High-Quality Care<\/h2>\n<p>Dr. Nielsen, who chairs both the UNC Department of Urology and the AUA\u2019s Science and Quality Council, has been a consistent advocate for addressing diagnostic gaps. At the <a href=\"https:\/\/www.auanet.org\/guidelines-and-quality\/quality-and-measurement\/quality-improvement\/quality-improvement-summit\">2024 AUA Quality Improvement Summit<\/a>, he <a href=\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-nielsen-leads-national-efforts-to-advance-diagnostic-excellence-in-prostate-cancer\/\">delivered a keynote focused on improving diagnostic pathways from PSA screening through biopsy and surveillance<\/a>, especially for high-risk populations.<\/p>\n<p>UNC\u2019s own <a href=\"https:\/\/www.med.unc.edu\/urology\/new-program-cuts-wait-times-in-half-for-patients-with-suspected-prostate-cancer\/\">rapid access program<\/a>, developed by Drs. <a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/hung-jui-ray-tan-md\/\">Tan<\/a> and <a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/zach-feuer\/\">Feuer<\/a>, exemplifies how risk-adapted approaches can improve timeliness while maintaining diagnostic precision. Since its implementation, <a href=\"https:\/\/www.med.unc.edu\/urology\/unc-urologys-rapid-access-pathway-featured-at-auas-diagnostic-excellence-summit\/\">the pathway has reduced wait times by 70% and helped avoid unnecessary biopsies<\/a>, while ensuring clinically significant cancers are not missed.<\/p>\n<p>As Dr. Friedlander noted in a <a href=\"https:\/\/www.med.unc.edu\/urology\/drs-nielsen-and-friedlander-spotlight-diagnostic-excellence-in-urology-on-auas-podcast\/\">recent podcast with Dr. Nielsen<\/a>:<\/p>\n<blockquote><p>\u201cDiagnostic excellence is about optimizing patient experience and outcomes, but it also has a practical component\u2026we\u2019re contributing to the delivery of value-based care that balances quality and cost.\u201d<\/p><\/blockquote>\n<h2>A Roadmap for Change<\/h2>\n<p>The <a href=\"https:\/\/auanews.net\/issues\/articles\/2025\/march-2025\/aua-spotlight-diagnostic-excellence-in-urology-advancing-equity-and-precision-in-prostate-cancer-diagnosis-and-beyond\">March AUA Spotlight<\/a> concludes with a call to action: adopt diagnostic excellence as both a clinical imperative and a means of improving fairness in care delivery. It frames the AUA\u2019s efforts not just as a resource for urologists, but as a replicable template for other specialties aiming to enhance diagnosis and reduce disparities in outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In an AUA Spotlight article, Drs. David Friedlander and Matthew Nielsen bring attention to how diagnostic excellence can help reduce disparities and improve prostate cancer care for all patients.<\/p>\n","protected":false},"author":79967,"featured_media":11572,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[86,62],"class_list":["post-11774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-friedlander","tag-nielsen","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Improving Prostate Cancer Care Through Diagnostic Excellence: UNC Urology Faculty Highlight National Framework in AUA Spotlight | Department of Urology<\/title>\n<meta name=\"description\" content=\"In an AUA Spotlight article, Drs. David Friedlander and Matthew Nielsen bring attention to how diagnostic excellence can help reduce disparities and improve prostate cancer care for all patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/urology\/improving-prostate-cancer-care-through-diagnostic-excellence-unc-urology-faculty-highlight-national-framework-in-aua-spotlight\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving Prostate Cancer Care Through Diagnostic Excellence: UNC Urology Faculty Highlight National Framework in AUA Spotlight\" \/>\n<meta property=\"og:description\" content=\"In an AUA Spotlight article, Drs. 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