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WHY TOP DOCTORS MATTER
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A Message for Employers
Most people would agree that gambling with their health is a dangerous idea. When it comes to medical care, excellence
and expertise are crucially important. Yet Americans receive top-quality care from their doctors and hospitals only
about half of the time. From inadequate screening during routine checkups to subpar treatment of critical illnesses,
inferior care can have costly and tragic results. Too often, patients simply don't know how to find the best doctor
to deliver the best care.
Castle Connolly takes this challenge seriously. Since the company's founding in 1991, our guides to Amercia's Top Doctors
have been identifying the nation's best doctors and hospitals in every part of the country and in every medical specialty.
Our lists are based on peer nominations and professional assessments by our physician-led research team – not on hype,
advertising, or third parties that have something to gain by recommending a particular provider. Castle Connolly's
Top doctors are rigorously selected from among hundreds of thousands of physicians. Our intensive research methodology
is designed to identify doctors that will speed patients' healing, minimize pain and discomfort, shorten recovery
periods and enhance and lengthen lives – in other words, achieve the best possible health outcomes.
Today such independent assessment of medical care is more important than ever. Anyone can draw up a "best of" list
– and many organizations do. Pharmaceutical companies favor those physicians who are high prescribers of their drugs.
To many health insurers, a physician's fees are often a more important factor than quality. Many magazines and
websites recommend health care providers who pay to get their names mentioned. But Castle Connolly has no such
conflicts of interest. Our sole purpose is to help patients, their families and their employers find health care
providers who deliver superior results.
After a physician's name is submitted by colleagues as part of our nomination process for consideration as a Top
Doctor, our physician-led research team delves into the professional records of top nominated physicians in order
to ascertain those that have exceptional training, experience and are highly regarded by their peers. In addition,
disciplinary histories and malpractice actions, when available, are also carefully scrutinized.
Top Doctors can have an enormous impact. For patients and their families, the value of receiving first-class medical
care is great but unquantifiable – it's measured in quality and even length of life. Employers, however, can see the
results in their bottom line. Faulty diagnoses and improper treatment take a toll in productivity and ripple out into
higher workplace costs. No company should have to make do for weeks or months without a key employee or executive,
when a Top Doctor may have solved the patient's problem efficiently and simply.
Castle Connolly has dozens of examples, some dramatic and lifesaving, that demonstrate the point that finding the
best doctor or hospital can make a significant difference in patients' lives. The few that follow clearly demonstrate
this point.
Kay was examined by her local physician, who advised her that lumps in her breast were very likely malignant and
recommended an immediate mastectomy. Closer investigation by a Castle Connolly specialist showed that the lumps were
in fact benign and Kay avoided the cost, trauma and pain of a radical mastectomy.
After Bill was diagnosed with kidney stones, his family doctor recommended surgery. Bill got a second opinion
from a Castle Connolly Top Doctor who treated the condition with medication instead – and five years later, he is
still doing fine without surgery. Another kidney stone patient, Catherine, consulted a Castle Connolly surgeon who
dissolved the stones with a lithotriptic procedure. Instead of recuperating for six weeks, Catherine was back at
work after just three days.
Rose and Liz, both in their 60s and carrying a few extra pounds, needed knee surgery. Rose chose a physician
who practiced near her home, while Liz picked a Castle Connolly Top Doctor. Two years after her operation, Rose still
uses a cane much of the time. Six months following surgery, Liz was back to her old self and feeling terrific. No doubt,
a Top Doctor had a major impact on Liz's favorable outcome.
Karl, the manager of a horse farm, suddenly had a problem with one of his eyes. A local ophthalmologist diagnosed
glaucoma and told Karl he needed immediate surgery. Castle Connolly referred him to a Top Doctor, who has been successfully
treating Karl with eye drops ever since.
Expertise and leading-edge technology are especially important in diagnosing and treating cancer, stroke and
cardiovascular patients. Administered by a Top Doctor, sophisticated techniques may keep pancreatic and brain
cancer sufferers alive for years, compared with the few months that conventional chemotherapy normally achieves.
Top Doctors often have higher cure rates for prostate and breast cancer, thanks in part to early detection, but
also due to more advanced treatment options.
Patients with cardiac disease can frequently avoid open-heart or multiple-bypass surgery with stents and other
less-invasive technologies. And although many physicians will counsel elderly patients to avoid surgery under
any circumstances, a Top Doctor may be able to operate on people 90 years of age or older and still achieve
excellent outcomes. Stroke victims, in the hands of Top Doctors, can recover to a degree unheard of just a
few years ago. World-class neurosurgeons can deal with bleeding strokes that were formerly inoperable. Early
detection through imaging and swift treatment with drugs can dissolve clots blocking critical blood flow to
the brain before permanent damage is done – and without invasive procedures. Men operated on at hospitals and
by surgeons with high volumes of particular procedures, specifically radical prostatectomy, had a 7.7 percent
risk of recurrence of prostate cancer as compared to 10.9 percent for surgeries done by physicians with lower
surgical volumes.
As further evidence of this principle, consider the following statistics, all reported in a recent Newsweek
article and based on professional journal reports.
At leading cancer centers:
The five year survival rate for Stage IV prostate cancer is 71 percent vs. 38 percent nationally.
For Stage IV cervical cancer the survival rate is 33 percent vs. 16 percent nationally.
For breast cancer, after a mastectomy, 81 percent of women treated at top centers are still alive after five
years compared to 77 percent nationally.
The bottom line: Top Doctors can help patients in ways not generally available in the medical community. But while
consumers know this to be true, most lack the resources to make the best choices when they fall ill. Many people
rely on referrals from the family physician, yet even a trusted and competent physician may not be the best source
of information. Doctors are busy with their practices, and their referral contacts are usually limited to their plan
network or hospital. Few have time to research who, wherever in the nation, is really the best for a particular procedure
or problem. That often leaves patients who need a top specialist at the mercy of advertising and hearsay. They may even
pick a name at random from their insurer's directory or website, or even respond to advertising.
Employees Benefit Program
Knowledgeable employers realize that providing employees and their families with access to the best medical care, as
well as avoiding the worst, impacts a company's bottom line in a positive way. Money saved on the wrong treatment,
unnecessary surgery, days lost from work, or the focus on the illness of a loved one or oneself instead of work, are
worth the effort to identify the best doctors.
Castle Connolly is committed to helping such patients get the care they need and deserve. Our professional staff, with
years of experience, has earned us the trust and respect of the medical and lay communities alike. We are in a unique
position to assist individuals and companies in accessing the best and most efficient healthcare available today.
Castle Connolly Guides and our website are comprehensive, user-friendly resources that let consumers search top doctors
by name, specialty, and geographic location – or even by special expertise in a particular disease or procedure.
Hospital affiliations and contact information are presented clearly and concisely. The guides and website also
include helpful tools for choosing a Top Doctor, with tips on how to evaluate a physician's education, experience,
and personal suitability.
When it comes to healthcare, cutting corners rarely pays off. Unlike its imitators, Castle Connolly provides thorough
and unbiased research by trained professionals. We believe that choosing a Top Doctor is the most important decision
a patient can make and we work tirelessly to facilitate that decision. Help keep your employees healthy. Incorporate
Castle Connolly into your employee benefit program today.
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