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Urologists Criticize Flawed Findings Regarding Prostate Cancer Treatment

By MedImaging International staff writers
Posted on 12 Nov 2013

A US urologic organization advocating for integrated and coordinated urologic care with more than 2,000 physician specialists across the United States has carefully reviewed recent literature regarding intensity-modulated radiation therapy (IMRT) for prostate cancer published in a US medical journal and found it to be methodologically flawed and factually inaccurate, and therefore, does not add to the helpful interchange of ideas needed to enhance healthcare or increase value.

The article, “Urologists’ Use of Intensity-Modulated Radiation Therapy for Prostate Cancer,” authored by Mitchell, JM, was published October 24, 2013, in the New England Journal of Medicine. “The Mitchell study was commissioned and funded by the American Society for Radiation Oncology [ASTRO; Fairfax, VA, USA] in an attempt to persuade lawmakers to legislate a monopoly for its members in the use of radiation therapy to treat prostate cancer—an economically driven agenda that has been rejected by [US] Congress, MedPAC, and the GAO,” said Dr. Deepak A. Kapoor, president of LUGPA (Large Urology Group Practice Association; Schaumburg, IL, USA) and chairman and CEO of Integrated Medical Professionals, PLLC (Melville, NY, USA). “Instead of furthering our understanding of the complicated health policy issues around prostate cancer care, Dr. Mitchell’s work appears to be specifically designed to produce talking points for the sponsor’s political agenda, which is primarily to restore their virtual monopoly on the provision of pathology laboratory services.”

Dr. Mitchell’s data revealed that less than one-third of newly detected prostate cancer patients who sought treatment from an integrated urology group received IMRT. This figure is comparable to data from academic literature that precedes the development of integrated groups. Dr. Mitchell did not match her control group for practice size, patient demographics, or severity of disease—LUGPA spokespersons reported that her selection bias is demonstrated by her own inexplicable results. For example, there has been a distinct national tendency towards less invasive IMRT and away from brachytherapy seen across all US sites of service paradoxically, over the six-year study period, the use of IMRT and brachytherapy remained flat in Dr. Mitchell’s control group. The fact that integrated groups’ rates of active surveillance and surgery held constant additionally shows that ownership of IMRT did not affect these groups’ clinical decision making. “Her own data confirms that urologists with ownership of radiation oncology use the technology appropriately and responsibly. That should be the title of Mitchell’s study,” said Dr. Kapoor.

The ASTRO study serves only one purpose, according to LUGPA spokespersons—to undermine competition in the market place. Utilizing such inaccurate data that demonizes groups practicing evidence-based medicine in an attempt to manipulate market share by legislative fiat is both inappropriate and offensive, according to LUGPA. Legislative changes based on such false data will drive up costs, as many patients will be forced to seek care in the more expensive hospital setting, and harm patient access to specialized, integrated care.

LUGPA represents 121 large urology group practices in the United States, with more than 2,000 physicians who comprise more than 20% of the US practicing urologists. LUGPA and its member practices are focused on best practices, data collection, research, and benchmarking to promote quality clinical outcomes.

Related Links:
Large Urology Group Practice Association
American Society for Radiation Oncology

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64 (60.796737670898): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294749128 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749128 AND published='1' LIMIT 1

69 (31.948089599609): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (250.81634521484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (272.03559875488): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (55.074691772461): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (70.810317993164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.869018554688): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

105 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

106 (64.849853515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (80.108642578125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

109 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

110 (52.213668823242): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (463.00888061523): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (766.99256896973): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (402.92739868164): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

115 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

116 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

118 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

120 (296.83113098145): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 20800.113677979): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

123 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

124 (508.06999206543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749128 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749128 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 412455.0819397): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (26.941299438477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (550.0316619873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (367.87986755371): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (225.06713867188): SELECT name FROM jos_deeppockets WHERE id=213

136 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=213

137 (443.93539428711): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (370.97930908203): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

140 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

141 (!!!!! 9326.9348144531): TRUNCATE TABLE jos_trademed_module

142 (82.969665527344): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (55.074691772461): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294749128 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (763.1778717041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

147 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

148 (!!!!! 1186.1324310303): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

150 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

151 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749128 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749128 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (30.994415283203): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

153 (26.941299438477): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

154 (27.894973754883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

156 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749128 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749128 AND published='1' LIMIT 1

157 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

158 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

159 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

160 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

161 (236.98806762695): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1163.9595031738): insert into jos_banners_delta values (14615,'2025-06-19 21:32:09','216.73.216.120','view'),(14202,'2025-06-19 21:32:09','216.73.216.120','view'),(14203,'2025-06-19 21:32:09','216.73.216.120','view')

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