Economies of learning refer to decreasing average cost or increasing average effectiveness, as a result of accumulating experience and know-how. The transition from old to new processes may well cause the opposite effect; increasing average costs or decreasing effectiveness as experience is lacking. Thus patients may have CPC detection performed and regardless of the result proceed to prostate biopsy. The investment necessary to embed the technology in the health organization was not calculated, this would mean capacitating health professionals, information to the patient of the incorporation of new test. That this study was performed as part of a clinical trial, thus had an experimental design, the reality in.
