An innovative prostate cancer screening clinic in the community
BAUS ePoster online library. Minns S. Jun 26, 2018; 211335
Sarah Minns
Sarah Minns
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Abstract
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Background:
Despite being the most common male cancer, awareness and education around prostate cancer is poor. Men are also reluctant to seek medical attention and often present late. We describe the development of and outcomes of a screening activity within an environment where men are comfortable: for most men this was at our local football club, but with the Freemasons, this was at their lodges and with the African-Caribbean community, at their community centre.
Methods:
We designed a 2-day, pre-booked appointment only, screening clinic where we took a history, examined the prostate and undertook a PSA test. Men with abnormal prostate examinations/ high PSA results were invited for prostate biopsy. All men were invited to complete a satisfaction survey.
Results:
To date, we have held 8 community clinics and seen 578 asymptomatic men at the local football club, in their community centre or at a Freemasons lodge. The average age was 66 years (40-89), average PSA 2.45 (0.1-45.5) and 65 men had biopsies. To date 32 men have been diagnosed with prostate cancer and 4 men had metastases at diagnosis.
A satisfaction survey has consistently shown a response rate of >85% and most men prefer such clinics in the community rather than at the hospital.
Conclusions:
This project has effectively raised awareness of prostate cancer amongst our local community and engaged men with regards their prostate health, in a comfortable setting. A large number of men have been diagnosed with prostate cancer, highlighting the feasibility of such community initiatives.
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