The value of appropriate assessment prior to specialist referral in men with prostatic symptoms.

Hdl Handle:
http://hdl.handle.net/10147/207542
Title:
The value of appropriate assessment prior to specialist referral in men with prostatic symptoms.
Authors:
Quinlan, M R; O'Daly, B J; O'Brien, M F; Gardner, S; Lennon, G; Mulvin, D W; Quinlan, D M
Affiliation:
Department of Urology, St Vincent's University Hospital, Dublin 4, Republic of, Ireland. lynagh@hotmail.com
Citation:
Ir J Med Sci. 2009 Sep;178(3):281-5. Epub 2009 Apr 15.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207542
DOI:
10.1007/s11845-009-0337-1
PubMed ID:
19367426
Abstract:
BACKGROUND: Referrals to Urology OPD of men with a likely diagnosis of BPH are common. AIMS: To review referrals to OPD of men with lower urinary tract symptoms (LUTS) to establish how many could have been managed without specialist assessment. METHODS: We reviewed records of 200 male patients referred to OPD with LUTS. We assessed whether the referral source had performed digital rectal examination (DRE), International Prostate Symptom Score (IPSS), Bother Score or PSA level. RESULTS: 74% of patients were referred by GPs. In 31.5% of cases DRE was performed prior to referral. One GP had completed an IPSS, none a Bother Score. 96% had a PSA checked before OPD. Ultimately, 88.5% of our patients were diagnosed with BPH. CONCLUSIONS: With better pre-assessment in the form of DRE, IPSS and Bother Score, allied to a PSA check, many patients with LUTS could be managed in a primary care setting.
Language:
eng
MeSH:
Aged; Health Status Indicators; Humans; Ireland/epidemiology; Male; Medicine/*statistics & numerical data; Prostate/*pathology; Prostate-Specific Antigen/analysis; Prostatic Neoplasms/*diagnosis/epidemiology/pathology; Qualitative Research; Questionnaires; Referral and Consultation/*statistics & numerical data; Retrospective Studies; Urination Disorders/*epidemiology
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorQuinlan, M Ren_GB
dc.contributor.authorO'Daly, B Jen_GB
dc.contributor.authorO'Brien, M Fen_GB
dc.contributor.authorGardner, Sen_GB
dc.contributor.authorLennon, Gen_GB
dc.contributor.authorMulvin, D Wen_GB
dc.contributor.authorQuinlan, D Men_GB
dc.date.accessioned2012-02-01T10:30:48Z-
dc.date.available2012-02-01T10:30:48Z-
dc.date.issued2012-02-01T10:30:48Z-
dc.identifier.citationIr J Med Sci. 2009 Sep;178(3):281-5. Epub 2009 Apr 15.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19367426en_GB
dc.identifier.doi10.1007/s11845-009-0337-1en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207542-
dc.description.abstractBACKGROUND: Referrals to Urology OPD of men with a likely diagnosis of BPH are common. AIMS: To review referrals to OPD of men with lower urinary tract symptoms (LUTS) to establish how many could have been managed without specialist assessment. METHODS: We reviewed records of 200 male patients referred to OPD with LUTS. We assessed whether the referral source had performed digital rectal examination (DRE), International Prostate Symptom Score (IPSS), Bother Score or PSA level. RESULTS: 74% of patients were referred by GPs. In 31.5% of cases DRE was performed prior to referral. One GP had completed an IPSS, none a Bother Score. 96% had a PSA checked before OPD. Ultimately, 88.5% of our patients were diagnosed with BPH. CONCLUSIONS: With better pre-assessment in the form of DRE, IPSS and Bother Score, allied to a PSA check, many patients with LUTS could be managed in a primary care setting.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshHealth Status Indicatorsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedicine/*statistics & numerical dataen_GB
dc.subject.meshProstate/*pathologyen_GB
dc.subject.meshProstate-Specific Antigen/analysisen_GB
dc.subject.meshProstatic Neoplasms/*diagnosis/epidemiology/pathologyen_GB
dc.subject.meshQualitative Researchen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshReferral and Consultation/*statistics & numerical dataen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshUrination Disorders/*epidemiologyen_GB
dc.titleThe value of appropriate assessment prior to specialist referral in men with prostatic symptoms.en_GB
dc.contributor.departmentDepartment of Urology, St Vincent's University Hospital, Dublin 4, Republic of, Ireland. lynagh@hotmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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