Objective To establish a hospital based shared-care clinic to investigate and manage benign prostatic hyperplasia (BPH) with general practitioners (GPs).
Patients and methods During one year, 330 patients referred with suspected prostatic obstruction were investigated in an outreach clinic in a rural cottage hospital by urology department nurses according to a protocol.
After this, they were referred directly back to their GPs with recommendations for their management or seen in the urologist's clinic.
A questionnaire was completed by the GPs to assess their satisfaction with and attitudes to the clinic.
Results One-third of the patients were referred directly back to their GP, a third were seen routinely and a third seen urgently in the urologist's clinic, usually because a prostate-specific antigen assay indicated the possibility of latent prostatic cancer.
A survey confirmed that GP support for the clinic was unanimous whilst patients were reassured by the thoroughness and sensitivity of the clinic's nursing staff.
Conclusion The clinic reduced the workload of the GPs and urologists whilst providing a speedy and comprehensive assessment of patients presenting with suspected prostatic obstruction.
Mots-clés Pascal : Exploration clinique, Prostate, Symptomatologie, Service hospitalier, Orientation, Traitement, Evaluation performance, Résultat, Homme, Prostate pathologie, Appareil urinaire pathologie, Appareil génital mâle pathologie
Mots-clés Pascal anglais : Clinical investigation, Prostate, Symptomatology, Hospital ward, Orientation, Treatment, Performance evaluation, Result, Human, Prostate disease, Urinary system disease, Male genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0289972
Code Inist : 002B30A04D. Création : 199608.