Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/16591
Title: Primary care follow-up of radical prostatectomy patients: a regional New Zealand experience
Authors: Yassaie, Omid;McLaughlin, Ben;Perera, Marlon;Manning, Todd G;Lawrentschuk, Nathan L ;Malcolm, Andrew
Issue Date: Dec-2016
Citation: Prostate International 2016; 4(4): 136–139
Abstract: BACKGROUND: Contemporary recommendations regarding the duration of follow-up after radical prostatectomy (RP) are highly heterogeneous. Protocol-based follow-up schemes have been implemented to facilitate the expeditious identification of patients with recurrence. The aim of this study is to assess the reliability and comfort of general practitioners (GPs) in follow-up of RP. METHODS: Following institutional ethical approval, we performed a retrospective review in patients undergoing follow-up after RP between January 2004 and December 2010. Patient factors, disease variables, and follow-up prostate specific antigen (PSA) compliance was collected. "Noncompliant" follow-up care was defined as: patients that had not received a PSA for a 14 month period within 5 years of prostatectomy. Patient and disease-based risk factors for noncompliant follow-up were assessed. GPs were also surveyed in their follow-up practice of RP patients, to assess their familiarity in caring for these patients. RESULTS: In total, 65 cases were identified that met the inclusion criteria. At 60 months of follow-up, 66% (43/65) of patients had a compliant follow-up regime. For patients with noncompliant follow-up at 60 months, median time of compliance did not differ significantly when assessing preoperative PSA, Gleason sum, extraprostatic extension, or surgical margin status. Of the GPs surveyed, 68% of GPs felt comfortable in follow-up of RP patients. Some 62% of GPs would expect the PSA to be < 0.1 and 25% of GPs would measure the PSA annually. CONCLUSION: Our study identified that follow-up by GPs after RP is insufficient. Accordingly, there is a requirement for formal educational programs if primary care is to take a greater role in follow-up of these patients.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16591
DOI: 10.1016/j.prnil.2016.07.003
ORCID: 0000-0001-8553-5618
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/27995112
Type: Journal Article
Subjects: Follow-up
General practitioner
Primary care
Prostate cancer
Prostate specific antigen
Radical prostatectomy
Appears in Collections:Journal articles

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