A novel rapid access testicular cancer clinic: prospective evaluation after one year
| Autor: | P. Ahern, Claire Brady, Niall F. Davis, P. Sweeney, K. Carey, S. Elamin |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Pediatrics Time Factors Referral 030230 surgery Health Services Accessibility Urology Department Hospital Prospective evaluation Young Adult 03 medical and health sciences 0302 clinical medicine Testicular Neoplasms Ambulatory Care Rapid access Humans Medicine Outpatient clinic Prospective Studies Referral and Consultation Testicular cancer Aged Aged 80 and over Gynecology business.industry Incidence Incidence (epidemiology) General Medicine Middle Aged Neoplasms Germ Cell and Embryonal medicine.disease 030220 oncology & carcinogenesis Cohort Histopathology business Ireland Orchiectomy |
| Zdroj: | Irish Journal of Medical Science (1971 -). 185:215-218 |
| ISSN: | 1863-4362 0021-1265 |
| Popis: | Our institution has recently developed a rapid access outpatient clinic to investigate men with testicular lumps and/or pain suspicious for testicular cancer (TCa). To present our experience after 12 months. All referrals to the rapid access testicular clinic (RATC) clinic were prospectively analysed from 01/01/2013 to 01/01/2014. The primary outcome variable was incidence of TCa in the referred patient cohort. Secondary outcome variables were waiting times prior to clinical review and waiting times prior to radical orchidectomy in patients diagnosed with TCa. Seventy-four new patients were referred to the RATC during the 1-year period and the mean age was 34 (range 15–81 years). TCa was the most common diagnosis and was found in 18 (25 %) patients. Patients diagnosed with TCa underwent radical orchidectomy, a median of 3 (range 1–5) days after their initial GP referral. Patients requiring surgical intervention for benign scrotal pathology underwent their procedure a median of 32 (range 3–61) days after their initial referral. Of the 18 patients diagnosed with TCa, 9 (50 %) were diagnosed with a seminomatous germ cell tumour on histopathology. The RATC is a new initiative in Ireland that provides expedient and definitive treatment of patients with newly diagnosed TCa. Early treatment will ultimately improve long-term prognosis in this patient cohort. |
| Databáze: | OpenAIRE |
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