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Initial experience of a community‐based prostate cancer risk assessment clinic for men of black and minority ethnicity background
Author(s) -
McAllister Bria J.,
Patterson Marva I.,
Sherwood Benedict T.,
Howarth Jodie A.,
Malone Kerry J.
Publication year - 2019
Publication title -
international journal of urological nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.184
H-Index - 8
eISSN - 1749-771X
pISSN - 1749-7701
DOI - 10.1111/ijun.12199
Subject(s) - medicine , prostate cancer , ethnic group , prostate cancer screening , rectal examination , population , prostate , risk assessment , gynecology , cancer , family medicine , prostate specific antigen , oncology , computer security , environmental health , sociology , anthropology , computer science
We designed and implemented a community‐based prostate cancer risk assessment clinic targeting men from black and minority ethnicity (BME) background. This service had the dual aims of optimizing detection of prostate cancer within a local BME population, with a secondary goal of encouraging longer‐term engagement with primary care for follow‐up prostate‐specific antigen (PSA) testing in order to facilitate early diagnosis of future disease. “Drop‐in” clinics were set up in strategic locations and, staffed by experienced urology nurses. Risk assessment was offered in the form of a PSA test, and digital rectal examination (DRE). We targeted men of BME background aged between 45 and 75 but all attending individuals were given access to counselling and assessment as appropriate. In total, 312 men attended clinics for risk assessment. We diagnosed nine prostate cancers with histological confirmation, with a further two individuals considered to have prostate cancer based on clinical/biochemical parameters. These findings were consistent with similar previously published reports. Nurse‐led, community‐based targeted risk assessment is feasible, leads to the detection of significant numbers of prostate cancers and is well received by patients.