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‘Carrying on the way we are, is becoming shambolic’ – An interview study with prostate cancer specialists about their usual practice of follow-up

Bulger, J.K. and Hiscock, J. and Neal, R.D. and Stanciu, A. and Makin, M. and Wilkinson, C. (2014) ‘Carrying on the way we are, is becoming shambolic’ – An interview study with prostate cancer specialists about their usual practice of follow-up. Journal of Clinical Urology. DOI: 10.1177/2051415814545804 (In Press)

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Abstract

Aim: This study aims to clarify what practice for the follow-up of prostate cancer is occurring at present and to explain the reasons behind any variation. Background: Prostate cancer has been increasing in incidence in the UK for several years. It has been suggested that men with prostate cancer could be better managed, and that some aspects of care are duplicated by primary and secondary care professionals. Methods: This study aimed to interview the prostate cancer specialists identified as working within the district general hospitals of a large health board. The interviews used a qualitative semi-structured approach. Analysis was performed using The Framework method. Findings: Current practice for the follow-up of prostate cancer is variable both within and between hospitals. Patients are followed up in secondary care for longer than National Institute for Health and Care Excellence (NICE) recommends due to a lack of trust of general practitioners� management. This inevitably impacts upon waiting lists, and many patients� appointments are long overdue. A remote prostate-specific antigen (PSA) surveillance system may be beneficial. It is generally thought that change to the usual practice of follow-up of prostate cancer patients is required.

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > North Wales Centre for Primary Care Research
Date Deposited: 28 Feb 2015 03:40
Last Modified: 23 Sep 2015 02:53
ISSN: 2051-4158
URI: http://e.bangor.ac.uk/id/eprint/3588
Identification Number: DOI: 10.1177/2051415814545804
Publisher: Sage Publications
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