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Conference Paper: Pattern of use of prostate-specific antigen (PSA) among different clinical specialties: retrospective study in a tertiary hospital

TitlePattern of use of prostate-specific antigen (PSA) among different clinical specialties: retrospective study in a tertiary hospital
Other TitlesPattern of use of serum prostate-specific antigen (PSA) among different clinical specialties: retrospective study in a tertiary hospital
Authors
Issue Date2016
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/
Citation
The 22nd Annual Scientific Meeting of the Hong Kong Urological Association (HKUA), Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 suppl. S3, p. 10 How to Cite?
AbstractOBJECTIVE: The Urology Clinic at our unit receives many referrals for raised PSA. The study focused on why PSA was checked initially, whether it was clinically indicated or affected patient management. PATIENTS AND METHODS: This was a single center cross-sectional study on all whose PSA were checked from January 2014 to March 2014. Patient demographics, requesting specialty, indications of checking PSA were extracted from clinical records. PSA results and patients’ clinical outcomes were followed up. RESULTS: 2104 PSA requests of whose mean age 69.6 years old were reviewed. Mean PSA was 36.37 ng/mL (median 2.7 ng/mL). 429(20.4%, 2014) had elevated PSA (>4 ng/mL). 386(90%, 429) were subsequently managed at the Urology Clinic. 128 patients (29.8%, 429) underwent trans-rectal ultrasound guided prostate biopsy. 49 patients (38%, 128) were diagnosed with prostate cancer, of which 23 (46.9%, 49) opted for radical treatment – 10(43.5%, 23) underwent radical prostatectomy, 13(56.5%, 23) had radiotherapy. Logistic analysis showed that age and stage of disease were significantly higher in whom underwent radiotherapy. Age was the only statistically significant predictor for prostate cancer (p = 0.001). Others factors, like PSA level, requesting specialty and clinical indications were not predictors for prostate cancer detection. CONCLUSION: Inappropriate PSA testing is widespread at our institute. Patient counselling is important prior to its checking as to understand the implications of raised PSA levels.
DescriptionAbstract and Poster Presentation
This free Journal suppl. entitled: Special Issue: Abstracts of the Hong Kong Urological Association, 22nd Annual Scientific Meeting, 20 November 2016, Hong Kong
Persistent Identifierhttp://hdl.handle.net/10722/240364
ISSN
2017 Impact Factor: 4.688
2015 SCImago Journal Rankings: 2.009

 

DC FieldValueLanguage
dc.contributor.authorYuen, SKK-
dc.contributor.authorNg, ATL-
dc.contributor.authorTsu, HLJ-
dc.contributor.authorMa, WK-
dc.contributor.authorHo, BSH-
dc.contributor.authorWong, JKW-
dc.contributor.authorLai, TCT-
dc.contributor.authorTsang, CF-
dc.contributor.authorWong, CKW-
dc.contributor.authorYiu, MK-
dc.date.accessioned2017-04-19T08:23:28Z-
dc.date.available2017-04-19T08:23:28Z-
dc.date.issued2016-
dc.identifier.citationThe 22nd Annual Scientific Meeting of the Hong Kong Urological Association (HKUA), Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 suppl. S3, p. 10-
dc.identifier.issn1464-4096-
dc.identifier.urihttp://hdl.handle.net/10722/240364-
dc.descriptionAbstract and Poster Presentation-
dc.descriptionThis free Journal suppl. entitled: Special Issue: Abstracts of the Hong Kong Urological Association, 22nd Annual Scientific Meeting, 20 November 2016, Hong Kong-
dc.description.abstractOBJECTIVE: The Urology Clinic at our unit receives many referrals for raised PSA. The study focused on why PSA was checked initially, whether it was clinically indicated or affected patient management. PATIENTS AND METHODS: This was a single center cross-sectional study on all whose PSA were checked from January 2014 to March 2014. Patient demographics, requesting specialty, indications of checking PSA were extracted from clinical records. PSA results and patients’ clinical outcomes were followed up. RESULTS: 2104 PSA requests of whose mean age 69.6 years old were reviewed. Mean PSA was 36.37 ng/mL (median 2.7 ng/mL). 429(20.4%, 2014) had elevated PSA (>4 ng/mL). 386(90%, 429) were subsequently managed at the Urology Clinic. 128 patients (29.8%, 429) underwent trans-rectal ultrasound guided prostate biopsy. 49 patients (38%, 128) were diagnosed with prostate cancer, of which 23 (46.9%, 49) opted for radical treatment – 10(43.5%, 23) underwent radical prostatectomy, 13(56.5%, 23) had radiotherapy. Logistic analysis showed that age and stage of disease were significantly higher in whom underwent radiotherapy. Age was the only statistically significant predictor for prostate cancer (p = 0.001). Others factors, like PSA level, requesting specialty and clinical indications were not predictors for prostate cancer detection. CONCLUSION: Inappropriate PSA testing is widespread at our institute. Patient counselling is important prior to its checking as to understand the implications of raised PSA levels.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/-
dc.relation.ispartofBJU International-
dc.titlePattern of use of prostate-specific antigen (PSA) among different clinical specialties: retrospective study in a tertiary hospital-
dc.title.alternativePattern of use of serum prostate-specific antigen (PSA) among different clinical specialties: retrospective study in a tertiary hospital-
dc.typeConference_Paper-
dc.identifier.emailTsu, HLJ: jamestsu@hku.hk-
dc.identifier.emailMa, WK: mwk054@hku.hk-
dc.identifier.emailHo, BSH: hobrian@hku.hk-
dc.identifier.emailWong, CKW: kwwongab@hku.hk-
dc.identifier.emailYiu, MK: pmkyiu@hku.hk-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/bju.13768-
dc.identifier.hkuros271960-
dc.identifier.hkuros272639-
dc.identifier.volume119-
dc.identifier.issuesuppl. S3-
dc.identifier.spage10-
dc.identifier.epage10-
dc.publisher.placeUnited Kingdom-

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