Introduction

1. No. 004 Initial report of a new “One stop” Prostate Clinic(OSPC) at a tertiary Western Australian hospital: experience from the first 50 patients WL Ooi1,2, Hawks C1,2, Kuan M1, Hayne D1,2 1Fremantle Hospital, Urology Department,Fremantle, Western Australia. 2University of Western Australia, Perth, Western Australia Introduction WA is the largest Australian state with a sparsely distributed rural population. Rural prostate cancer patients have worse outcomes-higher mortality and fewer patients offered radical prostatectomy1, likely reflecting diagnostic delay. A new “One Stop” prostate clinic at Fremantle Hospital commenced August 2011 as an initiative to offer a rapid access diagnostic service to WA rural patients and to reduce unnecessary visits to the metropolitan centre. • Results • Median patient age: 60 years(range: 45-85) • Wait-times GP referral to clinic(median): 25 days(range: 4-68) • All patients graded overall satisfaction with the clinic as good. Aim To report prospective outcomes and clinic process in the first 50 patients who attended the new “One Stop” Prostate Clinic • 46% of patients were diagnosed with prostate cancer. • 38% of patients were diagnosed with high grade prostate intraepithelial neoplasia(PIN) • Clinic process & Methods • Rural GPs referred to the clinic using the OSPC referral proforma. Patients were seen by a urologist and if appropriate, local anaesthetic TRUS prostate biopsy performed on the same day. • Patients’ received telephonic follow-up from the OSPC nurse who will inform the patient of their biopsy results and management plan. GPs also received a letter with the above information. Rural cancer nurses were also informed about new prostate cancer diagnosis, allowing patients to obtain more information before further discussion about treatment with urologists. • Prospective data was collected from the first 50 patients who attended a new OSPC aimed at rural patients at Fremantle Hospital from August 2011 to November 2011. • Age, wait times from referral, diagnosis, follow-up treatments and patients’ overall satisfaction level(Good,Satisfactory or Poor) were recorded. • Majority of patients(52%) could be followed-up by GP with 6 monthly PSA levels and advised to be re-referred if PSA rises or patient symptomatic. • 24% of patients were booked for radical prostatectomy. • Conclusions • The OSPC is an efficient model of care for rural patients yielding high patient satisfaction. It is of particular relevance in the treatment of remotely located patients. • Incidence of prostate cancer and high grade PIN was found to be high in our patients. References Baade PD, Youden DR, Coory MD, Gardiner RA, Chambers SK. Urban-rural differences in prostate cancer outcomes in Australia: what has changed? MJA 2011. 194(6);293-296. Acknowledgements Many thanks to the Kaleeya Hospital Endoscopy Unit staff members and WAURO for its support. Poster presentation sponsor