Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients

Abstract Objectives Objective of this study is to report the results of nurse led hematuria clinic service outcome of 2,714 patients. Subjects and methods We conducted a retrospective, single center review of 2714 patients with visible and nonvisible hematuria managed by a well‐trained nurse special...

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Autores principales:	Anika Madaan, Teele Kuusk, Musaab Hamdoon, Angela Elliott, Dianne Pearce, Sanjeev Madaan
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	bladder cancer flexible cystoscopy hematuria nurse prostate cancer renal cell carcinoma Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/f07074a57c2745ae860a98f5f6b8fd45
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spelling	oai:doaj.org-article:f07074a57c2745ae860a98f5f6b8fd452021-11-17T16:19:36ZNurse‐led one stop hematuria clinic: Outcomes from 2,714 patients2688-452610.1002/bco2.100https://doaj.org/article/f07074a57c2745ae860a98f5f6b8fd452021-11-01T00:00:00Zhttps://doi.org/10.1002/bco2.100https://doaj.org/toc/2688-4526Abstract Objectives Objective of this study is to report the results of nurse led hematuria clinic service outcome of 2,714 patients. Subjects and methods We conducted a retrospective, single center review of 2714 patients with visible and nonvisible hematuria managed by a well‐trained nurse specialist in a rapid access clinic (RAC) between 2014 and 2020. All patients received a full review, flexible cystoscopy performed by a nurse, and ultrasound of urinary tracts. After investigations, patients were reassured and discharged or referred for rigid cystoscopy, TURBT, and CT urography. Results In total, 2714 patients attended the RAC between October 2014 and March 2020. Of these, 1684 (62%) were males and 1030 (38%) females. The median age of patients was 68.3 (IQR 58‐79). Of the 1030 females, 500 (48.5%) presented with nonvisible hematuria (NVH), and 530 (51.5%) presented with visible hematuria (VH). The median age was 66 (IQR 56‐76). The number of females diagnosed with any form of malignancy was 72 (7% of all females). Of the 1684 males, 288 (17.1%) presented with NVH, and 1396 (82.9%) presented with VH. The median age was 72 (IQR 59‐81). The number of males diagnosed with some form of malignancy was 258 (15.3% of all males). Overall, 1926 patients presented with VH and 788 patients presented with NVH. After investigations, 290 patients (15.1%) with VH and 40 (5.1%) patients with NVH had some form of malignancy. The highest number of malignancies found in VH was bladder cancer (n = 222, 11.5%), followed by prostate (n = 28, 1%), renal (n = 23, 0.8%), UT urothelial (n = 17, 0.6%), gynaecological (n = 7, 0.3%), and gastrointestinal (n = 5, 0.2%) cancer. The highest number of pathologies found in NVH was infection (n = 44, 5.6%). Cancer detection rate for symptomatic NVH was more than double that of asymptomatic NVH, 6.5% versus 3.1%, respectively. Conclusion Overall, 15.1% with VH and 5.1% with NVH present with malignancy. Nurse‐led rapid access hematuria clinic and flexible cystoscopy investigation by trained nurse is safe and feasible.Anika MadaanTeele KuuskMusaab HamdoonAngela ElliottDianne PearceSanjeev MadaanWileyarticlebladder cancerflexible cystoscopyhematurianurseprostate cancerrenal cell carcinomaDiseases of the genitourinary system. UrologyRC870-923ENBJUI Compass, Vol 2, Iss 6, Pp 385-394 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bladder cancer flexible cystoscopy hematuria nurse prostate cancer renal cell carcinoma Diseases of the genitourinary system. Urology RC870-923
spellingShingle	bladder cancer flexible cystoscopy hematuria nurse prostate cancer renal cell carcinoma Diseases of the genitourinary system. Urology RC870-923 Anika Madaan Teele Kuusk Musaab Hamdoon Angela Elliott Dianne Pearce Sanjeev Madaan Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
description	Abstract Objectives Objective of this study is to report the results of nurse led hematuria clinic service outcome of 2,714 patients. Subjects and methods We conducted a retrospective, single center review of 2714 patients with visible and nonvisible hematuria managed by a well‐trained nurse specialist in a rapid access clinic (RAC) between 2014 and 2020. All patients received a full review, flexible cystoscopy performed by a nurse, and ultrasound of urinary tracts. After investigations, patients were reassured and discharged or referred for rigid cystoscopy, TURBT, and CT urography. Results In total, 2714 patients attended the RAC between October 2014 and March 2020. Of these, 1684 (62%) were males and 1030 (38%) females. The median age of patients was 68.3 (IQR 58‐79). Of the 1030 females, 500 (48.5%) presented with nonvisible hematuria (NVH), and 530 (51.5%) presented with visible hematuria (VH). The median age was 66 (IQR 56‐76). The number of females diagnosed with any form of malignancy was 72 (7% of all females). Of the 1684 males, 288 (17.1%) presented with NVH, and 1396 (82.9%) presented with VH. The median age was 72 (IQR 59‐81). The number of males diagnosed with some form of malignancy was 258 (15.3% of all males). Overall, 1926 patients presented with VH and 788 patients presented with NVH. After investigations, 290 patients (15.1%) with VH and 40 (5.1%) patients with NVH had some form of malignancy. The highest number of malignancies found in VH was bladder cancer (n = 222, 11.5%), followed by prostate (n = 28, 1%), renal (n = 23, 0.8%), UT urothelial (n = 17, 0.6%), gynaecological (n = 7, 0.3%), and gastrointestinal (n = 5, 0.2%) cancer. The highest number of pathologies found in NVH was infection (n = 44, 5.6%). Cancer detection rate for symptomatic NVH was more than double that of asymptomatic NVH, 6.5% versus 3.1%, respectively. Conclusion Overall, 15.1% with VH and 5.1% with NVH present with malignancy. Nurse‐led rapid access hematuria clinic and flexible cystoscopy investigation by trained nurse is safe and feasible.
format	article
author	Anika Madaan Teele Kuusk Musaab Hamdoon Angela Elliott Dianne Pearce Sanjeev Madaan
author_facet	Anika Madaan Teele Kuusk Musaab Hamdoon Angela Elliott Dianne Pearce Sanjeev Madaan
author_sort	Anika Madaan
title	Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
title_short	Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
title_full	Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
title_fullStr	Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
title_full_unstemmed	Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients
title_sort	nurse‐led one stop hematuria clinic: outcomes from 2,714 patients
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/f07074a57c2745ae860a98f5f6b8fd45
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Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients

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