{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T08:29:12Z","timestamp":1785400152437,"version":"3.56.0"},"reference-count":22,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T00:00:00Z","timestamp":1437955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,10]]},"abstract":"\n Objective<\/jats:title>\n \n To report on the structure and outcomes of a new \u2018\n O<\/jats:styled-content>\n ne\n S<\/jats:styled-content>\n top\u2019\n P<\/jats:styled-content>\n rostate\n C<\/jats:styled-content>\n linic (\n OSPC<\/jats:styled-content>\n ) designed specifically for rural and remote men.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n Prospective cohort study of the first 200 rural or remote men to access a new\n OSPC<\/jats:styled-content>\n at a public tertiary\u2010level hospital in\n W<\/jats:styled-content>\n estern\n A<\/jats:styled-content>\n ustralia between\n A<\/jats:styled-content>\n ugust 2011 and\n A<\/jats:styled-content>\n ugust 2014. Men attended for urological assessment, and proceeded to same\u2010day transrectal ultrasonography\u2010guided prostate biopsies, if appropriate. Referral criteria were either two abnormal age\u2010related prostate\u2010specific antigen (\n PSA<\/jats:styled-content>\n ) levels in the absence of urinary tract infection (UTI), or an abnormal digital rectal examination (\n DRE<\/jats:styled-content>\n ) regardless of\n PSA<\/jats:styled-content>\n level.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The median (range) distance travelled was 1545 (56\u20133229) km and median (range) time from referral to assessment was 33 (2\u2013165) days. The median (range) age was 62 (38\u201385) years,\n PSA<\/jats:styled-content>\n level was 6.7 (0.5\u2013360) ng\/mL and 39% (78\/200) had a suspicious\n DRE<\/jats:styled-content>\n . In all, 92% (184\/200) of men proceeded to prostate biopsies, and 60% (111\/184) of these men were diagnosed with prostate cancer. Our complication rate was 3.5% (6\/172). Radical prostatectomy (46\/111), active surveillance (28\/111) and external beam radiation therapy (26\/111) were the commonest subsequent treatment methods. A $1045 (Australian dollars) cost\u2010saving per person was estimated based on the reduced need for travel with the\n OSPC<\/jats:styled-content>\n model.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The\n OSPC<\/jats:styled-content>\n is an effective and efficient model for assessing men suspected of having prostate cancer living in rural and remote areas of\n W<\/jats:styled-content>\n estern\n A<\/jats:styled-content>\n ustralia, and this model may be applicable to other areas.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13100","type":"journal-article","created":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T06:13:10Z","timestamp":1437977590000},"page":"11-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["A \u2018One Stop\u2019\n P<\/scp>\n rostate\n C<\/scp>\n linic for rural and remote men: a report on the first 200 patients"],"prefix":"10.1111","volume":"116","author":[{"given":"Steve P.","family":"McCombie","sequence":"first","affiliation":[{"name":"Fiona Stanley Hospital Murdoch Australia"},{"name":"Fremantle Hospital Fremantle Australia"},{"name":"School of Surgery University of Western Australia Crawley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Hawks","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital Murdoch Australia"},{"name":"Fremantle Hospital Fremantle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon D.","family":"Emery","sequence":"additional","affiliation":[{"name":"School of Primary, Aboriginal and Rural Health Care, University of Western Australia Crawley Australia"},{"name":"University of Melbourne Parkville Australia"},{"name":"Western Health Melbourne Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dickon","family":"Hayne","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital Murdoch Australia"},{"name":"Fremantle Hospital Fremantle Australia"},{"name":"School of Surgery University of Western Australia Crawley Australia"},{"name":"West Australian Urologic Research Organisation Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10711.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmt016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb02977.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.11134"},{"key":"e_1_2_7_6_1","first-page":"3975","article-title":"Time to treatment of prostate cancer through the Calgary Prostate Institute rapid access clinic","volume":"15","author":"Kavanagh AG","year":"2008","journal-title":"Can J Urol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-013-0986-y"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-013-0920-3"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-013-0997-8"},{"key":"e_1_2_7_10_1","unstructured":"Geoscience Australia.Area of Australia \u2013 States and Territories. 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