One-Stop Prostate Cancer Diagnostic Pathway
Author Information
Author(s): Storino Ramacciotti, Kaneko Masatomo, Rodler Severin, Mohideen Muneeb, Cai Jie, Liang Gangning, Aron Manju, Hopstone Michelle, Stern Mariana C., Cacciamani Giovanni E., Gill Inderbir, Abreu Andre Luis
Primary Institution: USC Institute of Urology, Keck School of Medicine University of Southern California
Hypothesis
Can an expedited 'One-Stop' prostate cancer diagnostic pathway reduce environmental impact and enhance accessibility?
Conclusion
The One-Stop PCa diagnostic pathway reduces carbon footprint, distance travelled, and patient-level cost while maintaining clinical outcomes comparable to the Standard pathway.
Supporting Evidence
- The One-Stop pathway saved 69,575 km in round trips and over 16 tons of CO2 emissions.
- Patients in the One-Stop group had lower socioeconomic status and lived farther from the hospital.
- Detection rates of clinically significant prostate cancer were similar between the One-Stop and Standard pathways.
Takeaway
This study shows that a faster way to diagnose prostate cancer can help save the environment and make it easier for people to get care.
Methodology
The study analyzed 1083 patients undergoing MRI followed by biopsy, comparing outcomes between a One-Stop pathway and a Standard pathway.
Potential Biases
Potential bias due to the study being conducted at a single institution, limiting generalizability.
Limitations
The study assumed all patients traveled by car and did not account for other transportation methods, which may affect the carbon footprint calculations.
Participant Demographics
Patients included were diverse, with a higher percentage of Latinos and lower socioeconomic status in the One-Stop group.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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