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Updated: Sep 30, 2025

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Increasing the uptake in a general practice prostate cancer screening programme.

Neil Limaye1, Daniele Zorzato2, Aaruran Nadarajasundaram2

  • 1GKT School of Medical Education, King's College London Faculty of Life Sciences and Medicine, London, UK neil.limaye@kcl.ac.uk.

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This study aimed to increase prostate cancer (PC) screening in a South London GP practice. Despite challenges like blood test refusal and the COVID-19 pandemic, screening rates increased by 13.5%.

Keywords:
PDSAcontinuous quality improvementgeneral practicehealth equitypatient education

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Area of Science:

  • Oncology
  • Public Health
  • General Practice

Background:

  • Prostate cancer (PC) is a leading cause of cancer death in males globally.
  • Elevated Prostate-Specific Antigen (PSA) levels indicate increased PC risk.
  • Lack of a UK national screening program leads to late-stage PC diagnosis and poorer outcomes.

Purpose of the Study:

  • To enhance PC screening rates within a South London general practice.
  • To identify and engage high-risk male patients for PSA testing.
  • To implement and evaluate interventions for improving PC screening uptake.

Main Methods:

  • Baseline data collection identified 220 male patients over 65 or at high risk.
  • Three Plan-Do-Study-Act (PDSA) cycles were implemented over two weeks.
  • Interventions included direct patient contact, electronic health record reminders, and patient education initiatives.

Main Results:

  • 77.7% of eligible patients underwent PSA testing post-intervention.
  • An overall increase in PC screening of 13.5% was observed from baseline.
  • Identified potential cases of undiagnosed prostate pathology.

Conclusions:

  • The project successfully identified at-risk patients but faced challenges with blood test refusal.
  • The COVID-19 pandemic hindered information dissemination regarding PSA screening importance.
  • Further strategies are needed to overcome patient hesitancy and improve screening uptake.