Background:

Prostate cancer is the most common cancer among men, with 1 in 8 men being diagnosed at some point in their lives. While early detection is essential, the UK currently lacks a national screening program, and PSA testing has limitations that do not guarantee accurate results. The Prostate Cancer UK Risk Assessment Tool (PCUK-RAT) facilitates personalised risk assessment and leverages new digital technologies, particularly in rural areas. Informed decision-making about screening can help reduce unnecessary tests for healthcare professionals, decrease burnout, and identify higher-risk patients who may benefit from earlier intervention.

Aim of the case report:

This case series aims to identify individuals most at risk for prostate cancer using a tailored text that incorporates the PCUK-RAT, an accessible digital tool for men over 50. We utilised the accuRx SMS messaging tool to reach a broad group of at-risk patients. Our goal was to adopt a proactive, patient-centred approach that facilitates the early detection of prostate cancer while demonstrating the effectiveness of the tool and improving outcomes in our rural setting.

Case report:

A group of males aged 50 and above was selected to evaluate the effectiveness of the PCUK-RAT. The PCUK-RAT enables clinicians to assess various risk factors, including age, family history, and prostate-specific antigen (PSA) levels. It facilitates the review of patient risk factors and identifies individuals at high risk. This process leads to referrals for further diagnostic testing or differential diagnosis.

Conclusions:

The use of the PCUK-RAT in rural primary care has improved the early detection and diagnosis of prostate cancer. This tool can significantly enhance patient outcomes by identifying individuals at risk and facilitating referrals for diagnostic procedures. Regular implementation of the PCUK-RAT highlights the potential to improve screening protocols in primary care, leading to better patient outcomes and fostering collaboration among healthcare professionals.