Urology Oncology

Ascension Seton Specialty Care Center
A department of ASMCA
Urology Oncology Criteria

Scope

• To evaluate and treat patients who have been diagnosed with or treated for GU cancers (kidney, prostate, bladder, testicular, and penile).

Appropriate patients for referral include:

• Newly diagnosed GU cancers
• Recurrent GU cancers
• Patients receiving treatment for GU cancers
• Patients needing follow-up for previously treated GU cancers
• Patients with imaging suspicious for GU cancer
• Patients with a known diagnosis but being referred for an operation
• Patients being referred for a second opinion

Documentation required for scheduling all appointments:

• Current referral form
• Patient demographics
• Current medication list and comorbidities or problem list
• Two most recent provider notes
• Original pathology report confirming tissue diagnosis (if applicable)
• Imaging including any discs if the imaging not readily available on our PACS
• If recurrence suspected, send supporting documentation (radiology reports, biopsies, pathology)
• If previously treated for cancer diagnosis, all urology/oncology notes and treatment records (chemotherapy flow sheets, operative notes, etc)
• If referred for suspicion of cancer, all imaging & imaging reports documenting mass and any other relevant records from referring provider (office visit notes, etc.)
• If referred by the 7th floor urology office (Drs. Wolf/Osterburg, PAs Brenda Chang/Rachel Dockray) then ok to approve as-is with whatever documentation is sent. Laviana will be able to access those patients’ records in Athena.

Additional information needed related to cancer (IF APPLICABLE)

• Notes from all consultants (inpatient and outpatient)
• All operative reports
• Diagnostic procedure reports (endoscopy, bronchoscopy)
• All radiology reports and actual imaging if not in our PACS

Have questions or comments about the specialty referral guidelines? Submit them here.