Patterns of clinical response to PSA elevation in American Indian/Alaska Native men: a multi-center pilot study.

Abstract

OBJECTIVE To assess clinical treatment patterns and response times among American Indian/Alaska Native men with a newly elevated PSA. METHODS We retrospectively identified men ages 50-80 receiving care in one of three tribally-operated clinics in Northern Minnesota, one medical center in Alaska, and who had an incident PSA elevation (> 4 ng/ml) in a specified time period. A clinical response was considered timely if it was documented as occurring within 90 days of the incident PSA elevation. RESULTS Among 82 AI/AN men identified from medical records with an incident PSA elevation, 49 (60%) received a timely clinical response, while 18 (22%) had no documented clinical response. CONCLUSIONS One in five AI/AN men in our study had no documented clinical action following an incident PSA elevation. Although a pilot study, these findings suggest the need to improve the documentation, notification, and care following an elevated PSA at clinics serving AI/AN men.

DOI: 10.1353/hpu.2013.0184

Cite this paper

@article{Tilburt2013PatternsOC, title={Patterns of clinical response to PSA elevation in American Indian/Alaska Native men: a multi-center pilot study.}, author={Jon C. Tilburt and Kathryn R. Koller and James J Tiesinga and Robin T. Wilson and Anne C. Trinh and Kristin Hill and Ingrid J. E. Hall and Judith Lee Smith and Donatus U. Ekwueme and Wesley O. Petersen}, journal={Journal of health care for the poor and underserved}, year={2013}, volume={24 4}, pages={1676-85} }