Patterns of Clinical Response to PSA Elevation in American Indian/Alaska Native Men: A Multi-center Pilot Study

Details

• Alternative Title:
  J Health Care Poor Underserved
• Personal Author:
  Tilburt, Jon C. ; Koller, Kathryn ; Tiesinga, James J. ; Wilson, Robin T. ; Trinh, Anne C. ; Hill, Kristin ; Hall, Ingrid J. ; Smith, Judith Lee ; Ekwueme, Donatus U. ; Petersen, Wesley O.
• Description:
  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.
  
  
• Keywords:
  Aged Aged, 80 And Over Alaska Alaska Native American Indian Community Health Services Continuity Of Patient Care Digital Rectal Examination Drug Prescriptions Humans Indians, North American Male Middle Aged Minnesota Pilot Projects Prostate-Specific Antigen Prostate Cancer Prostate Specific Antigen Prostatic Hyperplasia Referral And Consultation Retrospective Studies

  More +
• Source:
  J Health Care Poor Underserved. 24(4):1676-1685
• Pubmed ID:
  24185163
• Pubmed Central ID:
  PMC4733625
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  24
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c93e8d63df308b666d75f9b254e40cd319fddffff8bd29f3d88f487305c31e10
• Download URL:
  https://stacks.cdc.gov/view/cdc/37837/cdc_37837_DS1.pdf
• File Type:
  [PDF - 350.84 KB ]