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:
  • American Indian
  • Alaska Native
  • prostate specific antigen
  • prostate cancer
  • Aged
  • Aged, 80 and over
  • Alaska
  • Community Health Services
  • Continuity of Patient Care
  • Digital Rectal Examination
  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
• Download URL:
  https://stacks.cdc.gov/view/cdc/37837/cdc_37837_DS1.pdf
• File Type:
  [PDF - 350.84 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c93e8d63df308b666d75f9b254e40cd319fddffff8bd29f3d88f487305c31e10