Patterns of clinical response to PSA elevation in american indian/alaska native men

A multi- center pilot study

Jon C Tilburt, Kathryn Koller, James J. Tiesinga, Robin T. Wilson, Anne C. Trinh, Kristin Hill, Ingrid J. Hall, Judith Lee Smith, Donatus U. Ekwueme, Wesley O. Petersen

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1676-1685
Number of pages10
JournalJournal of Health Care for the Poor and Underserved
Volume24
Issue number4
DOIs
StatePublished - 2013

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North American Indians
Documentation
Reaction Time
Medical Records
Alaska Natives

Keywords

  • Alaska native
  • American indian
  • Prostate cancer
  • Prostate specific antigen

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Patterns of clinical response to PSA elevation in american indian/alaska native men : A multi- center pilot study. / Tilburt, Jon C; Koller, Kathryn; Tiesinga, James J.; Wilson, Robin T.; Trinh, Anne C.; Hill, Kristin; Hall, Ingrid J.; Lee Smith, Judith; Ekwueme, Donatus U.; Petersen, Wesley O.

In: Journal of Health Care for the Poor and Underserved, Vol. 24, No. 4, 2013, p. 1676-1685.

Research output: Contribution to journalArticle

Tilburt, JC, Koller, K, Tiesinga, JJ, Wilson, RT, Trinh, AC, Hill, K, Hall, IJ, Lee Smith, J, Ekwueme, DU & Petersen, WO 2013, 'Patterns of clinical response to PSA elevation in american indian/alaska native men: A multi- center pilot study', Journal of Health Care for the Poor and Underserved, vol. 24, no. 4, pp. 1676-1685. https://doi.org/10.1353/hpu.2013.0184
Tilburt, Jon C ; Koller, Kathryn ; Tiesinga, James J. ; Wilson, Robin T. ; Trinh, Anne C. ; Hill, Kristin ; Hall, Ingrid J. ; Lee Smith, Judith ; Ekwueme, Donatus U. ; Petersen, Wesley O. / Patterns of clinical response to PSA elevation in american indian/alaska native men : A multi- center pilot study. In: Journal of Health Care for the Poor and Underserved. 2013 ; Vol. 24, No. 4. pp. 1676-1685.
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