title: 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.
authors.forename: Jon C
authors.initials: JC
authors.lastname: Tilburt
authors.forename: Kathryn
authors.initials: K
authors.lastname: Koller
authors.forename: James J
authors.initials: JJ
authors.lastname: Tiesinga
authors.forename: Robin T
authors.initials: RT
authors.lastname: Wilson
authors.forename: Anne C
authors.initials: AC
authors.lastname: Trinh
authors.forename: Kristin
authors.initials: K
authors.lastname: Hill
authors.forename: Ingrid J
authors.initials: IJ
authors.lastname: Hall
authors.forename: Judith Lee
authors.initials: JL
authors.lastname: Smith
authors.forename: Donatus U
authors.initials: DU
authors.lastname: Ekwueme
authors.forename: Wesley O
authors.initials: WO
authors.lastname: Petersen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska; D003153:Community Health Services; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D051517:Digital Rectal Examination / Q000706:statistics & numerical data; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010865:Pilot Projects; D017430:Prostate-Specific Antigen / Q000097:blood*; D011470:Prostatic Hyperplasia / Q000628:therapy; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies
chemical_list: D017430:Prostate-Specific Antigen