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 - Nov 11 2013

Fingerprint

North American Indians
Documentation
Reaction Time
Medical Records
Alaska Natives

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Tilburt, J. C., Koller, K., Tiesinga, J. J., Wilson, R. T., Trinh, A. C., Hill, K., ... Petersen, W. O. (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, 24(4), 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.
@article{67f8cd53e909451983b94651282e7558,
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.",
author = "Tilburt, {Jon C.} and Kathryn Koller and Tiesinga, {James J.} and Wilson, {Robin T.} and Trinh, {Anne C.} and Kristin Hill and Hall, {Ingrid J.} and {Lee Smith}, Judith and Ekwueme, {Donatus U.} and Petersen, {Wesley O.}",
year = "2013",
month = "11",
day = "11",
doi = "10.1353/hpu.2013.0184",
language = "English (US)",
volume = "24",
pages = "1676--1685",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "4",

}

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

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, 11.11.2013, p. 1676-1685.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patterns of clinical response to PSA elevation in american indian/alaska native men

T2 - A multi- center pilot study

AU - Tilburt, Jon C.

AU - Koller, Kathryn

AU - Tiesinga, James J.

AU - Wilson, Robin T.

AU - Trinh, Anne C.

AU - Hill, Kristin

AU - Hall, Ingrid J.

AU - Lee Smith, Judith

AU - Ekwueme, Donatus U.

AU - Petersen, Wesley O.

PY - 2013/11/11

Y1 - 2013/11/11

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84887028879&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887028879&partnerID=8YFLogxK

U2 - 10.1353/hpu.2013.0184

DO - 10.1353/hpu.2013.0184

M3 - Article

C2 - 24185163

AN - SCOPUS:84887028879

VL - 24

SP - 1676

EP - 1685

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 4

ER -