التفاصيل البيبلوغرافية
| العنوان: |
Patterns of Clinical Response to PSA Elevation in American Indian/Alaska Native Men: A Multi-center Pilot Study. |
| المؤلفون: |
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. |
| المصدر: |
Journal of Health Care for the Poor & Underserved; Nov2013, Vol. 24 Issue 4, p1676-1685, 10p |
| مصطلحات موضوعية: |
PROSTATE tumors, CHI-squared test, STATISTICAL correlation, DOCUMENTATION, FISHER exact test, INDIGENOUS peoples of the Americas, MEDICAL cooperation, RESEARCH, PROSTATE-specific antigen, PILOT projects, RETROSPECTIVE studies, DATA analysis software, DIAGNOSIS |
| مصطلحات جغرافية: |
ALASKA, MINNESOTA |
| مستخلص: |
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. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
