| Variable Prostate-specific Antigen Management Patterns by Nonurologist Providers at a Tertiary Care Medical Center. | |
| | |
MedLine Citation:
|
PMID: 21664655 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVES: To determine prostate-specific antigen (PSA) management patterns of nonurologist providers. Urologists are involved in the management of men's prostate health. In practice, nonurology providers are more likely to see patients in the screening setting. METHODS: Survey questions were designed to evaluate a nonurologist's approach to PSA screening. The survey instrument was distributed to physicians and physician extenders in fields of internal medicine and family practice at a tertiary-care medical center. RESULTS: Of 116 nonurologist providers, 86 (74%) completed the survey. There was variability with respect to the age at which to screen the index patient (asymptomatic white man without a prostate cancer family history): 16% initiated screening at 41-50 years of age and 77% at 51-60 years. Additionally, heterogeneity was found with regard to categorizing an elevated PSA level, with 62% of providers using an absolute PSA cutoff of >4 ng/mL and only 27% citing age-specific criteria. When diagnosing an asymptomatic man with an elevated PSA level, most providers will recheck PSA in 3-6 months (38%) or initiate a trial of empiric antibiotics (30%). Only a smaller fraction will refer the patient to a urologist (21%) or repeat PSA test immediately within 2-4 weeks (11%). CONCLUSIONS: We noted variability in PSA management patterns by nonurologists. Only 27% of providers used age-specific criteria, and almost 70% managed an elevated value by rechecking at a delayed interval or initiating a trial of antibiotics. This suggests that education might be necessary to create uniformity in PSA screening amongst nonurologists. |
| | |
Authors:
|
Yu-Kuan Lin; Lori Gettle; Jay D Raman |
Related Documents
:
|
20072035 - Evaluation of a new spine classification system, does it accurately predict treatment? 20505535 - Successful cryoablation of atrioventricular nodal reentrant tachycardia in a child with... 11578465 - The role of the loop electrosurgical excision procedure in the diagnosis and management... 18614325 - Left ventricular bullet embolus: a case report and review of the literature. 3921305 - Total parenteral nutrition in the management of traumatic chylous ascites in infancy. 15645875 - The myth of income and the economy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-6-10 |
Journal Detail:
|
Title: Urology Volume: - ISSN: 1527-9995 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-6-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0366151 Medline TA: Urology Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Urology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Retroperitoneal Hibernoma in a 28-Year-old Man.
Next Document: Abnormal distribution of hDlg and PTEN in premalignant lesions and invasive cervical cancer.