Reasons for missed or delayed prostate cancer follow-up as ascertained by record review
| Prostate cancer trigger | PSA-based trigger n=426 |
|---|---|
| Reason | Total records # (%) |
| Justification documented (false positives) | |
| Patient declined further prostate-related care | 27 (21.3) |
| Patient pursued outside care | 22 (17.3) |
| Unable to reach patient despite multiple phone calls/mailings | 5 (3.9) |
| Record identified by trigger despite not meeting red flag criteria (data miscoded) | 0 (0.0) |
| Patient identified by trigger despite meeting exclusion or expected follow-up criteria | 73 (57.5) |
| Treated for prostatitis | 41 |
| Prior recent biopsy at outside institution | 19 |
| Appropriate care performed | 10 |
| Known history of prostate cancer | 2 |
| Terminal illness/hospice care | 1 |
| Total with justification documented | 127 (29.8) |
| No justification documented (true positives) | |
| No reason/rationale documented | 190 (63.5) |
| Appropriate care ordered but not performed within 90 days (eg, PSA repeated beyond 90 days) | 109 (36.5) |
| Total without justification documented (PPV) | 299 (70.2) |
PPV, positive predictive value; PSA, prostate specific antigen.