To examine the racial and ethnic variation in time to prostate biopsy after an elevated screening level of serum prostate-specific antigen (PSA).
Male members of the Kaiser Permanente of Southern California health plan, 45 years of age or older, with no history of prostate cancer or a prostate biopsy and at least one elevated screening level of serum PSA between January 1(st), 1998 and December 31(st), 2007 were retrospectively identified (n=59,506).