Treatment of localized prostate cancer and use of nomograms among urologists in the west africa sub-region

Mathew Yamoah Kyei, Ben Adusei, George Oko Klufio, James Edward Mensah, Samuel Gepi-Attee, Emmanuel Asante

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5 Citations (Scopus)

Abstract

Introduction: there is a high incidence of prostate cancer among men of African descent. The disease tends to occur at an early age with a tendency to be aggressive. The objective was to determine the practice of urologists in the West African sub-region regarding treatment of localized prostate cancer, the use of nomograms and their perception of the usefulness of nomograms. Methods: this was a cross-sectional study that involved urologists practicing in the West African sub-region attending urology and surgery conferences of the “Société Internationale d´Urologie”, West African college of surgeons and the Ghana association of urological surgeons. A structured questionnaire was used that sort to ascertain the treatment modalities used for localized prostate cancer and the use of nomograms in the sub-region. The study period spanned the years 2018 and 2019. Results: fifty-six urologists practicing in eleven West African countries responded. Fifty percent had been in practice for less than 5 years. Sixty eight percent (38/56) had been involved in the treatment of localized prostate cancer. Radical prostatectomy was widely available and the treatment modality most used 94.7% (36/38). Nomograms was used by 57.9% of them (22/38) with the Partin tables being the most commonly used nomogram (34.2%). No Locally developed nomogram for treatment of localized prostate cancer was identified. Conclusion: radical prostatectomy is the commonest treatment modality used for the management of localized prostate cancer in the West Africa sub-region. Majority of the urologists used nomograms with the Partin tables being the most used.

Original languageEnglish
Article number251
Pages (from-to)1-8
Number of pages8
JournalPan African Medical Journal
Volume36
DOIs
Publication statusPublished - 1 May 2020

Keywords

  • Localized prostate cancer
  • Nomogram
  • Treatment
  • West Africa

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