尼日利亚Edo-Benin的乳腺癌、宫颈癌和前列腺癌的检测方法、决定因素和后续治疗。

IF 2.2 4区 医学 Q3 ONCOLOGY
Gregrey Agbonvihele Oko-Oboh, Anssi Auvinen, Darlington Ewaen Obaseki, Janne Pitkäniemi
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引用次数: 0

摘要

目的:本研究试图描述检测方法(MOD),其决定因素,并与接受治疗类型的乳腺癌,宫颈癌和前列腺癌在尼日利亚基于人群的癌症登记。方法:研究分析了2016年至2018年Edo-Benin癌症登记处(EBCR)中乳腺癌(n = 205)、宫颈癌(n = 147)和前列腺癌(n = 250)的病例。MOD被指定为健康检查发现或临床发现。病例比例比(CPR)用于比较不同决定因素水平的MOD。使用二项回归评估人口统计学决定因素与MOD之间的统计关联。结果:在EBCR记录的癌症中,46%的乳腺癌(n = 205)、43%的宫颈癌(n = 146)和50%的前列腺癌(n = 250)是通过健康检查发现的。MOD与年龄或婚姻状况没有显著联系。未接受过高等教育的人群中健康检查较少[乳腺,CPR 0.61 (95% CI 0.46-0.80),宫颈,CPR 0.73 (95% CI 0.49-1.08),前列腺,CPR 0.64 (95% CI 0.50-0.82)]。值得注意的是,与临床检测相比,通过健康检查发现的更多癌症被分配到姑息治疗(乳腺癌:76%对58%,宫颈癌:80%对59%,前列腺:83%对64%)。结论:健康检查运动是EBCR新病例的主要来源,但通过健康检查发现的癌症往往比临床发现的癌症更容易被分配到姑息治疗。研究结果表明,早期发现的努力并没有体现在治疗分配上。应鼓励出现症状前的个人参加健康检查,并提供适当治疗,以改善这些方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Method of detection, determinants and subsequent treatments for breast, cervical and prostate cancers in Edo-Benin, Nigeria.

Purpose: This study sought to describe the methods of detection (MOD), their determinants and association with type of treatments received for breast, cervical and prostate cancers using a population-based cancer registry in Nigeria.

Methods: The study analyzed incident breast (n = 205), cervical (n = 147), and prostate (n = 250) cancers from the Edo-Benin Cancer Registry (EBCR) from 2016 to 2018. The MOD was assigned as health check-up detected or clinically detected. Case proportion ratios (CPR) were used to compare MOD across determinant levels. Statistical association between demographic determinants and MOD were assessed using binomial regression.

Results: Among the cancers recorded by the EBCR, 46% of breast (n = 205), 43% of cervical (n = 146), and 50% of prostate (n = 250) cases were identified through health check-ups. MOD was not significantly linked to age or marital status. Health check-ups were less common in those with less than tertiary education [breast, CPR 0.61 (95% CI 0.46-0.80), cervical, CPR 0.73 (95% CI 0.49-1.08), prostate, CPR 0.64 (95% CI 0.50-0.82)]. Significantly, more cancers detected via health check-ups were assigned to palliative care compared to clinical detection (breast: 76% vs. 58%, cervical: 80% vs. 59%, prostate: 83% vs. 64%).

Conclusion: Health check-up campaigns are a key source of new cases in EBCR, but cancers detected through them are more often assigned to palliative care than those detected clinically. The findings suggest that efforts at early detection are not expressed in treatments assignment. Pre-symptomatic individuals should be encouraged to participate in health check-ups and proper treatment made available to improve these programmes.

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来源期刊
Cancer Causes & Control
Cancer Causes & Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.90
自引率
4.30%
发文量
130
审稿时长
6.6 months
期刊介绍: Cancer Causes & Control is an international refereed journal that both reports and stimulates new avenues of investigation into the causes, control, and subsequent prevention of cancer. By drawing together related information published currently in a diverse range of biological and medical journals, it has a multidisciplinary and multinational approach. The scope of the journal includes: variation in cancer distribution within and between populations; factors associated with cancer risk; preventive and therapeutic interventions on a population scale; economic, demographic, and health-policy implications of cancer; and related methodological issues. The emphasis is on speed of publication. The journal will normally publish within 30 to 60 days of acceptance of manuscripts. Cancer Causes & Control publishes Original Articles, Reviews, Commentaries, Opinions, Short Communications and Letters to the Editor which will have direct relevance to researchers and practitioners working in epidemiology, medical statistics, cancer biology, health education, medical economics and related fields. The journal also contains significant information for government agencies concerned with cancer research, control and policy.
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