Ajape Abdulwahab A, Mustapha K, Lawal Isiaka O, Mbibu Hyacinth N
Division of Urology, Department of Surgery, University of Ilorin Teaching Hospital, Nigeria.
Niger J Clin Pract. 2011 Apr-Jun;14(2):151-3. doi: 10.4103/1119-3077.84004.
The aim of this article is to document the experience of urologists on clients' demand for prostate cancer screening among Nigerians.
The study is a cross-sectional evaluation of the urologists that attended the Fourteenth Annual Meeting and the Scientific Conference of the Nigerian Association of Urological Surgeons. A structured questionnaire was used to assess the estimated workload of the respondents, with reference to prostate cancer management, the stage proportion at the time of diagnosis, and the proportion of patients requesting for CaP screening. The data was analyzed using the SPSS version 15 statistical software.
Twenty-two respondents completed and returned the questionnaire and formed the basis of further analysis. About 76.9% of the consultant urologists were also lecturers in their respective universities. They were all actively practicing and a majority of them, 76.9%, had up to 10 years experience as practicing urologists. The majority of the respondents managed between one and fifteen new patients with CaP every month, with 36.4% of them managing more than 15 new patients on an average every month. About 95.4% of all the patients seen by the respondents were diagnosed with advanced stages of the disease, while the remaining ones were incidental findings. About one half of the respondents attended to clients seeking for advice on CaP 'often' or 'very often,' while 40.9% attended to them 'occasionally,' with a mean of 4.67 clients seeking advice per month. The majority of respondents, 20 (22); 90.9%, were 'not aware' of any national guideline on CaP screening.
A majority of practitioners affirmed that patients with prostate cancer present late. The mean number of patients requesting for screening for prostate cancer per month, per respondent, for CaP, is still low. It is the authors' belief that the trend may not change until there is an appropriate effort at health education, to enlighten the populace.
本文旨在记录尼日利亚泌尿科医生在客户对前列腺癌筛查需求方面的经验。
本研究是对参加第十四届年会及尼日利亚泌尿外科医生协会科学会议的泌尿科医生进行的横断面评估。使用结构化问卷评估受访者的估计工作量，涉及前列腺癌管理、诊断时的分期比例以及要求进行前列腺癌筛查的患者比例。数据使用SPSS 15版统计软件进行分析。
22名受访者完成并返还了问卷，构成了进一步分析的基础。约76.9%的顾问泌尿科医生也是各自大学的讲师。他们都在积极执业，其中大多数（76.9%）有长达10年的泌尿科执业经验。大多数受访者每月管理1至15名新的前列腺癌患者，其中36.4%的人平均每月管理超过15名新患者。受访者诊治的所有患者中，约95.4%被诊断为疾病晚期，其余为偶然发现。约一半的受访者“经常”或“非常经常”接待寻求前列腺癌建议的客户，而40.9%的受访者“偶尔”接待，平均每月有4.67名客户寻求建议。大多数受访者，即20名（共22名）；90.9%，“不知道”任何关于前列腺癌筛查的国家指南。
大多数从业者确认前列腺癌患者就诊时已处于晚期。每位受访者每月要求进行前列腺癌筛查的患者平均数量仍然较低。作者认为，在进行适当的健康教育以启迪民众之前，这种趋势可能不会改变。
