Darré Tchin, Djiwa Toukilnan, Kpatcha Tchilabalo Matchonna, Sidibé Albadia, Sewa Edoé, Botcho Gnimdou, Padja Essodina, Napo-Koura Gado
Department of Pathology, University Teaching Hospital of Lomé, Lomé, Togo.
Faculty of Health Sciences, University of Lomé, Lomé, Togo.
SAGE Open Med. 2021 Jul 17;9:20503121211032812. doi: 10.1177/20503121211032812. eCollection 2021.
The aims of this study were to assess the knowledge of medical students in Lomé about these means of screening for prostate cancer in a context of limited resources and controversy about prostate cancer screening, and to identify the determinants associated with these results.
This was a prospective descriptive and cross-sectional study conducted in the form of a survey of medical students regularly enrolled at the Faculty of Health Sciences of the University of Lomé for the 2019-2020 academic years.
Of the 1635 eligible students, 1017 correctly completed the form, corresponding to a rate of 62.20%. The average age was 22 ± 3.35 years. The sex ratio (M/F) was 2.5. Undergraduate students were the most represented (53.69%). Students who had not received any training on prostate cancer were the most represented (57.13%). Only 12.88% of the students had completed a training course in urology. Concerning the prostate-specific antigen blood test, there was a statistically significant relationship between the students' knowledge and some of their socio-demographic characteristics, namely age (p value = 0.0037; 95% confidence interval (0.50-1.77)); gender (p value = 0.0034; 95% confidence interval (1.43-2.38)); study cycle (p value ˂ 0.0001; 95% confidence interval (0.56-5.13)) and whether or not they had completed a placement in a urology department (p value ˂ 0.0001; 95% confidence interval (0.49-1.55)). On the contrary, there was no statistically significant relationship between students' knowledge of the digital rectal examination and their study cycle (p value = 0.082; 95% confidence interval (0.18-3.44)).
Medical students in Lomé have a good theoretical knowledge and a fair practical level of the digital rectal examination clinical examination and an average theoretical knowledge and a below average practical level of prostate-specific antigen, increasing however along the curriculum in the context of prostate cancer screening.
本研究的目的是在资源有限且前列腺癌筛查存在争议的背景下，评估洛美医学生对这些前列腺癌筛查方法的了解情况，并确定与这些结果相关的决定因素。
这是一项前瞻性描述性横断面研究，以对2019 - 2020学年在洛美大学健康科学学院正常注册的医学生进行调查的形式开展。
在1635名符合条件的学生中，1017名正确填写了表格，对应率为62.20%。平均年龄为22±3.35岁。性别比（男/女）为2.5。本科生占比最高（53.69%）。未接受过任何前列腺癌培训的学生占比最高（57.13%）。只有12.88%的学生完成了泌尿外科培训课程。关于前列腺特异性抗原血液检测，学生的知识水平与他们的一些社会人口学特征之间存在统计学显著关系，即年龄（p值 = 0.0037；95%置信区间(0.50 - 1.77)）；性别（p值 = 0.0034；95%置信区间(1.43 - 2.38)）；学习阶段（p值˂0.0001；95%置信区间(0.56 - 5.13)）以及他们是否在泌尿外科完成实习（p值˂0.0001；95%置信区间(0.49 - 1.55)）。相反，学生对直肠指检的了解与他们的学习阶段之间没有统计学显著关系（p值 = 0.082；95%置信区间(0.18 - 3.44)）。
洛美医学生对直肠指检临床检查有良好的理论知识和一定的实践水平，对前列腺特异性抗原的理论知识一般且实践水平低于平均水平，但在前列腺癌筛查课程中会有所提高。
