Evidence map›Paper›PMID 39563287›Full record

ArticleBMC cancer2024

Trend in incidence and clinicopathological characteristics of prostate cancer in Northern Tanzania: analysis from a population based cancer registry data 2015-2021.

Bartholomeo Nicholaus Ngowi, Alex Mremi, Orgeness Jasper Mbwambo, Furaha Seventh, Salum Hassanally Kalonge, Charles Nkya, Thadeus Jere Mshana, Idd Joseph Kennedy, Modesta P Mitao, Mramba Nyindo and 2 more

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Bartholomeo Nicholaus NgowiFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania. baltonnic@yahoo.com.
Alex MremiFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Orgeness Jasper MbwamboFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Furaha SeventhFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Salum Hassanally KalongeOncology Unity, Kilimanjaro Christian Medical Centre, P. O. Box 3010, Moshi, Tanzania.
Charles NkyaFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Thadeus Jere MshanaFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Idd Joseph KennedyFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Modesta P MitaoFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Mramba NyindoFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Blandina Theophil MmbagaFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Kien Alfred MtetaFaculty of Medicine, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.

Funding

• PCF-Pfizer Global Health Equity Challenge Award 67641037Wellcome Trust
6 · The paper itself

Abstract

backgroundGlobally, prostate cancer is a common disease among men. However, limited epidemiological data exists regarding prostate cancer in Tanzania. Consequently, there is insufficient evidence to convince policymakers of the need to combat this health issue. The study aimed to assess the prevalence, trends and clinicopathological characteristics of prostate cancer in northern Tanzania.

methodsThis cross-sectional study with chart review utilised data from the Kilimanjaro cancer registry, identifying all adult men diagnosed with cancer from January 2015- December 2021. The study recorded variables such as subject age, symptoms, Gleason score, prostate specific antigen (PSA) and metastatic statuses at presentation. Risk stratification followed American Society of Medical Oncology criteria, including low, intermediate and high-risk categories. The analysis was conducted using STATA version 17.

resultsOver the study period, 5164 adult men were registered, with prostate cancer accounting for 1619(31.4%) and showing an increase trend in incidence. The mean age at presentation was 73.9(± 10.1) years, and the majority of study subjects were from Kilimanjaro region 1200(74.1%). After applying exclusion criteria, 714 subjects with histologically confirmed diagnoses of prostate cancer remained. Of these, 710(99.4%) were symptomatic at presentation, with lower urinary tract symptoms being the most common symptoms in 548(76.8%). The median PSA at presentation was 109(36.2-263) ng/mL with 349(51.1%) having a PSA of > 100ng/mL. Gleason group grades 4 and 5 accounted for 207(29.5%) and 219(31.2%), respectively. A total of 178(43.6%) subjects had metastatic disease at presentation. The treatment of choice for a large proportion of subject 440(94.6%) was androgen deprivation therapy.

conclusionsThe burden of prostate cancer in northern Tanzania is high and the majority of subjects present with symptoms. A large proportion of subjects have metastatic disease at initial presentation, emphasizing the need for prostate cancer screening.

Indexed as

Neoplasm GradingProstatic NeoplasmsRegistriesAgedAged, 80 and overCross-Sectional StudiesHumansIncidenceMaleMiddle AgedPrevalenceProstate-Specific AntigenTanzaniaProstate-Specific AntigenClinicopathological characteristicsNorthern TanzaniaProstate cancer

Identifiers

PMID39563287
PMCPMC11575071

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.