Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory

Background Prostate cancer is the commonest cancer among men worldwide and serum prostate specific antigen (PSA) has remained the most commonly applied screening test for the disease till date. Current PSA test results guidelines in our population are informed by reference intervals derived from stu...

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Main Authors: Oseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol), Sefiu B. Eniola MB ChB, FWACS(Urol), Maxwell M. Nwegbu MBBS, FWACP(LabMed), Hadijat O. Kolade-Yunusa MBBS, FMCR, Oriaku O. Okereke MBBS, MPH, Thairu Yunusa MBBS, Msc, FMCPath
Format: Article
Language:English
Published: SAGE Publishing 2022-02-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748221081366
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author Oseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol)
Sefiu B. Eniola MB ChB, FWACS(Urol)
Maxwell M. Nwegbu MBBS, FWACP(LabMed)
Hadijat O. Kolade-Yunusa MBBS, FMCR
Oriaku O. Okereke MBBS, MPH
Thairu Yunusa MBBS, Msc, FMCPath
author_facet Oseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol)
Sefiu B. Eniola MB ChB, FWACS(Urol)
Maxwell M. Nwegbu MBBS, FWACP(LabMed)
Hadijat O. Kolade-Yunusa MBBS, FMCR
Oriaku O. Okereke MBBS, MPH
Thairu Yunusa MBBS, Msc, FMCPath
author_sort Oseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol)
collection DOAJ
description Background Prostate cancer is the commonest cancer among men worldwide and serum prostate specific antigen (PSA) has remained the most commonly applied screening test for the disease till date. Current PSA test results guidelines in our population are informed by reference intervals derived from studies from Caucasians and other racial groups. With scanty data on PSA reference values from our local population, this study evaluated the serum PSA levels of apparently healthy Nigerian male subjects in whom prostate cancer and urinary tract infection have been excluded. Method This study had participants aged 40 to 70 years, with no lower urinary tract symptoms or other symptoms suggestive of prostate disease recruited from the male staff population of the University of Abuja and University of Abuja Teaching Hospital and the adjoining local community. They were physically examined, had prostate ultrasonography, urine analysis, and blood sample collected for PSA testing. Data collected was analyzed using Statistical Package for Social Science (SPSS) version 24. Result Of a total of 210 men who participated in the study, 191 eventually met the inclusion criteria. The average age was 52.9 years, ninety seven percent of them had heard of prostate cancer before now. The mean total PSA was 1.46 ng/mL (SD +/−1.55), while the reference interval was .23–5.60 ng/mL. The average prostate size was 41.8 mL (SD+/-20.11), and there was a positive correlation between the PSA and the prostate size (.418) as well as the age of the subjects (.446). There was no significant difference in the mean PSA value for those with or without family history of prostate cancer ( P =.979). Conclusion The reference range of PSA in Nigeria is higher than in other races, hence utilizing a local value in decision making would help to reduce unnecessary invasive procedures.
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spelling doaj.art-5708023ff7f540b3b100899dab804b6e2022-12-21T19:35:57ZengSAGE PublishingCancer Control1073-27482022-02-012910.1177/10732748221081366Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital TerritoryOseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol)Sefiu B. Eniola MB ChB, FWACS(Urol)Maxwell M. Nwegbu MBBS, FWACP(LabMed)Hadijat O. Kolade-Yunusa MBBS, FMCROriaku O. Okereke MBBS, MPHThairu Yunusa MBBS, Msc, FMCPathBackground Prostate cancer is the commonest cancer among men worldwide and serum prostate specific antigen (PSA) has remained the most commonly applied screening test for the disease till date. Current PSA test results guidelines in our population are informed by reference intervals derived from studies from Caucasians and other racial groups. With scanty data on PSA reference values from our local population, this study evaluated the serum PSA levels of apparently healthy Nigerian male subjects in whom prostate cancer and urinary tract infection have been excluded. Method This study had participants aged 40 to 70 years, with no lower urinary tract symptoms or other symptoms suggestive of prostate disease recruited from the male staff population of the University of Abuja and University of Abuja Teaching Hospital and the adjoining local community. They were physically examined, had prostate ultrasonography, urine analysis, and blood sample collected for PSA testing. Data collected was analyzed using Statistical Package for Social Science (SPSS) version 24. Result Of a total of 210 men who participated in the study, 191 eventually met the inclusion criteria. The average age was 52.9 years, ninety seven percent of them had heard of prostate cancer before now. The mean total PSA was 1.46 ng/mL (SD +/−1.55), while the reference interval was .23–5.60 ng/mL. The average prostate size was 41.8 mL (SD+/-20.11), and there was a positive correlation between the PSA and the prostate size (.418) as well as the age of the subjects (.446). There was no significant difference in the mean PSA value for those with or without family history of prostate cancer ( P =.979). Conclusion The reference range of PSA in Nigeria is higher than in other races, hence utilizing a local value in decision making would help to reduce unnecessary invasive procedures.https://doi.org/10.1177/10732748221081366
spellingShingle Oseremen I. Aisuodionoe-Shadrach MBBS, FWACS(Urol)
Sefiu B. Eniola MB ChB, FWACS(Urol)
Maxwell M. Nwegbu MBBS, FWACP(LabMed)
Hadijat O. Kolade-Yunusa MBBS, FMCR
Oriaku O. Okereke MBBS, MPH
Thairu Yunusa MBBS, Msc, FMCPath
Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
Cancer Control
title Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
title_full Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
title_fullStr Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
title_full_unstemmed Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
title_short Determination of Serum Prostate Specific Antigen Levels Amongst Apparently Healthy Nigerian Males in a University and University Hospital Community in the Federal Capital Territory
title_sort determination of serum prostate specific antigen levels amongst apparently healthy nigerian males in a university and university hospital community in the federal capital territory
url https://doi.org/10.1177/10732748221081366
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