Academic Journal
Impact of social and medical factors on routine clinical practice in prostate exams of asymptomatic males
| العنوان: | Impact of social and medical factors on routine clinical practice in prostate exams of asymptomatic males |
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| المؤلفون: | José-Lorenzo Bravo-Grande, Bárbara Padilla-Fernández, Javier Flores-Fraile, Sebastián Valverde-Martínez, Magaly-Teresa Márquez-Sánchez, Agustín Gómez-Prieto, María-José Gonzalez-Pimienta, María-Carmen Flores-Fraile, Miguel Peran-Teruel, María-Begoña García-Cenador, José-Antonio Mirón-Canelo, María-Fernanda Lorenzo-Gómez |
| المصدر: | Journal of Men's Health, Vol 17, Iss 2, Pp 85-94 (2021) |
| بيانات النشر: | MRE Press |
| سنة النشر: | 2021 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | psa, benign prostatic hyperplasia, medical factors, pca factors, prostate cancer, Medicine (General), R5-920 |
| الوصف: | Objectives: To examine routine clinical practice in prostate health exams in asymptomatic males, and to identify which factors influence it. Materials and methods: Multicentre cross-sectional study in 1068 asymptomatic men aged 51-72. Groups: GA (n = 518): urban areas; GB (n = 550): rural areas. GA subgroups: GA1 (n = 364): prostate specific antigen (PSA) measured; GA2 (n = 154): PSA not measured. GB subgroups: GB1 (n = 346): PSA measured; GB2 (n = 204): PSA not measured. Variables: age, body mass index (BMI), digital rectal examination (DRE), PSA, prostate diagnosis, eating habits, physical exercise, marital status, number of children, occupational status, working hours, concomitant diseases and conditions, family history, attending physician. Descriptive statistics, Student’s t-test, chi-square test, Fisher’s exact test, ANOVA, Pearson and Spearman correlations were used. Results: Mean age 62.3 years (standard deviation: SD 5.12). Age in GA (60.89, SD 5.53) was lower than in GB (65.10, SD 5.03); age was higher in GA1 (61.22, SD 5.49) than in GA2 (59.04, SD 5.37). There was no difference in BMI between GA and GB. DRE: No exams were performed without prior PSA. No DRE were performed in GA; 11 (3.18%) were performed in GB1. GA1: 53 had PSA > 4 ng/mL, of whom 28 had no prostate disease, 17 had benign prostatic hyperplasia (BPH) and 8 had prostate cancer (PCa). PCa prevalence in men with PSA > 4 ng/mL was 9.24% in GA and 5.19% in GB. GA1: higher PSA was correlated with lower BMI, lower age, higher occupational status, and morning shifts; lower PSA was correlated with higher alcohol consumption; older patients worked shifts and consumed more alcohol; men with higher occupational status consumed less alcohol; more men were married in GA1 (n = 343, [94.23%]) than in GA2 (n = 100, [64.93%]). In GA1, there were more non-smoking men (n = 291, [80.11%]) and men who smoked < 5 cigarettes/day (n = 23, [6.37%]), 6-10 cigarettes/day (n = 15, [4.05%]), and 11.20 cigarettes/day (n = 27, [7.33%]) than in GA2. Older men ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1875-6859 |
| Relation: | https://oss.jomh.org/jomh/article/20210409-245/pdf/85-94%20JOMH346.pdf; https://doaj.org/toc/1875-6859; https://doaj.org/article/21925cdde5ef47a8bcdba9e0f64fc5ab |
| DOI: | 10.31083/jomh.2021.007 |
| الاتاحة: | https://doi.org/10.31083/jomh.2021.007 https://doaj.org/article/21925cdde5ef47a8bcdba9e0f64fc5ab |
| رقم الانضمام: | edsbas.35936DB1 |
| قاعدة البيانات: | BASE |
| تدمد: | 18756859 |
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| DOI: | 10.31083/jomh.2021.007 |