The current state of prostate cancer treatment in Trinidad and Tobago

Persaud, Satyendra; Persaud, Maliza; Goetz, Lester; Narinesingh, Dylan

doi:10.3332/ecancer.2018.828

Cited by 4 publications

(7 citation statements)

References 14 publications

(17 reference statements)

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“…The original Bloom's Taxonomy was actually designed for assessment purpose. However, through Bloom's magnifying lenses it was discovered that this can also be used for designing a course and setting up a curriculum (Persaud, 2018). Therefore, according to this research, during these pandemic times the educators could get professionally trained with the online planning, teaching, and learning methods.…”

Section: Literature Reviewmentioning

confidence: 93%

Digital Assessment Literacy: The Need of Online Assessment Literacy and Online Assessment Literate Educators

Husain¹

2021

IES

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Creation of reliable online assessments have always been a concern by educators, this research article provides an idea for providing professionals training development for creating online assessments for the inexperienced assessment literate teachers. The research has placed the importance on the training of the educators in the assessment literacy with a proposed model of utilization of Educational framework to create digital online assignments using IT integrated tools. This paper uses mixed method research and examines the need of training for the creation of reliable assessments and assessment literate educators which will caters to the different students’ abilities. To further explore and understand the training needs of the assessment literacy, this research provides an insight of the year 2020 result analysis, as it might add a new dimension towards the professional development for the online assessment literacy skills. The collected data was used as descriptive, inferential data which was further analyzed and compared to the pretest and the current collected primary data. The purpose of this study shows the importance of the online assessment literacy and the need of assessment literate trained educators who might support in identifying the training needs of online assessment with help of Bloom’s Model in connection with the digital Bloom’s taxonomy. As some experienced educators lack the need of literacy training skills in the online assessments, this proposed model would be beneficial for the educators, and could prepare them as future trainers.

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Section: Literature Reviewmentioning

confidence: 93%

Digital Assessment Literacy: The Need of Online Assessment Literacy and Online Assessment Literate Educators

Husain¹

2021

IES

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Section: Methodsmentioning

confidence: 99%

“…Only 5% of men were treated with open radical prostatectomy—the laparoscopic technique has not yet been adopted in this region. 17 …”

Section: Methodsmentioning

confidence: 99%

“…Only 5% of men were treated with open radical prostatectomy-the laparoscopic technique has not yet been adopted in this region. 17 The Bahamas, like other Small Island Developing States (SIDS), lack national radiotherapy facilities and have one main provider of radiotherapy at the publicly funded The Cancer Centre Bahamas (TCCB). For 203 cases queried at the TCCB, the median time to initiating EBRT was 189 days with ADT being prescribed quickly after diagnosis.…”

Section: Presentation Patterns Of Afro-caribbean Menmentioning

confidence: 99%

“…16 In Trinidad and Tobago, Afro-Trinidadians were five times more likely to have prostate cancer than the other ethnicities living on the islands and presented with higher Gleason scores, prostate-specific antigen (PSA) values and risk of mortality. 17 After completion of the Human Genome Project, several studies discovered potential prostate cancer susceptibility genes in African descendants that could explain this racial disparity including a copy number gain of MIR151 (MicroRNA 151a), the presence of hereditary prostate cancer 1 susceptibility locus (HPC1, caused by mutations in the RNASEL gene), and an allele specific to African ancestry-Broad11934905 A. Though, the detailed mechanisms of action and pathways of these markers as well as their clinical relevance remain uncertain.…”

Section: Etiology Of Prostate Cancer In the Caribbeanmentioning

confidence: 99%

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Prostate Cancer in the Caribbean: A Baseline Assessment of Current Practices and Potential Needs

2022

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Afro-Caribbean men have a higher risk of prostate cancer than any other population of men in the world. However, the Caribbean is composed of a heterogenous group of healthcare systems located on small islands which makes population-based studies difficult to conduct and interpret. The aim of this review is to compile previously published data on the state of prostate cancer in Caribbean men and to highlight potential healthcare needs that can be addressed by public health efforts. We reviewed three databases and identified relevant papers that were subsequently searched by the authors. Peer-reviewed studies published in the English language after 2010 with a focus on prostate cancer diagnosis, management, and outcomes of Caribbean men were prioritized. Afro-Caribbean men were found to have a higher incidence and mortality rate compared to their counterparts. Misperception about the disease, lack of regional guidelines, and poor access to care are compounding factors that result in worse outcomes for these men compared to high-income nations. Urologists and oncologists in the region, while well-trained, are limited in number and in most cases do not offer newer treatment modalities. Overall, only a few island nations have cancer registries, and there remains a significant need for more population-based studies to assess guideline adherence and outcomes. Until further research and investment in the region is made, the disparity between the care received by Afro-Caribbean men and their counterparts will likely remain.

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A retrospective study of prostate-specific antigen and international prostate symptoms scores from participants at a men’s health screening initiative in Trinidad

Khan,

St. Hill,

Awe

et al. 2024

Journal of Family Medicine and Primary Care

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Background: This study describes the characteristics of men attending a primary health care screening initiative, determines the proportion of men who have elevated International Prostate Symptom Score (IPSS) scores and prostate-specific antigen (PSA) levels, and determines any correlation between these scores as indicators for benign prostatic hyperplasia (BPH) or prostate cancer. Methods: Data were collected from all patient records during men’s health screening initiatives that occurred in December 2018, January 2019, and March 2019 in Trinidad and Tobago. A total of 350 medical records were analyzed to record patient demographics, PSA levels, and IPSS scores. Analysis of the data was performed with the use of Statistical Package for the Social Sciences software (version 27). Results: Most men who attended the screening initiative belonged to the 61–65 age group (20.57%), with more than half of the men being married (57.71%) and employed (52.57%) and of patients with comorbidities (17%), the most prevalent included hypertension (6%) and diabetes mellitus (3.7%). A mean PSA level of 2.94 ng/ml and a mean IPSS of 7.62 were recorded. Moreover, 11.5% of the males had elevated PSA levels (>4 ng/ml) and 32.9% had elevated IPSS levels (>8). There were correlations between PSA and IPSS values (r = 0.161 and P = 0.006). Age was a predictor of both IPSS and PSA values (r = 0.214, P = 0.000 and r = 0.192, P = 0.000, respectively). Among diabetic participants, a small but significant correlation between IPSS and diabetes was shown (r = 0.223, P = 0.028). As a predictor of elevated IPSS, diabetes had an odds ratio of 1.132 (95% confidence interval (CI): 1.021–1.255). Conclusion: Our findings are similar to those described in previous studies; however, further investigations are required to fully describe the relationship between PSA and IPSS. This may assist in advancing screening measures and improving health outcomes for men with BPH and prostate cancer. Primary care physicians should recognize the possible association between BPH and diabetes mellitus and offer appropriate screening where indicated.

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The current state of prostate cancer treatment in Trinidad and Tobago

Cited by 4 publications

References 14 publications

Digital Assessment Literacy: The Need of Online Assessment Literacy and Online Assessment Literate Educators

Digital Assessment Literacy: The Need of Online Assessment Literacy and Online Assessment Literate Educators

Prostate Cancer in the Caribbean: A Baseline Assessment of Current Practices and Potential Needs

A retrospective study of prostate-specific antigen and international prostate symptoms scores from participants at a men’s health screening initiative in Trinidad

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