Bayesian Approach in Modeling Prostate Cancer
Abstract
Background: Prostate cancer is an emerging health problem in Sub-Saharan Africa and it is often diagnosed at an advanced stage due to the lack of access to screening and diagnostic facilities.
Method: This study therefore aimed at modelling the effects of risk factors on the outcome of prostate cancer screening using Generalized Bayesian ordinal logistic regression with random effects then compare the results obtained with the model without random effects. The study further used Mean Squared Errors and established that the estimates for the two models were different
Results: The findings in this study indicate that aged individuals have high chances of having prostate cancer at the early, late or advanced stage. The individual with traces of family history and hereditary breast & ovarian cancer syndrome are also most likely to be in late or advanced stage of prostate cancer.
Conclusion: From the findings aged individuals, having traces of family history and individuals with hereditary breast & ovarian cancer history, should be on alert and understand all symptoms of prostate cancer. For any signs or appearance of prostate cancer symptoms, they are supposed seek for screening services at earliest time possible. In addition, the Ministry of Health should create awareness training and increase screening facilities, this will also encourage for early screening and detection of prostate cancer. The different estimates led to identifying the best model, whereby models with presence of random effects had lowest Widely Applicable Information Criterion values hence they were considered to be the best models in each category.
[2] World Health Organization, et al. (2017). Guide to cancer early diagnosis.
[3] Macharia, L. W., Mureithi, M. W., and Anzala, O. (2019). Cancer in Kenya: types and infection-attributable. data from the adult population of two national referral hospitals (2008-2012). AAS Open Research, 1(25).
[4] Makau-Barasa, L. K., Greene, S., Othieno-Abinya, N., Wheeler, S. B., Skinner, A., and Bennett, A. V. (2020). A review of Kenya’s cancer policies to improve access to cancer testing and treatment in the country. Health Research Policy and Systems, 18(1):1–10.
[5] Nairobi, K. (2018). Kenya National Cancer Screening Guidelines. Nairobi: Ministry of Health, 1-122.
[6] Kingham, T. P., Alatise, O. I., Vanderpuye, V., Casper, C., Abantanga, F. A., Kamara, T. B., ... & Denny, L. (2013). Treatment of cancer in sub-Saharan Africa. The Lancet Oncology, 14(4), e158-e167.
[7] Odedina, F. T., Akinremi, T. O., Chinegwundoh, F., Roberts, R., Yu, D., Reams, R. R., ... & Kumar, N. (2009). Prostate cancer disparities in Black men of African descent: a comparative literature review of prostate cancer burden among Black men in the United States, Caribbean, United Kingdom, and West Africa. Infectious agents and cancer, 4(1), 1-8.
[8] Gann, P. H. (2002). Risk factors for prostate cancer. Reviews in urology, 4(Suppl 5), S3.
[9] Clarke, P., Crawford, C., Steele, F., & Vignoles, A. F. (2010). The choice between fixed and random effects models: some considerations for educational research.
[10] Partin, M. R., Nelson, D., Radosevich, D., Nugent, S., Flood, A. B., Dillon, N., Holtzman, J., Haas, M., and Wilt, T. J. (2004). Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors. Journal of general internal medicine, 19(8):835–842.
[11] Bowen, D., Hannon, P., Harris, J., and Martin, D. (2011). Prostate cancer screening and informed decision-making: provider and patient perspectives. Prostate cancer and prostatic diseases, 14(2):155–161.
[12] Brant, L. J., Sheng, S. L., Morrell, C. H., Verbeke, G. N., Lesaffre, E., and Carter, H. B. (2003). Screening for prostate cancer by using random-effects models. Journal of the Royal Statistical Society: Series A (Statistics in Society), 166(1):51–62.
[13] Ugwu, C. L. J., & Zewotir, T. T. (2018). Using mixed effects logistic regression models for complex survey data on malaria rapid diagnostic test results. Malaria journal, 17(1), 1-10.
[14] Ali, S., Ali, A., Khan, S. A., & Hussain, S. (2016). Sufficient sample size and power in multilevel ordinal logistic regression models. Computational and mathematical methods in medicine, 2016.
[15] Rezapour, M., Wulff, S. S., Mehrara Molan, A., & Ksaibati, K. (2021). Application of Bayesian ordinal logistic model for identification of factors to traffic barrier crashes: considering roadway classification. Transportation letters, 13(4), 308-314.
[16] Li, B., Lingsma, H. F., Steyerberg, E. W., & Lesaffre, E. (2011). Logistic random effects regression models: a comparison of statistical packages for binary and ordinal outcomes. BMC medical research methodology, 11, 1-11.
[17] Cochran WG. (1963). Sampling Techniques. 2nd ed. New York: John Wiley and Sons, Inc.
[18] Siegel DA, O’Neil ME, Richards TB, Dowling NF, Weir HK. Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity — United States, 2001–2017.Morb Mortal Wkly Rep. 2020;69 (41):1473-1480.
[19] Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (Vol. 1). sage.
[20] Sirengo, J. L., Alilah, D. A., Mbete, D. A., & Keli, R. (2023). Estimation of Risk Factors Affecting Screening Outcomes of Prostate Cancer Using the Bayesian Ordinal Logistic Model. Journal of Probability and Statistics, 2023.
[21] Lee, H., & Kyung, M. (2014). Korean Welfare Panel Data: A Computational Bayesian Method for Ordered Probit Random Effects Models. Communications for Statistical Applications and Methods, 21(1):45-60.
[22] Watanabe, Sumio (2010). Asymptotic Equivalence of Bayes Cross Validation and Widely Applicable Information Criterion in Singular Learning Theory. Journal of Machine Learning Research. 11(12): 3571–3594.
[23] Gelman, A., Carlin, J. B., Stern, H. S., Dunson, D. B., Vehtari, A., & Rubin, D. B. (2014). Bayesian inference. Bayesian Data Analysis. 3rd ed. Boca Raton: CRC, 6-7.
[24] Cerhan, J. R., Parker, A. S., Putnam, S. D., Chiu, B. C., Lynch, C. F., Cohen, M. B., ... & Cantor, K. P. (1999). Family history and prostate cancer risk in a population-based cohort of Iowa men. Cancer Epidemiology Biomarkers & Prevention, 8(1), 53-60.
[25] Rawla, P. (2019). Epidemiology of prostate cancer. World journal of oncology, 10(2), 63.
[26] Bechis, S. K., Carroll, P. R., & Cooperberg, M. R. (2011). Impact of age at diagnosis on prostate cancer treatment and survival. Journal of Clinical Oncology, 29(2), 235-241.
[27] Rodriguez, C., Freedland, S. J., Deka, A., Jacobs, E. J., McCullough, M. L., Patel, A. V., ... & Calle, E. E. (2007). Body mass index, weight change, and risk of prostate cancer in the Cancer Prevention Study II Nutrition Cohort. Cancer Epidemiology Biomarkers & Prevention, 16(1), 63-69.
Files | ||
Issue | Vol 10 No 3 (2024) | |
Section | Articles | |
Keywords | ||
Risk factors Random effects Ordinal Logistic Bayesian analysis. |
Rights and permissions | |
![]() |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |