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    Epidemiology of uterine fibroid in black African women: a systematic scoping review.

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    Author
    Morhason-Bello, Imran O
    Adebamowo, Clement A
    Date
    2022-08-03
    Journal
    BMJ Open
    Publisher
    BMJ Publishing Group
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1136/bmjopen-2021-052053
    Abstract
    Objective: Studies, mainly from high-income countries, suggest that there are ethnic and racial variations in prevalence of uterine fibroids (UF). However, there have been few studies of the epidemiology of UF in sub-Saharan Africa (SSA). We reviewed published articles on the epidemiology of UF in SSA. Design: This was a scoping review of literature. Settings: We searched three databases (PubMed, African Wide Information (EBSCO) and African Journals OnLine (AJOL)). The search for eligible articles was conducted between December 2019 and January 2021. Primary and secondary outcome measures: To describe the reported prevalence/incidence of, and risk factors for UF in SSA. Results: Of the 1052 articles retrieved, 9 met the inclusion criteria for review. The articles were from Nigeria (4/9), Ghana (2/9), Cameroon (1/9), Kenya (1/9) and South Africa (1/9). Two studies from pathology departments and three studies from radiology departments reported prevalence of UF. We did not find any study on the incidence or genomics of UF in SSA. Of the three studies that reported on the risk factors of UF, only one case-control study that was conducted using retrospective data of attendees at a gynaecological clinic conducted multivariable analysis. Conclusion: There is lack of robust epidemiological studies of the prevalence, incidence and risk factors of UF in SSA. There is urgent need to study epidemiological and genomics risk factors of UF in SSA because UF is the most common gynaecological neoplasm in this population where it is associated with significant morbidity and occasional, usually perioperative, mortality.
    Rights/Terms
    © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
    Keyword
    EPIDEMIOLOGY
    GYNAECOLOGY
    PUBLIC HEALTH
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/19519
    ae974a485f413a2113503eed53cd6c53
    10.1136/bmjopen-2021-052053
    Scopus Count
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