Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

Gao, Hengmiao; Xiao, Meizhu; Bai, Huimin; Zhang, Zhenyu

doi:10.1097/igc.0000000000000905

Cited by 36 publications

(29 citation statements)

References 24 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Age is a known risk factor for sexual dysfunction in the general population; furthermore, Gao et al showed age as a risk factor of sexual dysfunction in endometrial cancer survivors . Our data suggest a relationship between sexual functioning and age at diagnosis, with older women experiencing lower scores and younger women experiencing higher scores.…”

Section: Discussionsupporting

confidence: 56%

“…Therefore, further Age is a known risk factor for sexual dysfunction in the general population 32 ; furthermore, Gao et al showed age as a risk factor of sexual dysfunction in endometrial cancer survivors. 5 Our data suggest a relationship between sexual functioning and age at diagnosis, with older women experiencing lower scores and younger women experiencing higher scores. Older women were also less likely to complete the FSFI, and elderly women did show lower scores; however, they frequently reported not being sexually active but satisfied with their lack of sexual activity.…”

Section: Semiparametric Regression Analysismentioning

confidence: 60%

“…Sexual functioning is an important yet underreported part of a woman's quality of life. Previous studies have shown that women often experience serious disruptions in sexual function after treatment for gynaecological cancer . This can cause women to feel less interested in sexual relations, with negative impact on their relationship with partners .…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that women often experience serious disruptions in sexual function after treatment for gynaecological cancer. [5][6][7] This can cause women to feel less interested in sexual relations, with negative impact on their relationship with partners. 8 Therefore, the detection and treatment of sexual problems in women with gynaecological cancer are important, but are still met with reluctance by clinicians.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Body mass index and sexual function in women with gynaecological cancer

et al. 2018

View full text Add to dashboard Cite

Objectives To investigate the association between body mass index (BMI) and sexual functioning in gynaecologic cancer patients. To determine the association between socio‐economic deprivation and sexual functioning. Methods This is a prospective cohort study on women undergoing surgery for suspected or proven gynaecological cancer between September 2014 and February 2016 in the Royal Cornwall Hospital Trust. Patients were invited to participate by completing the Female Sexual Function Index (FSFI) at three time points: preoperative, 3 months postoperative, and 1 year postoperative. A semiparametric model of the FSFI score was used to establish the association between BMI and sexual functioning. Results A total of 257 patients were approached of which 166 patients were included. Fifty‐two patients (33.8%) were overweight (BMI, 25‐29.9 kg/m2), 44 (28.6%) were obese (BMI, 30‐39.9 kg/m2), and a further 20 (13.0%) morbidly obese (BMI ≥ 40 kg/m2). Overweight and obese women reported improved sexual functioning compared with normal‐weight women in endometrial, ovarian, and vulvar cancers. Among cervical cancer, worse sexual functioning was seen in women with an increased BMI; however, this was not significant. Younger age was associated with improved sexual function, and sexual functioning was better postoperatively for all patients compared with preoperatively. There was no evidence of relationship between deprivation and sexual functioning in gynaecological cancer patients. Conclusion Higher BMI is associated with improved sexual functioning in endometrial, ovarian, and vulvar cancer; however, this was not seen in cervical cancer patients. There is no evidence of correlation between deprivation and sexual functioning.

show abstract

Section: Discussionsupporting

confidence: 56%

Section: Semiparametric Regression Analysismentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Body mass index and sexual function in women with gynaecological cancer

et al. 2018

View full text Add to dashboard Cite

show abstract

“…However, we cannot assume that these patients had no problems if they did not ask questions. According to two studies from China, 56~71% of participants did not engage in sexual intercourse after treatment [11,13]. There are many concerns about resuming sexual activity, which may be the current situation of many gynecological malignancy survivors in China.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Behavior of Patients with Gynecologic Malignancy Towards Sexual Issues: a Single-institutional Survey

Chen

et al. 2019

J Canc Educ

View full text Add to dashboard Cite

To better understand patients' perspectives and preferences for sexual issues and to provide information to guide medical staff in delivering sexual health care, an anonymous, cross-sectional survey of inpatient gynecologic cancer patients was conducted from April 2017 to March 2018. The questionnaire consisted of three parts: basic information, a history of sexuality discussion, and eight preference questions. A total of 1192 patients were included, and the median age was 43 years. More than half of the patients had a junior high school education or less and low income. Of the patients, 46.2% agreed that, "Doctors should deal with patients' sexual issues," and 56.2% agreed that, "Doctors should raise the topic of sexual issues." While 69.1% of the patients were willing to raise the topic themselves if any sexual problem existed, 35.9% of the patients agreed, "It's not the right time to discuss sex due to my severe disease." Less than 30% of the patients thought that "There's no need to intervene because sex is private" and "I do not feel comfortable discussing sex." A total of 41.1% of the patients were interested in undertaking basic sexual health consultation. Multiple logistic regression analysis demonstrated the following predictive factors for a history of consultation: young age; good education; and agreement with the statements, "Doctors should raise the topic of sexual issues," "If any sexual problem exists, I will raise the topic," and "I have an interest in participating in sex-counseling activities." Patients were willing to discuss sexual issues and were interested in sexual health training. It is important to increase the medical staff awareness of the need to inquire about and address patients' sexual issues.

show abstract

Psychometric validation of the Functional Assessment of Cancer Therapy‐Endometrial among endometrial cancer patients

Kim,

Noh,

Kim

et al. 2024

Cancer Medicine

View full text Add to dashboard Cite

ObjectiveTo evaluate a psychometric validation of the endometrial cancer subscales (EnCS) in the Functional Assessment of Cancer Therapy‐Endometrial (FACT‐EN) among patients with endometrial cancer.MethodsThis cross‐sectional study was conducted at a tertiary university‐based hospital in South Korea between April and October 2022. Participants completed a survey questionnaire that included the FACT‐EN. Exploratory and confirmatory factor analyses (EFA, CFA) and the reliability were measured using the intraclass correlation coefficient (ICC) under a two‐way mixed model. Pearson's correlations were used to evaluate the validity. We also tested known‐group validity.ResultsIn total, 240 patients with endometrial cancer participated in the survey. In EFA, we found EnCS included four domains. In CFA, four‐factor solution model was good: CFI = 0.659; SRMR = 0.066, and RMSEA = 0.073. The mean (SD) of total score of FACT‐EN was 122.84 (23.58). The floor and ceiling effects were 0.4% and 0.4%, respectively. Cronbach's α coefficients for the five scales of the EnCS ranged from 0.78 to 0.91. The ICC of EnCS was 0.76. The convergent and discriminant validity of EnCS was acceptable. In the group analysis, older age and lower ECOG performance scores were associated with higher EnCS scores. The stomach and vaginal domains in EnCS were higher in patients who had completed treatment for more than 1 year compared to those who were still undergoing treatment.ConclusionsFACT‐EN has demonstrated its validity as an assessment tool with significant implications for capturing various symptoms in patients with endometrial cancer.

show abstract

Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

Abstract: The risk factors associated with FSD and QOL need to be studied in greater detail. Prospective researches that evaluate the effects of clinical psychological intervention on sexual function may be needed in the future.

Cited by 36 publications

References 24 publications

Body mass index and sexual function in women with gynaecological cancer

Body mass index and sexual function in women with gynaecological cancer

Attitudes and Behavior of Patients with Gynecologic Malignancy Towards Sexual Issues: a Single-institutional Survey

Psychometric validation of the Functional Assessment of Cancer Therapy‐Endometrial among endometrial cancer patients

Contact Info

Product

Resources

About