Quality of life (QOL) in women treated for gynecologic malignancies with radiation therapy: A literature review of patient - reported outcomes

Mirabeau-Beale, Kristina; Viswanathan, Akila N.

doi:10.1016/j.ygyno.2014.05.008

Cited by 54 publications

(31 citation statements)

References 49 publications

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“…However, the sub-scores of the scales did only have predictive value of formulation of two of the six types of goals. Physical goals were defined by almost all patients regardless of subscores, which is in line with the literature showing that physical problems are frequent and easily addressed by both patients and health professionals [32,33]. Physical goals covered a broad range of problems and activities, i.e.…”

Section: Discussionsupporting

confidence: 75%

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

et al. 2015

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AbstrActbackground. Rehabilitation should be integrated in the routine cancer care of women treated for gynaecological cancers. Goal setting is expected to facilitate the process through patient involvement and motivation. Our knowledge about goal setting in cancer rehabilitation is, however, sparse. Objectives. This study aimed to: 1) analyse rehabilitation goals defined during hospital-based rehabilitation in patients with gynaecological cancer, with regard to number, category, changes over time, and differences between cancer diagnosis, and 2) analyse the association between health-related quality of life and goals defined for rehabilitation. Material and methods. Consecutively, all patients treated surgically for endometrial, ovarian, and cervical cancer were invited for hospital-based rehabilitation at Odense University Hospital, Denmark, including two sessions at the hospital one and three months following surgery and two phone calls for follow-up. Questionnaires from the EORTC were used to prepare patients and facilitate individual goal setting with definitions of up to three goals. All goals were grouped into six categories. results. A total of 151 (63%) patients accepted the invitation including 50 endometrial, 65 ovarian, and 36 cervical cancers patients. All patients defined goals at the first session, 76.4% defined three goals, 21.9% two, and 1.6% had one goal. Physical goals decreased over time but were the most frequent at both sessions (98% and 89%). At both sessions, the social and emotional categories were the second and third most frequent among patients with endometrial and ovarian cancer. Sexual issues were dominant among the cervical cancer patients. Regression analysis showed significant association between quality of life scores and goal setting within the social and emotional domains. conclusion. Goal setting seemed feasible in all problem areas. The EORTC questionnaires were helpful during the process although expectations of the sub-scores being predictive of which areas to address were not convincing.

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Section: Discussionsupporting

confidence: 75%

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

et al. 2015

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“…Cervical cancer survivors commonly report late effects including bladder dysfunction 7-17 , bowel dysfunction 9,18,19 , sexual dysfunction 9,20-25 , lymphedema 3,9,14,26,27 and psychosocial problems. 28-30 Six studies were noted that have broadly addressed multiple aspects of quality of life in a substantial number of cervical cancer patients.…”

Section: Methodsmentioning

confidence: 99%

Cervical Cancer Survivorship: Long-term Quality of Life and Social Support

Pfaendler

Wenzel

Mechanic

et al. 2015

Clinical Therapeutics

151

113

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Purpose Surgery, radiotherapy and chemotherapy are the mainstays of cervical cancer treatment. Many patients receive multiple treatment modalities, each with its own long-term effects. Given the high 5 year survival rate for cervical cancer patients, evaluation and improvement of long-term quality of life are essential. Methods Pertinent articles were identified through searches of PubMed for literature published from 1993-2014. We summarize quality of life data from long-term follow up studies of cervical cancer patients. We additionally summarize small group interviews of Hispanic and non-Hispanic cervical cancer survivors regarding social support and coping. Findings Data is varied in terms of the long term impact of treatment on quality of life but consistent in suggesting that patients who receive radiotherapy as part of their treatment have the highest risk of increased long term dysfunction of bladder and bowel, as well as sexual dysfunction and psychosocial consequences. Rigorous investigations regarding long-term consequences of treatment modalities are lacking. Implications Continued work to improve treatment outcomes and survival should also include a focus on reducing adverse long-term side effects. Providing supportive care during treatment, and evaluating the effects of supportive care, may reduce the prevalence and magnitude of long-term sequelae of cervical cancer, which will in turn improve quality of life and quality of care.

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“…De acordo com uma revisão sistemática recente de literatura, os efeitos colaterais, como menopausa precoce, perda de lubrificação, problemas gastrointestinais, linfedema e, principalmente, queda da qualidade de vida, decorrentes da radioterapia estão presentes mesmo após dez anos do término do tratamento (MIRABEAU-BEALE;VISWANATHAN, 2014). O estudo de Adams et al (2014) verificou que alguns problemas pertinentes a função sexual, urinária e intestinal são comuns nas mulheres anos após a radioterapia pélvica, e como esses sintomas também estão presentes durante o tratamento radioterapêutico, fica evidente a persistência do problema.…”

Section: Discussionunclassified

Processo De Recuperação Físico E Emocional No Pós-Câncer Ginecológico

Toriy¹,

Pires²,

Zomkowski³

et al. 2015

CTO

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Resumo: Introdução: O câncer ginecológico é uma doença que abrange as malignidades do colo uterino, dos ovários, do endométrio e da vagina ou vulva, sendo considerado um problema de saúde pública, visto que há declínio na qualidade de vida (QV). Objetivo: Identificar as implicações físico-emocionais e comparar a qualidade de vida na pré e na pós-braquiterapia. Método: Estudo prospectivo com abordagem qualiquantitativa. Foi realizado no Centro de Pesquisas Oncológicas e foram avaliadas 20 mulheres sobreviventes do câncer ginecológico entre 18 e 70 anos (49,55 ± 16,98). Utilizou-se o instrumento EORTC QLQ -C30 para avaliar a QV e a entrevista semiestruturada com perguntas acerca da problemática. Resultados: As características sociodemográficas demonstraram predominância no diagnostico de câncer de colo de útero, com estadiamento tipo IIB. Com relação à qualidade de vida, observou-se diferença significativa após a braquiterapia nos itens Constipação (p= 0,027) e Diarreia (p= 0,004). Os domínios função física, emocional, cognitiva, social e desempenho de papéis tiveram decréscimo das funções. Os temas construídos a partir da análise das verbalizações foram: 1) alterações físicas: a) lidando com a dor e o sofrimento; b) enfrentando as dificuldades físicas; 2) alterações emocionais: a) superando a ansiedade, medo, angústia e depressão; b) enfrentando as implicações emocionais, e 3) alterações físico-emocionais. Conclusão: As implicações emocionais proporcionam um impacto importante na resposta física. As alterações no estado de saúde em geral e na qualidade de vida destas mulheres após a braquiterapia determinam a necessidade de readequar práticas cotidianas estimuladas por multiprofissionais da saúde. Palavras-chave: Qualidade de Vida, Braquiterapia, Atividades Cotidianas. Process of physical and emotional recovery in post-gynecological cancerAbstract: Introduction: The gynecological cancer is a disease that includes the malignancies of the cervix, ovaries, endometrium, vagina or vulva and is considered a public health problem, as it reduces the quality of life (QOL). Objective: To identify the physical and emotional implications and compare the quality of life in pre-and post-brachytherapy. Method: Prospective study with qualitative and quantitative approach. The study was held at the Oncology Research Center and 20 women survivors of gynecological cancer between 18 and 70 years were evaluated. We used the EORTC QLQ instrument -C30 to assess QOL and semi -structured interview with questions on the issue. Results: The sociodemographic features showed predominance in the diagnosis of cervical cancer, with type IIB staging. Regarding quality of life, it was observed a significant post-brachytherapy difference in constipation (p = 0.027) and diarrhea (p = 0.004). The physical function, emotional, cognitive, social and role play domains had a decrease of function. The themes built from the analysis of utterances were: 1) physical changes: a) dealing Processo de recuperação físico-emocional no pós-câncer ginecológico

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Quality of life (QOL) in women treated for gynecologic malignancies with radiation therapy: A literature review of patient - reported outcomes

Cited by 54 publications

References 49 publications

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

Cervical Cancer Survivorship: Long-term Quality of Life and Social Support

Processo De Recuperação Físico E Emocional No Pós-Câncer Ginecológico

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