Supportive care for women with gynecologic cancers

Chase, Dana M.; Monk, Bradley J.; Wenzel, Lari; Tewari, Krishnansu S.

doi:10.1586/14737140.8.2.227

Cited by 26 publications

(21 citation statements)

References 77 publications

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“…This has practical and clinical importance, as some of these items indicate symptoms or problems which may be treated. If impairment in total QOL is primarily due to decrements in specific items, treatment of these items are likely to improve QOL [3-8]. Reductions in distress, and improvement in overall QOL may also influence treatment outcomes, including survival [2].…”

Section: Introductionmentioning

confidence: 99%

Assessment of factors that contribute to decreased quality of life in Gynecologic Oncology Group ovarian cancer trials

Gruenigen

Huang

Gil

et al. 2009

Cancer

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BACKGROUND: The objective of this study was to assess which quality‐of‐life (QOL) line items on the Functional Assessment of Cancer Therapy‐Ovarian (FACT‐O) were associated with low QOL in women who were receiving chemotherapy for ovarian cancer. METHODS: Patients with stage III or IV ovarian cancer on Gynecologic Oncology Group Protocols 152 and 172 who underwent primary surgery followed by intravenous paclitaxel and cisplatin completed the FACT‐O. The FACT scale includes the 4 domains of physical, functional, social, and emotional well being (PWB, FWB, SWB, EWB, respectively). Women who had overall FACT‐O scores in the lowest quartile (Q1) were compared with women in the upper 3 quartiles (Q2‐Q4). The proportions of women in each group that selected the 2 worst categories for each item were compared. The level of significance was set at P < .005. RESULTS: Before Cycle 4, 361 patients (86.4%) provided valid QOL assessments. For PWB, a significantly greater proportion of women in Q1 versus Q2 through Q4 selected the 2 worst categories of several physical symptoms (nausea, pain, feeling ill, and being bothered by the side effects of treatment). For FWB, significant differences included being able to work, being content with the quality of their life, and sleeping well. For EWB, there were significant differences in feeling nervous and worrying about dying. There were virtually no differences between groups in SWB. Low interest in sex was reported by 56% to 88% of all patients (Q1‐Q4). CONCLUSIONS: A large proportion of women with FACT‐O scores in the lowest quartile reported problems that potentially were amenable to clinical interventions, such as symptom management and psychosocial support. Cancer 2009. © 2009 American Cancer Society.

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Section: Introductionmentioning

confidence: 99%

Assessment of factors that contribute to decreased quality of life in Gynecologic Oncology Group ovarian cancer trials

Gruenigen

Huang

Gil

et al. 2009

Cancer

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“…An approximation to Bayes factors, known as the Schwartz Bayesian Criteria (SBC), were used to assess the strength of evidence of association for each covariate of interest on the time-to event function of OS [8,9]. The SBC, in the form of a 'difference measure', may be much more useful than a 'traditional' interpretation of a 'p-value < 0.05' for two main reasons.…”

Section: Methodsmentioning

confidence: 99%

“…This may be reflective of the society's endorsement of the early use of palliative care services with advanced or symptomatic disease [3]. With this trend, more literature has been dedicated to discussing hospice care in the gynecological oncology patient population [4][5][6][7][8][9][10][11][12]. The goal of hospice is to provide compassionate, holistic care for patients and their families and to maximize quality of life through a variety of methods [13].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Impact of Invasive Procedures in Women with Gynecologic Malignancies Referred to Hospice Care

Stine

Doll²,

Moore³

et al. 2014

J Palliat Care Med

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“…In a review of women who survived gynecological cancers [6], Chase et al conclude that psycho-social issues were poorly taken care of. Rutten et al [7] underscore in yet another review the need for more knowledge throughout cancer trajectories and particularly related to rehabilitation processes.…”

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confidence: 99%

Nurses’ Role and Experiences as Group-Leaders in a Group Intervention for Women after Gynecological Cancer

Sekse¹,

Vika²

2016

OJN

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Aim: The aim of this study is to provide insight into nurses' role and their experiences of leading an education and counselling group intervention for women after gynecological cancer. Methods: A qualitative study, based on focus group interview and logs from nurses who led the intervention, was conducted. Findings: The group leaders were touched by the women's community and were given a deeper understanding of lived experiences after cancer. These insights raised the groupleaders' understanding of nursing and influenced them to sharpen focus on patient care and priorities in cancer care and follow-up. Being a group-leader meant creating a trusting and secure atmosphere in which the individual woman's own coping resources was strengthened and empowered. Equally important, the nurses worked continuously and substantially on themselves to build strength and endurance related to situations that called for competent leadership. Conclusion: Being competent in group leadership and having knowledge in the field of cancer are important qualifications for group leaders. Practice Implications: The study shows that nurses gain valuable insight and knowledge about women's lived experiences of going through gynecological cancer, cancer treatment and rehabilitation. As such, this intervention seems to be educational for nurses, as well as for participants.

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Supportive care for women with gynecologic cancers

Cited by 26 publications

References 77 publications

Assessment of factors that contribute to decreased quality of life in Gynecologic Oncology Group ovarian cancer trials

Assessment of factors that contribute to decreased quality of life in Gynecologic Oncology Group ovarian cancer trials

The Prevalence and Impact of Invasive Procedures in Women with Gynecologic Malignancies Referred to Hospice Care

Nurses’ Role and Experiences as Group-Leaders in a Group Intervention for Women after Gynecological Cancer

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