The Effects of Pelvic Radiotherapy on Cancer Survivors: Symptom Profile, Psychological Morbidity and Quality of Life

Adams, Eike; Boulton, Mary; Horne, Amanda; Rose, Peter W.; Durrant, L.; Collingwood, M; Oskrochi, Gholamreza; Davidson, Susan E; Watson, Eila

doi:10.1016/j.clon.2013.08.003

Cited by 65 publications

(63 citation statements)

References 28 publications

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“…The aforementioned reasons for GP contacts and prescribed medication may also be related to chemotherapy (often associated with adverse effects such as nausea and diarrhoea) [27,28] or to radiotherapy (rectal bleeding, pain, bowel and urinary problems) [29,30]. Comorbidity is known to affect healthcare use [10].…”

Section: Discussionmentioning

confidence: 99%

Increased primary health care use in the first year after colorectal cancer diagnosis

Brandenbarg¹,

Roorda²,

Groenhof³

et al. 2014

Scandinavian Journal of Primary Health Care

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Objective. The view that the general practitioner (GP) should be more involved during the curative treatment of cancer is gaining support. This study aimed to assess the current role of the GP during treatment of patients with colorectal cancer (CRC). Design. Historical prospective study, using primary care data from two cohorts. Setting. Registration Network Groningen (RNG) consisting of 18 GPs in three group practices with a dynamic population of about 30 000 patients. Subjects. Patients who underwent curative treatment for CRC (n = 124) and matched primary care patients without CRC (reference population; n = 358). Main outcome measures. Primary healthcare use in the period 1998–2009. Findings. Patients with CRC had higher primary healthcare use in the year after diagnosis compared with the reference population. After correction for age, gender, and consultation behaviour, CRC patients had 54% (range 23–92%) more face-to-face contacts, 68% (range 36–108%) more drug prescriptions, and 35% (range –4–90%) more referrals compared with reference patients. Patients consulted their GP more often for reasons related to anaemia, abdominal pain, constipation, skin problems, and urinary infections. GPs also prescribed more acid reflux drugs, laxatives, anti-anaemic preparations, analgesics, and psycholeptics for CRC patients. Conclusions. The GP plays a significant role in the year after CRC diagnosis. This role may be associated with treatment-related side effects and psychological problems. Formal guidelines on the involvement of the GP during CRC treatment might ensure more effective allocation and communication of care between primary and secondary healthcare services.

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Section: Discussionmentioning

confidence: 99%

Increased primary health care use in the first year after colorectal cancer diagnosis

Brandenbarg¹,

Roorda²,

Groenhof³

et al. 2014

Scandinavian Journal of Primary Health Care

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“…Approximately 30%–40% of people with cancer experience mental health problems, including anxiety or depression (Department of Health, ) and Macmillan () report that more than four in ten people with cancer have experienced five or more distressing or concerning emotional issues in the past week. Several studies have identified how levels of psychological distress amongst people with cancer vary in their incidence, duration and severity according to a range of demographic and clinical factors such as cancer type, treatment phase, coping style and level of social support (Adams et al., ; Brown, Pearce, Bailey, & Skinner, ; Li et al., ).…”

Section: Introductionmentioning

confidence: 99%

Being in safe hands: Patients’ perceptions of how cancer services may support psychological well‐being

Appleton

Poole

Wall

2018

Journal of Advanced Nursing

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“…A toxicidade aguda gastrointestinal identificada como constipação e diarreia, no pós-braquiterapia, contribuiu significativamente para o aumento no risco de queda na qualidade de vida (VAZ et al, 2007;VISTAD et al, 2008;BJELIC-RADISIC, 2012;ADAMS et al, 2014). Entretanto, a avaliação física qualitativa revelou que outros sintomas físicos, como sangramento vaginal, dor, fadiga muscular, desconforto, cansaço, estenose vaginal e hipersensibilidade vulvar, fizeram parte da maioria dos sintomas relatados e, provavelmente, apresentam estreita relação com a diminuição da qualidade de vida, sob a perspectiva delas.…”

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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The Effects of Pelvic Radiotherapy on Cancer Survivors: Symptom Profile, Psychological Morbidity and Quality of Life

Cited by 65 publications

References 28 publications

Increased primary health care use in the first year after colorectal cancer diagnosis

Increased primary health care use in the first year after colorectal cancer diagnosis

Being in safe hands: Patients’ perceptions of how cancer services may support psychological well‐being

Processo De Recuperação Físico E Emocional No Pós-Câncer Ginecológico

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