The Meaning and Experience of Patients Undergoing Rectal High-Dose-Rate Brachytherapy

Perez, Samara; Néron, Sylvain; Benc, Renata; Rosberger, Zeev; Vuong, T.

doi:10.1097/ncc.0000000000000246

Cited by 5 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It varied from, “sometimes it hurt” (Pt6PostB:4, 11) , to “I felt sore,” (Pt8PostB:5); “She had the pain,” (Translator; Pt3PostB:12) , to “Was very painful” (Pt4Exit:7); “Brachy is very sore,” (Pt7Exit:7 ), and “It was so painful,” (Pt9Exit:20) . In a rectal brachytherapy study it was found that the patients, who were mostly males, who experienced the lithotomy position for the instrumentation aspect similar to this current study for the cervical cancer was very traumatising [ 35 ]. Women linked their experiences to previous familiar experiences, such as the pain of giving birth, or undergoing a pap smear [ 35 ].…”

Section: Discussionmentioning

confidence: 70%

“…In a rectal brachytherapy study it was found that the patients, who were mostly males, who experienced the lithotomy position for the instrumentation aspect similar to this current study for the cervical cancer was very traumatising [ 35 ]. Women linked their experiences to previous familiar experiences, such as the pain of giving birth, or undergoing a pap smear [ 35 ]. Whereas the males felt embarrassed and exposed and found the lithotomy treatment position disempowering, intrusive and left them feeling vulnerable [ 35 ].…”

Section: Discussionmentioning

confidence: 70%

“…Women linked their experiences to previous familiar experiences, such as the pain of giving birth, or undergoing a pap smear [ 35 ]. Whereas the males felt embarrassed and exposed and found the lithotomy treatment position disempowering, intrusive and left them feeling vulnerable [ 35 ]. These authors found that preoperative HDR brachytherapy educational hand-outs that clarified the nature of the procedure helped the patients, both male and female, to be less anxious [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Whereas the males felt embarrassed and exposed and found the lithotomy treatment position disempowering, intrusive and left them feeling vulnerable [ 35 ]. These authors found that preoperative HDR brachytherapy educational hand-outs that clarified the nature of the procedure helped the patients, both male and female, to be less anxious [ 35 ]. These patients have to live with the possibility that their cancer might return.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Exploration of gynaecological cancer high dose-rate brachytherapy treatment: a pilot study

Ehlers¹,

Makanjee²

2018

Pan Afr Med J

View full text Add to dashboard Cite

IntroductionPerforming brachytherapy on female patients with gynaecological cancer is a sensitive procedure, apart from it being an intricate investigation. The aim of this study: establishing gynaecological cancer patients' expectations, experiences and understandings of the high dose-rate brachytherapy treatment procedure. Exploring these patients' life-worlds provides further insights into improving their preparedness and experiences.MethodsA qualitative research design with a descriptive phenomenological research approach was used. Recruitment entailed using purposive sampling. To obtain rich insights into the lived experiences, data was acquired through semi-structured interviews until data saturation.ResultsMajor challenges were experienced with mixed thoughts and feelings, from negative trauma to desires being fulfilled. These patients should have received more information regarding their upcoming brachytherapy treatment. This would have alleviated some of their fears and anxieties, which would in turn have provided them with a better brachytherapy treatment experience. Envisaged outcomes and desires are used to cope. Patients influence each other negatively, so they rather wanted to “see for themselves”.ConclusionDespite some disappointments and negative experiences throughout the brachytherapy continuum, the patients were left with a positive outlook, saying that it is an excellent and necessary treatment. Further studies should be done to elaborate on fulfilments of recommendations in the brachytherapy department of radiation oncology.

show abstract

Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Exploration of gynaecological cancer high dose-rate brachytherapy treatment: a pilot study

Ehlers¹,

Makanjee²

2018

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…In addition, patient‐centered information gives many patients a greater health locus of control, which has been linked to better long‐term health‐related quality of life (QOL) . Information, the capacity to participate in decision making, and a degree of control over the treatment decision improves adjustment in many patients …”

Section: Introductionmentioning

confidence: 99%

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

Herrinton

Altschuler

McMullen

et al. 2016

CA A Cancer J Clinicians

View full text Add to dashboard Cite

For some low rectal cancer patients, ostomy (with elimination into a pouch) may be the only realistic surgical option. However, some patients have a choice between ostomy and sphincter-sparing surgery. Sphincter-sparing surgery has been preferred over ostomy because it offers preservation of normal bowel function. However, this surgery can cause incontinence and bowel dysfunction. Increasingly, it has become evident that certain patients eligible for sphincter-sparing surgery may not be well served by the surgery and construction of an ostomy may be better. No validated assessment tool or decision aid has been published to help newly diagnosed patients decide between the two surgeries, or to help physicians elicit long-term surgical outcomes. Furthermore, comparison of long-term outcomes and late effects following the two surgeries has not been synthesized. We therefore conducted a systematic review to examine this ? This systematic review summarizes controlled studies that compared long-term survivorship outcomes between these two surgical groups. Our goals are: 1) improve understanding and shared decision-making among surgeons, oncologists, primary care providers, patients, and caregivers; 2) increase the patient’s participation in the decision; (3) alert the primary care provider to patient challenges that could be addressed by provider attention and intervention; and 4) ultimately, improve patients’ long-term quality of life. This report includes discussion points for health care providers to use with their patients during initial discussions of ostomy and sphincter-sparing surgery, as well as questions to ask during follow-up examinations to ascertain any long-term challenges facing the patient.

show abstract

Virtual reality technology: A potential tool to enhance brachytherapy training and delivery

Prabhu,

Peterman,

Kesaria

et al. 2023

Brachytherapy

View full text Add to dashboard Cite

The Meaning and Experience of Patients Undergoing Rectal High-Dose-Rate Brachytherapy

Abstract: Clinical teams can tailor their procedural behavior (eg, using certain language, psychosocial interventions) according to patients' needs to increase patients' comfort and ultimately improve their experience of HDR rectal brachytherapy.

Cited by 5 publications

References 3 publications

Exploration of gynaecological cancer high dose-rate brachytherapy treatment: a pilot study

Exploration of gynaecological cancer high dose-rate brachytherapy treatment: a pilot study

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

Virtual reality technology: A potential tool to enhance brachytherapy training and delivery

Contact Info

Product

Resources

About