Needs and priorities of women with endometrial and cervical cancer

Jeppesen, Mette Moustgaard; Mogensen, Ole; Dehn, Pernille; Jensen, Pernille Tine

doi:10.3109/0167482x.2015.1059417

Cited by 38 publications

(45 citation statements)

References 42 publications

(57 reference statements)

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“…Several reviews [6][7][8][9] as well as original studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] have described the prevalence of different supportive care needs in both breast and gynecological cancer. In previous research, the need for additional medical information on the disease has been consistently reported to be highly prevalent in both breast [6,10,16,17,29] and gynecological cancer [7,9,10,12,13,16,24,25,27].…”

Section: Introductionmentioning

confidence: 99%

“…Another highly prevalent need concerns support with emotional and existential problems including fear of cancer recurrence in both breast [6,[14][15][16]26,29] and gynecological cancer [4,7,12,13,16,19,23]. In some patients, the relationship with the partner and sexuality may be affected, constituting a supportive need in breast [18,26,28] and gynecological cancer [7][8][9]18,21,23]. Moreover, a wish for support regarding communication with other people [26] and contacting others who have experienced cancer [19] were described.…”

Section: Introductionmentioning

confidence: 99%

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Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Faller

Hass²,

Engehausen³

et al. 2019

Acta Oncologica

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Background: Among patients with breast or gynecological cancer, supportive care needs are both highly prevalent and enduring. However, little is known about whether meeting patients' needs is accompanied by increased quality of life (QoL). We aimed to explore patients' supportive care needs reported at the beginning of inpatient rehabilitation and examined whether meeting these needs resulted in improved QoL. Material and methods: In a multicenter, prospective cohort study with 2 measurement occasions (beginning and end of inpatient rehabilitation), 292 patients with breast and gynecological cancer (mean age 55 years; 71% breast cancer) were enrolled. In 73%, time since diagnosis was longer than 6 months. We obtained self-reports of supportive care needs in 12 domains and measured QoL using the EORTC QLQ-C30 functioning subscales. Results: At the beginning of inpatient rehabilitation, top-ranking severe supportive care needs concerned coordination of care (48%), medical information (45%), alleviation of physical symptoms (42%) and support with improving health behaviors (36%). At the end of inpatient rehabilitation, all needs assessed declined significantly, although many patients still expressed strong needs in some domains. However, meeting patients' needs was accompanied by improvements in all functioning subscales. Conclusions: This is the first study to show that meeting breast and gynecological cancer patients' supportive care needs during inpatient rehabilitation resulted in improved QoL. Given the considerable proportions of patients still reporting unmet needs at the end of their stay, stronger and continuing efforts seem warranted to meet these needs and thus further increase QoL. ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Faller

Hass²,

Engehausen³

et al. 2019

Acta Oncologica

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show abstract

“…The most common types are endometrial cancer followed by ovarian, cervical, and vulvar cancer [1, 2], although other rare malignancies may occur [3]. Endometrial cancer is the most common gynaecological malignancy in Western countries [4]. Surgery is the primary treatment for most patients while adjuvant radiation therapy or chemotherapy is recommended in more advanced stages of disease [5–7].…”

mentioning

confidence: 99%

Psychological impact of fertility preservation techniques in women with gynaecological cancer

Laganà¹,

Rosa²,

Rapisarda³

et al. 2017

ecancer

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Gynaecological cancer is a very stressful experience for women and treatments can compromise fertility and reproductive capacity. Fertility preservation techniques in women with gynaecological cancer can play an important role in improving the quality of life of these patients but, in many cases, the information about this type of treatment is not adequate. It is important to further investigate this topic in order to reduce the impact of gynaecological cancer on the quality of life of survivors as much as possible.

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“…The prevalence of pathological anxiety among ovarian cancer patients is about 74% [24, 25] and worry constitutes an unmet need in 70.7% of cervical cancer patients and in 34.7% of endometrial cancer patients before surgery [26, 27]. In a study by Mehnert et al [28], the prevalence of any mental disorders among gynaecological patients ranges from 28.94% to 43.21%.…”

Section: Introductionmentioning

confidence: 99%

Perceived utility of an integrated psychological intervention for gynaecological cancer patients admitted for surgery: preliminary data

Arnaboldi¹,

Oliveri²,

Vadilonga³

et al. 2017

ecancer

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ObjectiveTo investigate patients’ satisfaction and perceived utility for psychological consultations delivered by clinical psychologists in a sample of gynaecological cancer patients hospitalised for surgery.MethodsA total of 51 gynaecological cancer patients who scored higher than four on the distress thermometer (DT) were proposed and received a psychological consultation during hospitalisation for surgery. After six months from discharge, patients were asked, during a telephone interview, to rate their level of distress post-treatment, their perceived satisfaction, and usefulness of the psychological intervention received.ResultsAt the time of the telephone interview, the distress levels stated by patients tended to be lower than those at hospital admission, and around 61% of the patients expressed maximum satisfaction with psychological intervention. Among these, 60.8% rated the psychological consultation useful for dealing with the hospitalisation itself, 45.1% useful for dealing with personal issues and 58.8% for dealing with issues related to returning home. People who were at their first diagnosis and those who had no other reason to be distressed beyond their cancer found psychological support significantly more useful for facing up to personal issues.ConclusionsPatients are highly satisfied with integrative psychological interventions delivered by clinical psychologists in a medical setting such as that of gynaecological cancer surgery and from the six-month follow-up, it emerged that such interventions help in promoting patients’ adjustment to the phase of hospitalisation and post-hospital discharge.

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Needs and priorities of women with endometrial and cervical cancer

Cited by 38 publications

References 42 publications

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study

Psychological impact of fertility preservation techniques in women with gynaecological cancer

Perceived utility of an integrated psychological intervention for gynaecological cancer patients admitted for surgery: preliminary data

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