Pelvic floor dysfunction and its influencing factors during radiotherapy in cervical cancer survivors: A cross-sectional study

Cui, Yuan-Yuan; Wen, Liying; Chen, Xingyu; Bai, Xing-Hua

doi:10.1016/j.ejon.2023.102307

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Enhanced stress urinary outcomes following radiotherapy represent a new nding, as prior research predominantly focused on addressing stress urinary incontinence management rather than assessing the effect of radiotherapy Preliminary evidence suggests that pelvic radiotherapy can detrimentally impact pelvic oor function, potentially exacerbating issues related to urinary continence [18]. However, the dose, route of radiotherapy, and technique used during treatment may in uence the severity of radiation therapy [19].…”

Section: Discussionmentioning

confidence: 99%

Radiotherapy Improves Stress Urinary Incontinence but Impairs Pelvic Floor Function in Endometrial Cancer Patients: A Prospective Cohort Study

erkılınç,

Çakır,

Karataşlı

et al. 2024

Preprint

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Purpose Investigating the Impact of Radiotherapy on Urinary Incontinence and Pelvic Floor Dysfunction in Endometrial Cancer Patients Method A comparative study was conducted between endometrial cancer patients who underwent radiotherapy and those who did not receive adjuvant therapy. Patients were assessed during their first follow-up visit at third month post-radiotherapy or post-surgery. Demographic data and physical examinations were conducted, along with the administration of validated questionnaires. Turkish validated Incontinence Severity Index (ISI), Incontinence Impact Questionairre-7 (IIQ-7) and 20 ıtem Pelvic Floor Dysfunction Index (PFDI-20) were applied to the all patients. Results The study comprised 37 patients in the non-radiotherapy group and 41 patients in the radiotherapy group. Comparable demographics were observed between the two groups. Vaginal length was notably longer in the non-radiotherapy group, and the Q tip test angle was significantly greater in this group. A higher incidence of stress urinary incontinence and higher scores on the Incontinence Severity Index were noted in the non-radiotherapy group. Conversely, the radiotherapy group exhibited significantly higher scores on the Pelvic Floor Dysfunction Index components and total score. Urogenital Distress Inventory scores were similar between the groups. Conclusion Radiotherapy showed mixed effects on pelvic floor function in endometrial cancer patients. While it potentially improved stress urinary incontinence, it was associated with unfavorable outcomes in overall pelvic floor dysfunction.

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Section: Discussionmentioning

confidence: 99%

Radiotherapy Improves Stress Urinary Incontinence but Impairs Pelvic Floor Function in Endometrial Cancer Patients: A Prospective Cohort Study

erkılınç,

Çakır,

Karataşlı

et al. 2024

Preprint

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Psychological distress and influencing factors in lung cancer patients based on the stress system model: a cross-sectional study

Liu,

Li,

Wang

et al. 2024

Preprint

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Background Lung cancer is one of the most prevalent causes of cancer-related mortality worldwide. Due to the low survival rate of patients with intermediate and advanced lung cancer, the challenging nature of treatment, the economic burden and the poor prognosis, most patients experience anxiety, fear and other psychological distress. If left untreated over a long period of time, these negative emotions will gradually develop into depression, anxiety or other serious mental illnesses. Furthermore, this can have a detrimental effect on the quality of life of the patient and the effectiveness of the treatment. Consequently, this study undertook a comprehensive investigation into the current status of psychological distress in patients with lung cancer and the factors that influence it. The findings provide a theoretical basis for clinical medical personnel to identify and implement timely, personalised psychological interventions. Methods Convenience sampling method was adopted to select lung cancer patients hospitalised in three hospitals in the country as the study subjects. General information questionnaire, psychological distress thermometer, cancer coping style questionnaire, brief illness perception questionnaire Edmonton Symptom Assessment Scale, and Perceived Social Support Scale were used to conduct the survey. SPSS 25.0 software was used to analyse the collected data; univariate, correlation analysis and binary logistic regression were used to analyse and screen the factors of psychological distress in lung cancer patients. Results 435 lung cancer patients were finally included in this study. The results showed that the DT score was (4.24±2.356) and the prevalence of psychological distress was 52.87%. The results of binary logistic regression analysis showed that age, monthly family income, cancer coping styles, disease perception, symptoms and social support were the main correlates of psychological distress in lung cancer patients (P < 0.05). Conclusions As the detection rate of psychological distress in lung cancer patients is high, clinical staff should dynamically observe the psychological changes of lung cancer patients, do a good job in screening and stratified management of psychological distress, and provide personalised psychological guidance to establish a positive mindset, so as to reduce the negative emotions of patients,and to improve the quality of life of patients' health-related issues.

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Pelvic floor dysfunction and its influencing factors during radiotherapy in cervical cancer survivors: A cross-sectional study

Cited by 2 publications

References 31 publications

Radiotherapy Improves Stress Urinary Incontinence but Impairs Pelvic Floor Function in Endometrial Cancer Patients: A Prospective Cohort Study

Radiotherapy Improves Stress Urinary Incontinence but Impairs Pelvic Floor Function in Endometrial Cancer Patients: A Prospective Cohort Study

Psychological distress and influencing factors in lung cancer patients based on the stress system model: a cross-sectional study

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