Quality of life among cervical cancer patients undergoing radiotherapy

Kyei, Kofi Adesi; Yakanu, Frederick; Donkor, Andrew; Kitson-Mills, Doris; Opoku, Samuel Yaw; Yarney, Joel; Tagoe, Samuel Nii Adu; Addo, Michael Kwabeng; Anarfi, Kwabena; Abakuri, Eric; Agyri, Kofi

doi:10.11604/pamj.2020.35.125.18245

Cited by 15 publications

(24 citation statements)

References 20 publications

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“…The present study found that patients with cervical precursor lesions and cancer undergoing radical hysterectomy were more likely to have lower utility scores. However, no signi cant difference in utility scores was found between surgical treatment and concurrent chemoradiotherapy in our study, in contrast to other studies [25,27], including one in Brazil that found women who have undergone hysterectomy present better QoL scores than those in the chemoradiotherapy treatment group [26]. Furthermore, the utility scores of patients undergoing surgical treatment and concurrent chemoradiotherapy were higher than those undergoing cervical conization in our study.…”

Section: Discussioncontrasting

confidence: 99%

“…The association between HRQoL and stage of cervical precursor lesions and cancer also merits further exploration. We found a decreasing trend in HRQoL as the disease progressed, consistent with ndings in India [8] and Ghana [25]. However, one study found utility score in stage IV cancer was actually higher than that found in stage II and III [6].…”

Section: Discussionsupporting

confidence: 90%

“…The present study indicated that level of education, marital status, and occupation were not associated with utility scores, a nding consistent with studies in India [8], but differing from some study results [10,25] that have found that higher education level and married status are associated with higher HRQoL scores. The reasons for this discrepancy are currently unclear.…”

Section: Discussionsupporting

confidence: 83%

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Health-Related Quality of Life with Cervical Cancer and Precancer: A Cross-Sectional Study in Yunnan Province, China

Min

Zhang

et al. 2021

Preprint

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Objectives Cervical cancer is the fourth most common cancer in women, with an estimated 600,000 new cases and 340,000 deaths worldwide in 2020. However, there remains limited understanding of the association between individual socioeconomic status (SES) and clinical characteristics and health-related quality of life (HRQoL) of women with cervical precancerous lesions and cancer worldwide, including in China. This study investigates socioeconomic and clinical variations in HRQoL of women with cervical precancerous lesions and cancer in Yunnan Province, China.MethodsThe present study employed a cross-sectional survey design. An EQ-5D-5L questionnaire was used to assess HRQoL of 400 patients with cervical precancerous lesions and cancer in Yunnan Province, China from 2019 to 2020. ANOVA and independent samples t-tests were performed to identify the independent variables associated with the EQ-5D-5L utility scores and VAS scores. Predictors of the utility scores were confirmed using a Tobit regression model.ResultsThe mean of cervical precancerous lesions and cancer patients’ EQ-5D-5L utility scores was 0.939 (SD, 0.104) and the mean of VAS scores was 80.84(SD, 16.551). Patients aged 40-59 years (β=-0.037, p=0.005), patients who were not aware of the human papillomavirus (HPV) vaccine (β=-0.032, p=0.004), and patients who underwent radical hysterectomy (β=-0.036, p=0.006) had significantly lower utility scores, whereas having high monthly household income (β=0.023, p=0.033) was significantly associated with higher EQ-5D-5L utility scores. Age (p=0.023) was statistically significant in differences in patients’ VAS scores. Anxiety/depression was the most frequently reported issue (35.75%) among participants. ConclusionsFuture cervical cancer prevention and treatment guidelines should focus on low-income women, women aged 40-59 years, and those lacking knowledge about cervical cancer prevention.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 83%

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Health-Related Quality of Life with Cervical Cancer and Precancer: A Cross-Sectional Study in Yunnan Province, China

Min

Zhang

et al. 2021

Preprint

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“…Em relação à idade e ao grau de escolaridade, a pesquisa de Kyei et al 13 formulou a hipótese de que as pacientes mais jovens e instruídas possuíam maior atenção e preocupação sobre os efeitos colaterais do tratamento radioterápico, concluindo que o bem-estar físico de mulheres com CCU foi afetado pela idade e nível de escolaridade. Essa constatação foi corroborada, ainda, por Singh et al 14 , cujo estudo identifica o nível educacional, junto ao uso de tabaco e menor grau de diferenciação do tumor, como um fator independente que afeta negativamente a QV geral.…”

Section: Discussionunclassified

Qualidade de Vida Associada ao Tratamento com Radioterapia em Mulheres Acometidas pelo Câncer do Colo do Útero: Revisão Integrativa da Literatura

Morais

Neto

Menezes

et al. 2021

Rev. Bras. Cancerol.

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Introdução: O câncer do colo do útero (CCU) está entre os cinco tipos de cânceres mais frequentes em mulheres. Inicialmente, o tratamento indicado é a cirurgia. Já, quando a paciente apresenta fatores de risco associados à recidiva local, é feita a radioterapia pélvica adjuvante. Investigar o impacto do tratamento na Qualidade de Vida (QV) das mulheres com CCU pode auxiliar o planejamento de ações no sentido de reduzir ou evitar danos. Objetivo: Compilar as repercussões e os fatores que influenciam a QV de mulheres com CCU submetidas ao tratamento radioterápico. Método: Foi realizada uma revisão integrativa da literatura nas bases de dados MEDLINE (PubMed), LILACS e SciELO. Os critérios de inclusão foram artigos dos últimos cinco anos, de acesso aberto, escritos em português, inglês ou espanhol e que abordassem o tema definido total ou parcialmente. Resultados: Foram selecionados 17 artigos, entre os quais predominaram os estudos longitudinais prospectivos (n=9), seguidos dos estudos transversais (n=5) e estudos longitudinais retrospectivos (n=3). Ademais, houve a utilização de 15 diferentes questionários, sendo mais frequente o European Organization for Research And Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30), que integrou oito estudos. Conclusão: A QV das mulheres submetidas à radioterapia foi influenciada por fatores socioeconômicos, educacionais, relações matrimoniais e modalidade da radioterapia. Apesar de os métodos de tratamento terem influenciado fatores individuais, como sintomas físicos e emocionais, não tiveram relação significativa com a QV geral. Estudos devem ser realizados para avaliar os efeitos da radioterapia em longo prazo.

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“…Studies in Africa have looked at QoL in individual cancers and documented varying levels of quality of life [12,13]. In Nigeria, a similar study using WHOQoL-BREF noted that QoL was negatively affected by male gender, older age, presence of depression, advanced stage of cancer and pain [14].…”

Section: Introductionmentioning

confidence: 99%

Health Related Quality of Life and its Determinants in Cancer Patients in a Low-resource Setting

Onyeka

Ijoma

Nwatu

et al. 2021

JAMMR

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Objectives: This study investigated the health-related quality of life (QoL) in patients with various cancers attending cancer clinics at a tertiary hospital in South-East Nigeria and also determined the predictors of the various domain of QoL in these patients. Methods: This was a cross-sectional, descriptive study conducted among 104 participants. The WHO QoL questionnaire–short version was administered to patients with various cancer types. Analysis of Variance was used to compare the domains of quality of life among the various cancer types. The Independent t-test was used to compare socio-demographic variables of gender and quality of life across the domains and multiple linear regression analysis was used to further test if identified socio-demographic and clinical characteristics significantly predicted quality of life in all four domains. Results: Of the 104 participants analysed, there was no significant association between individual cancers and overall quality of life (p = 0.67), and with individual cancers and satisfaction with health (p = 0.13). Occupation (p = 0.019), and the number of hospitalizations (p = 0.016) in the psychological domain; occupation (p = 0.032) and co-morbidities (p = 0.004) in the physical domain; age (p = 0.003) in the social domain, and level of education (p = 0.002) in the environmental domain predicted QoL in these patients. Conclusion: Socio-demographic variables of age, number of hospitalizations, presence of comorbidities, education and occupation were significant predictors of QoL among cancer patients in this study. However, there was no association between cancer types and quality of life.

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Quality of life among cervical cancer patients undergoing radiotherapy

Cited by 15 publications

References 20 publications

Health-Related Quality of Life with Cervical Cancer and Precancer: A Cross-Sectional Study in Yunnan Province, China

Health-Related Quality of Life with Cervical Cancer and Precancer: A Cross-Sectional Study in Yunnan Province, China

Qualidade de Vida Associada ao Tratamento com Radioterapia em Mulheres Acometidas pelo Câncer do Colo do Útero: Revisão Integrativa da Literatura

Health Related Quality of Life and its Determinants in Cancer Patients in a Low-resource Setting

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