Quality of life in cervical cancer survivors: Patient and provider perspectives on common complications of cervical cancer and treatment

Einstein, M. Heather; Rash, J. Keogh; Chappell, Richard J.; Swietlik, John F.; Hollenberg, James P.

doi:10.1016/j.ygyno.2011.10.033

Cited by 24 publications

(27 citation statements)

References 20 publications

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“…There are several domains of quality of life that endure disorders such as on physical function, in which the older the person it affects physical activities since the strength loss of body muscle mass. It is in accordance with the study conducted by Einstein et al, (2011) that states 20% out of cervical cancer patients endure sexual function disorder including vaginal dryness, the fear to have sexual intercourse as the result of cancer.…”

Section: The Effect Of Age Toward the Quality Of Life Of Cervical Cansupporting

confidence: 90%

Effect of Age and Socio Economic Status on the Quality of Life of Patients with Cervical Cancer Undertaking Chemotherapy at Dr. Moewardi Hospital Surakarta

Fadhilla

Mudigdo

Rahardjo

2017

J EPIDEMIOL PUBLIC HEALTH

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Background: Cervical cancer is a type of cancer affecting women with high incidence and mortality in the world.Patient with cervical cancer have to undertake prolonged sequential treatment and therefore may experience physical, physicological and social changes, which may affect their quality of life. This study aimed to examine effect of age and socio economic status on the quality of life of patients with cervical cancer undertaking chemotherapy at Dr. Moewardi hospital, Surakarta. Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from February to March 2017. A sample of 100 patients was selected by fixed disease sampling. The dependent variable was quality of life. The independent variables were age, education and family income. The data were collected by questionnaire and medical record, and then were analyzed by linear regression model. Results: Education≥ Senior High School (b= 10.25; 95% CI=5.24 to 15.26; p<0.001) andfamily income ≥ Minimum Regional Wage (b= 0.47; 95% CI=0.12 to 0.83; p=0.009) increased quality of life in patients with cervical cancer. Age ≥45 years (b=-0.53; 95% CI=-0.84 to -0.21; p=0.001) decreased quality of life in patients with cervical cancer. Conclusion:The quality of life of patient with cervical cancer is determine by age, education, and family income.

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Section: The Effect Of Age Toward the Quality Of Life Of Cervical Cansupporting

confidence: 90%

Effect of Age and Socio Economic Status on the Quality of Life of Patients with Cervical Cancer Undertaking Chemotherapy at Dr. Moewardi Hospital Surakarta

Fadhilla

Mudigdo

Rahardjo

2017

J EPIDEMIOL PUBLIC HEALTH

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“…Prior preference studies among women with cervical cancer predominately focused on preferences regarding method of treatment and surgical or radiation complications (10, 11). Our study examined common health states associated with surgical, radiation, and chemotherapeutic treatment of cervical cancer in an effort to obtain a better understanding of the impact these treatments have on the patient.…”

Section: Discussionmentioning

confidence: 99%

“…These studies demonstrate that patients prefer minimally invasive surgery for the management of early stage, high-risk cervical cancer and consider health states such as small bowel obstruction and ureteral obstruction as less tolerable than health states such as lymphedema or radiation cystitis (10, 11). Interestingly, patients and health-care providers have differing views on the impact of treatment side effects on patients’ QOL (11). Patients rate certain side effects as severely impacting their QOL whereas providers rate the same side effects as minimally impacting the patient’s QOL, suggesting that the perceptions of patients and their providers regarding treatment complications differ significantly.…”

Section: Introductionmentioning

confidence: 89%

“…Limited research has examined preferences among patients with invasive cervical cancer (10, 11). These studies demonstrate that patients prefer minimally invasive surgery for the management of early stage, high-risk cervical cancer and consider health states such as small bowel obstruction and ureteral obstruction as less tolerable than health states such as lymphedema or radiation cystitis (10, 11). Interestingly, patients and health-care providers have differing views on the impact of treatment side effects on patients’ QOL (11).…”

Section: Introductionmentioning

confidence: 99%

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Patient Preferences for Side Effects Associated With Cervical Cancer Treatment

Sun

Brown²,

Jhingran

et al. 2014

Int J Gynecol Cancer

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Objectives To assess patient preferences regarding side effects associated with cervical cancer treatment. Methods/Materials The visual analog scale (VAS) and modified standard gamble (SG) were used to elicit preferences of women with no evidence of disease following primary treatment for cervical cancer. Higher scores on VAS and SG indicated more favorable ratings for a given health state (HS). HS included: vaginal shortening (VAG), diarrhea, dietary changes (DIET), menopause, moderate nausea/vomiting (NV), rectal bleeding, sexual dysfunction, and urinary self-catheterization (USC). Descriptive statistics, Kruskal-Wallis, Mann Whitney U, Wilcoxon signed-ranks tests and correlation coefficients were used for statistical analysis. Results 78 patients participated in the study. Median age was 44.1 years (range 24.9–67.8). Median time since treatment completion was 31.2 months (range 1.0–113.3). The health states rated as most favorable by VAS were also rated as most favorable by SG. Increasing age was associated with higher VAS scores for menopause and VAG (p=0.04 and 0.036). African-Americans had higher VAS scores for DIET (p=0.05), sexual dysfunction (p=0.028), and diarrhea (p=0.05) when compared to Hispanic and non-Hispanic white patients. Women receiving radiation had more favorable VAS scores for menopause compared to women undergoing radical hysterectomy (p=0.05). Women receiving chemotherapy rated USC less favorably by VAS score compared to those not receiving chemotherapy (p=0.045). Conclusions Multiple demographic and clinical factors influence the severity of treatment-related adverse effects perceived by women surviving cervical cancer. A better understanding of factors influencing patient preferences regarding treatment side effects will allow providers to formulate care better tailored to the individual desires of each patient.

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“…Delayed diagnosis of ureteral injury often results in subsequent management with ureteral stents or percutaneous nephrostomy tubes prior to definitive surgical management which can result in a cascade of additional medical issues as well as decreased quality of life. One study identified that among patients with cervical cancer who had ureteral obstruction, there was a large discrepancy between their perception of their diminished quality of life compared to their physician's perception [27].…”

Section: Ureteralmentioning

confidence: 99%

Functional Outcomes of Bladder Reconstruction Secondary to Trauma and Ureteral Injury

Faris

2015

Curr Bladder Dysfunct Rep

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Injury to the ureter and bladder are relatively rare occurrences and provoke significant diagnostic dilemmas. Etiologies include external trauma, such as automobile accidents or gunshot wounds, and iatrogenic injuries during pelvic surgery or endoscopy. When lower urinary tract injury goes unrecognized, presenting symptoms can be vague and often delay diagnosis. Such delays may result in prolonged hospital stays and deterioration of renal function and have significant impact on a patient's quality of life. Reconstruction of these injuries can be challenging depending on the mechanism and location of injury. Overall functional outcomes of reconstruction for ureteral or bladder injuries is excellent, but there is limited data on post-operative voiding function. One unique injury worth mentioning is mesh erosion into the genitourinary tract where patients may have persistent lower urinary tract symptoms after reconstruction.

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Quality of life in cervical cancer survivors: Patient and provider perspectives on common complications of cervical cancer and treatment

Cited by 24 publications

References 20 publications

Effect of Age and Socio Economic Status on the Quality of Life of Patients with Cervical Cancer Undertaking Chemotherapy at Dr. Moewardi Hospital Surakarta

Effect of Age and Socio Economic Status on the Quality of Life of Patients with Cervical Cancer Undertaking Chemotherapy at Dr. Moewardi Hospital Surakarta

Patient Preferences for Side Effects Associated With Cervical Cancer Treatment

Functional Outcomes of Bladder Reconstruction Secondary to Trauma and Ureteral Injury

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