Quality of life and sexual problems in disease‐free survivors of cervical cancer compared with the general population

Cancer - Tập 110 Số 12 - Trang 2716-2725 - 2007
Sangyoon Park1,2, Duk‐Soo Bae3,2, Joo‐Hyun Nam4, Chong Taik Park5, Chi‐Heum Cho6, Jong‐Min Lee7, Myung Kyung Lee8, Soo Hyun Kim8, Sang Min Park8, Young Ho Yun8
1Center for Uterine Cancer, National Cancer Center, Goyang, Gyeonggi, Korea
2Sang Yoon Park and Duk-Soo Bae contributed equally to this work as first authors.
3Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
4Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
5Department of Obstetrics and Gynecology, Kangnam Cha Hospital, College of Medicine, Pochon Cha University, Seoul, Korea
6Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu, Korea
7Department of Obstetrics and Gynecology, East-West Neo Medical Center, Kyung Hee University, Seoul, Korea
8Quality of Cancer Care Branch, Research Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Gyeonggi, Korea

Tóm tắt

AbstractBACKGROUND.The purpose of this study was to identify problems related to long‐term quality of life (QOL) and sexual function in cervical cancer survivors.METHODS.The authors enrolled 860 women (median time since diagnosis, 5.86 years) with a history of cervical cancer (stage I to IVa) who had been treated at any of 6 hospitals from 1983 through 2004 and 494 control subjects selected randomly from a representative sample of Korean women. Subjects filled out a questionnaire that included the European Organization for Research and Treatment of Cancer (EORTC) QLQ‐C30, its Cervical Cancer Module, and additional sexual function items.RESULTS.Cervical cancer survivors had clinically significant worse problems with social functioning, constipation, diarrhea, and difficulties with their finances than controls (P < .01). Survivors also reported more severe lymphedema and menopausal symptoms and worse body image, sexual and/or vaginal functioning, and sexual worry (P < .01). Anxiety about sexual performance was more problematic in survivors than in controls (P < .01), as was dyspareunia for women who received radiotherapy (P < .01).CONCLUSIONS.These findings can increase the awareness of healthcare providers to the potential need for counseling and other interventions among women who have been successfully treated for cervical cancer and could help them improve their impaired QOL. Cancer 2007. © 2007 American Cancer Society.

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Cancer

Tập 110 Số 12

2716-2725

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