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Patient-rating of d...
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Bergmark, KarinKarolinska Institutet
(författare)
Patient-rating of distressful symptoms after treatment for early cervical cancer.
- Artikel/kapitelEngelska2002
Förlag, utgivningsår, omfång ...
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2002-05-16
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John Wiley & Sons,2002
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-113934
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-113934URI
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https://doi.org/10.1034/j.1600-0412.2002.810512.xDOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:1936489URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: More refined information on sources of symptom-induced distress in a patient population can improve the quality of pretreatment information, make follow-up visits more efficient and guide research priorities in the efforts to modify treatments.METHODS: In a population-based epidemiological study covering all of Sweden, data were collected 1996-97 by means of an anonymous postal questionnaire. We attempted to enroll all 332 patients with stage IB-IIA cervical cancer registered in 1991-92 at the seven departments of gynecological oncology in Sweden.RESULTS: A total of 256 cases (77%) completed the questionnaire. After surgery, alone or in combination with intracavitary radiotherapy, several symptoms related to sexual dysfunction are the primary sources of symptom-induced distress (reduced orgasm frequency: much distress 23% (surgery alone) and 23% (intracavitary radiotherapy and surgery), respectively, overall intercourse dysfunction: much distress 17% and 20%, respectively, followed by lymphedema (much distress 14% and 14%, respectively). Dyspareunia (much distress 24%) and defecation urgency (much distress 22%) are two leading causes of distress after surgery and external radiotherapy. After treatment with radiotherapy alone, loose stool and dyspareunia were the two most distressful symptoms (much distress 19% each). When a symptom occurs, fecal leakage and reduced orgasm frequency are the two most distressful ones (measured as much distress, 38% each).CONCLUSIONS: The observed symptoms are distressful and should, if one focuses on patient satisfaction, be given priority.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Åvall-Lundqvist, ElisabethKarolinska Institutet,Linköpings universitet,Avdelningen för kliniska vetenskaper,Hälsouniversitetet,Department of Oncology, Gynecological Oncology, Karolinska Institutet, Stockholm Sweden(Swepub:liu)eliav51
(författare)
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Dickman, Paul WKarolinska Institutet
(författare)
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Henningsohn, LarsKarolinska Institutet
(författare)
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Steineck, GunnarKarolinska Institutet
(författare)
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Karolinska InstitutetAvdelningen för kliniska vetenskaper
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Acta Obstetricia et Gynecologica Scandinavica: John Wiley & Sons81:5, s. 443-4500001-63491600-0412
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