Patient-rating of distressful symptoms after treatment for early cervical cancer.

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Bergmark, KarinKarolinska Institutet (author)

Patient-rating of distressful symptoms after treatment for early cervical cancer.

Article/chapterEnglish2002

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2002-05-16
John Wiley & Sons,2002
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:liu-113934
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-113934URI
https://doi.org/10.1034/j.1600-0412.2002.810512.xDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:1936489URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Bowel dysfunction; Cervical cancer; Sexual dysfunction
lymphedema; Urinary dysfunction

Added entries (persons, corporate bodies, meetings, titles ...)

Åvall-Lundqvist, ElisabethKarolinska Institutet,Linköpings universitet,Avdelningen för kliniska vetenskaper,Hälsouniversitetet,Department of Oncology, Gynecological Oncology, Karolinska Institutet, Stockholm Sweden(Swepub:liu)eliav51 (author)
Dickman, Paul WKarolinska Institutet (author)
Henningsohn, LarsKarolinska Institutet (author)
Steineck, GunnarKarolinska Institutet (author)
Karolinska InstitutetAvdelningen för kliniska vetenskaper (creator_code:org_t)

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In:Acta Obstetricia et Gynecologica Scandinavica: John Wiley & Sons81:5, s. 443-4500001-63491600-0412

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By the author/editor: Bergmark, Karin; Åvall-Lundqvist, ...; Dickman, Paul W; Henningsohn, Lar ...; Steineck, Gunnar

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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By the university: Linköping University; Karolinska Institutet

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