Impact of cervical cancer on quality of life: beyond the short term (Results from a single institution)
Identifieur interne : 001C76 ( Main/Exploration ); précédent : 001C75; suivant : 001C77Impact of cervical cancer on quality of life: beyond the short term (Results from a single institution)
Auteurs : J. Khalil [Maroc] ; S. Bellefqih [Maroc] ; N. Sahli [Maroc] ; M. Afif [Maroc] ; H. Elkacemi [Maroc] ; S. Elmajjaoui [Maroc] ; T. Kebdani [Maroc] ; N. Benjaafar [Maroc]Source :
- Gynecologic Oncology Research and Practice [ 2053-6844 ] ; 2015.
Abstract
Cervical cancer (CC) is one of the most widespread gynecological malignancies in women worldwide. Treatment strategies and screening modalities have largely evolved these past years resulting in an improvement of survival. However, treatment modalities are associated with long term side effects that significantly impacts quality of life (QOL) in cervical cancer survivors. The aim of this study is to evaluate QOL (General and sexual QOL) in cervical cancer survivors up to 10 years after the diagnosis.
In a cross-sectional descriptive study design, 110 cervical cancer survivors (CCS) and 80 healthy controls completed questionnaires assessing QOL.
Participants were Arabic White, sexually active. The mean age at diagnosis was 34 years and was 43 years at the time of the interview. In our series long term CCS have generally a good global QOL comparable with healthy controls. However, issues concerning emotional functioning were over expressed by CCS. As to the sexual impact of cervical cancer; CCS experienced less sexual functioning and enjoyment and less satisfaction with their body image when compared to healthy controls.
In a multivariate analysis, spiritual well-being and social support were the predictor factors that statistically affected QOL among the studied cohort, it accounted for 81 % of the variance in QOL scores.
A better understanding of the complexity of the relationship between QOL and cervical cancer sequelae in one hand and socio-demographic factors in the other hand is necessary to improve QOL among cervical cancer survivors. More efforts should make to inform disease free patients about expected side effects and symptoms to face the physical changes that would affect their QOL and sexual activity.
Url:
DOI: 10.1186/s40661-015-0011-4
PubMed: 27231567
PubMed Central: 4880873
Affiliations:
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Afif</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Elkacemi, H" sort="Elkacemi, H" uniqKey="Elkacemi H" first="H." last="Elkacemi">H. 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Elmajjaoui</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Kebdani, T" sort="Kebdani, T" uniqKey="Kebdani T" first="T." last="Kebdani">T. Kebdani</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Benjaafar, N" sort="Benjaafar, N" uniqKey="Benjaafar N" first="N." last="Benjaafar">N. Benjaafar</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27231567</idno><idno type="pmc">4880873</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4880873</idno><idno type="RBID">PMC:4880873</idno><idno type="doi">10.1186/s40661-015-0011-4</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000A42</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A42</idno><idno type="wicri:Area/Pmc/Curation">000A41</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000A41</idno><idno type="wicri:Area/Pmc/Checkpoint">001181</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001181</idno><idno type="wicri:Area/Ncbi/Merge">008344</idno><idno type="wicri:Area/Ncbi/Curation">008344</idno><idno type="wicri:Area/Ncbi/Checkpoint">008344</idno><idno type="wicri:Area/Main/Merge">001C79</idno><idno type="wicri:Area/Main/Curation">001C76</idno><idno type="wicri:Area/Main/Exploration">001C76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Impact of cervical cancer on quality of life: beyond the short term (Results from a single institution)</title><author><name sortKey="Khalil, J" sort="Khalil, J" uniqKey="Khalil J" first="J." last="Khalil">J. Khalil</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Bellefqih, S" sort="Bellefqih, S" uniqKey="Bellefqih S" first="S." last="Bellefqih">S. Bellefqih</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Sahli, N" sort="Sahli, N" uniqKey="Sahli N" first="N." last="Sahli">N. Sahli</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Afif, M" sort="Afif, M" uniqKey="Afif M" first="M." last="Afif">M. Afif</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Elkacemi, H" sort="Elkacemi, H" uniqKey="Elkacemi H" first="H." last="Elkacemi">H. Elkacemi</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Elmajjaoui, S" sort="Elmajjaoui, S" uniqKey="Elmajjaoui S" first="S." last="Elmajjaoui">S. Elmajjaoui</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Kebdani, T" sort="Kebdani, T" uniqKey="Kebdani T" first="T." last="Kebdani">T. Kebdani</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Benjaafar, N" sort="Benjaafar, N" uniqKey="Benjaafar N" first="N." last="Benjaafar">N. Benjaafar</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National cancer Institute, Mohamed V University, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>National cancer Institute, Mohamed V University, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author></analytic><series><title level="j">Gynecologic Oncology Research and Practice</title><idno type="eISSN">2053-6844</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Cervical cancer (CC) is one of the most widespread gynecological malignancies in women worldwide. Treatment strategies and screening modalities have largely evolved these past years resulting in an improvement of survival. However, treatment modalities are associated with long term side effects that significantly impacts quality of life (QOL) in cervical cancer survivors. The aim of this study is to evaluate QOL (General and sexual QOL) in cervical cancer survivors up to 10 years after the diagnosis.</p></sec><sec><title>Material and methods</title><p>In a cross-sectional descriptive study design, 110 cervical cancer survivors (CCS) and 80 healthy controls completed questionnaires assessing QOL.</p></sec><sec><title>Results</title><p>Participants were Arabic White, sexually active. The mean age at diagnosis was 34 years and was 43 years at the time of the interview. In our series long term CCS have generally a good global QOL comparable with healthy controls. However, issues concerning emotional functioning were over expressed by CCS. As to the sexual impact of cervical cancer; CCS experienced less sexual functioning and enjoyment and less satisfaction with their body image when compared to healthy controls.</p><p>In a multivariate analysis, spiritual well-being and social support were the predictor factors that statistically affected QOL among the studied cohort, it accounted for 81 % of the variance in QOL scores.</p></sec><sec><title>Conclusions</title><p>A better understanding of the complexity of the relationship between QOL and cervical cancer sequelae in one hand and socio-demographic factors in the other hand is necessary to improve QOL among cervical cancer survivors. More efforts should make to inform disease free patients about expected side effects and symptoms to face the physical changes that would affect their QOL and sexual activity.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Naishadham, D" uniqKey="Naishadham D">D Naishadham</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horner, Mj" uniqKey="Horner M">MJ Horner</name></author><author><name sortKey="Ries, Lag" uniqKey="Ries L">LAG Ries</name></author><author><name sortKey="Krapcho, M" uniqKey="Krapcho M">M Krapcho</name></author><author><name sortKey="Neyman, N" uniqKey="Neyman N">N Neyman</name></author><author><name sortKey="Aminou, R" uniqKey="Aminou R">R Aminou</name></author><author><name sortKey="Howlader, N" uniqKey="Howlader N">N 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Mantegna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ream, E" uniqKey="Ream E">E Ream</name></author><author><name sortKey="Richardson, A" uniqKey="Richardson A">A Richardson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Maroc</li></country><region><li>Rabat-Salé-Kénitra</li></region><settlement><li>Rabat</li></settlement></list><tree><country name="Maroc"><region name="Rabat-Salé-Kénitra"><name sortKey="Khalil, J" sort="Khalil, J" uniqKey="Khalil J" first="J." last="Khalil">J. Khalil</name></region><name sortKey="Afif, M" sort="Afif, M" uniqKey="Afif M" first="M." last="Afif">M. Afif</name><name sortKey="Bellefqih, S" sort="Bellefqih, S" uniqKey="Bellefqih S" first="S." last="Bellefqih">S. Bellefqih</name><name sortKey="Benjaafar, N" sort="Benjaafar, N" uniqKey="Benjaafar N" first="N." last="Benjaafar">N. Benjaafar</name><name sortKey="Elkacemi, H" sort="Elkacemi, H" uniqKey="Elkacemi H" first="H." last="Elkacemi">H. Elkacemi</name><name sortKey="Elmajjaoui, S" sort="Elmajjaoui, S" uniqKey="Elmajjaoui S" first="S." last="Elmajjaoui">S. Elmajjaoui</name><name sortKey="Kebdani, T" sort="Kebdani, T" uniqKey="Kebdani T" first="T." last="Kebdani">T. Kebdani</name><name sortKey="Sahli, N" sort="Sahli, N" uniqKey="Sahli N" first="N." last="Sahli">N. Sahli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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