A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
Identifieur interne : 005122 ( Main/Exploration ); précédent : 005121; suivant : 005123A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
Auteurs : Ingvild Vistad [Norvège] ; Milada Cvancarova [Norvège] ; Gunnar Balle Kristensen [Norvège] ; Sophie Dorothea Foss [Norvège]Source :
- Journal of Cancer Survivorship [ 1932-2259 ] ; 2011.
Abstract
Chronic pelvic pain (persisting pain in hips, groins or lower back) is poorly described in studies of cervical cancer survivors (CCSs). The aims of this study were to describe chronic pelvic pain and associated variables in CCSs surveyed >5 years post-radiotherapy, and to compare the presence of pain in hips and lower back in CCSs with findings in the general female population.
Ninety-one CCSs treated with radiotherapy between 1994 and 1999 were in 2005 included in a cross-sectional questionnaire-based study. They were asked about demographic variables, clinical symptoms, mental distress, and quality of life (QOL). Normative data (NORM) were collected from a population-study of Norwegian females.
Pain in lower back and hips was significantly more prevalent (
CCSs have a higher prevalence of pain in lower back and hips than women in the general population, which might be due to late effects of radiation. 35/92 (38%) of the CCSs suffer from chronic pelvic pain, shown to be associated with high overall mental and somatic morbidity.
Evaluation and management of pelvic pain is important in follow-up of CCSs treated with radiotherapy.
Url:
DOI: 10.1007/s11764-011-0172-z
PubMed: 21259075
PubMed Central: 3096775
Affiliations:
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cancer</title><author><name sortKey="Vistad, Ingvild" sort="Vistad, Ingvild" uniqKey="Vistad I" first="Ingvild" last="Vistad">Ingvild Vistad</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynaecology, Sorlandet Hospital HF, Service Box 416, 4604 Kristiansand, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Gynaecology, Sorlandet Hospital HF, Service Box 416, 4604 Kristiansand</wicri:regionArea><wicri:noRegion>4604 Kristiansand</wicri:noRegion></affiliation></author><author><name sortKey="Cvancarova, Milada" sort="Cvancarova, Milada" uniqKey="Cvancarova M" first="Milada" last="Cvancarova">Milada Cvancarova</name><affiliation wicri:level="3"><nlm:aff id="Aff2">National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Kristensen, Gunnar Balle" sort="Kristensen, Gunnar Balle" uniqKey="Kristensen G" first="Gunnar Balle" last="Kristensen">Gunnar Balle Kristensen</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Gynaecological Oncology, the Radium Hospital, Oslo University Hospital, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Gynaecological Oncology, the Radium Hospital, Oslo University Hospital, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5">Department of Medical Informatics, the Radium Hospital, Oslo University Hospital, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Medical Informatics, the Radium Hospital, Oslo University Hospital, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Foss, Sophie Dorothea" sort="Foss, Sophie Dorothea" uniqKey="Foss S" first="Sophie Dorothea" last="Foss">Sophie Dorothea Foss</name><affiliation wicri:level="3"><nlm:aff id="Aff2">National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Cancer Survivorship</title><idno type="ISSN">1932-2259</idno><idno type="eISSN">1932-2267</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Chronic pelvic pain (persisting pain in hips, groins or lower back) is poorly described in studies of cervical cancer survivors (CCSs). The aims of this study were to describe chronic pelvic pain and associated variables in CCSs surveyed >5 years post-radiotherapy, and to compare the presence of pain in hips and lower back in CCSs with findings in the general female population.</p></sec><sec><title>Methods</title><p>Ninety-one CCSs treated with radiotherapy between 1994 and 1999 were in 2005 included in a cross-sectional questionnaire-based study. They were asked about demographic variables, clinical symptoms, mental distress, and quality of life (QOL). Normative data (NORM) were collected from a population-study of Norwegian females.</p></sec><sec><title>Results</title><p>Pain in lower back and hips was significantly more prevalent (<italic>p</italic> < .001) in CCSs compared to NORMs. 35/92 (38%) of the CCSs had chronic pelvic pain. These women had significantly lower QOL, higher levels of anxiety and depression and more bladder and intestinal problems than those without chronic pelvic pain. In a multivariable regression model, use of analgesics and intestinal and bladder problems were significantly associated with chronic pelvic pain in the CCSs.</p></sec><sec><title>Conclusions</title><p>CCSs have a higher prevalence of pain in lower back and hips than women in the general population, which might be due to late effects of radiation. 35/92 (38%) of the CCSs suffer from chronic pelvic pain, shown to be associated with high overall mental and somatic morbidity.</p></sec><sec><title>Implications for Cancer Survivors</title><p>Evaluation and management of pelvic pain is important in follow-up of CCSs treated with radiotherapy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Levy, Mh" uniqKey="Levy M">MH Levy</name></author><author><name sortKey="Chwistek, M" uniqKey="Chwistek M">M Chwistek</name></author><author><name sortKey="Mehta, Rs" uniqKey="Mehta R">RS 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Vujaskovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reyes Gibby, Cc" uniqKey="Reyes Gibby C">CC Reyes-Gibby</name></author><author><name sortKey="Wu, X" uniqKey="Wu X">X Wu</name></author><author><name sortKey="Spitz, M" uniqKey="Spitz M">M Spitz</name></author><author><name sortKey="Kurzrock, R" uniqKey="Kurzrock R">R Kurzrock</name></author><author><name sortKey="Fisch, M" uniqKey="Fisch M">M Fisch</name></author><author><name sortKey="Bruera, E" uniqKey="Bruera E">E Bruera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Casso, D" uniqKey="Casso D">D Casso</name></author><author><name sortKey="Buist, Ds" uniqKey="Buist D">DS Buist</name></author><author><name sortKey="Taplin, S" uniqKey="Taplin S">S Taplin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dow, Kh" uniqKey="Dow K">KH Dow</name></author><author><name sortKey="Ferrell, Br" uniqKey="Ferrell B">BR Ferrell</name></author><author><name sortKey="Leigh, S" uniqKey="Leigh S">S Leigh</name></author><author><name sortKey="Ly, J" uniqKey="Ly J">J Ly</name></author><author><name sortKey="Gulasekaram, P" uniqKey="Gulasekaram P">P Gulasekaram</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, Mj" uniqKey="Sullivan M">MJ Sullivan</name></author><author><name sortKey="Lynch, Me" uniqKey="Lynch M">ME Lynch</name></author><author><name sortKey="Clark, Aj" uniqKey="Clark A">AJ Clark</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><noRegion><name sortKey="Vistad, Ingvild" sort="Vistad, Ingvild" uniqKey="Vistad I" first="Ingvild" last="Vistad">Ingvild Vistad</name></noRegion><name sortKey="Cvancarova, Milada" sort="Cvancarova, Milada" uniqKey="Cvancarova M" first="Milada" last="Cvancarova">Milada Cvancarova</name><name sortKey="Cvancarova, Milada" sort="Cvancarova, Milada" uniqKey="Cvancarova M" first="Milada" last="Cvancarova">Milada Cvancarova</name><name sortKey="Foss, Sophie Dorothea" sort="Foss, Sophie Dorothea" uniqKey="Foss S" first="Sophie Dorothea" last="Foss">Sophie Dorothea Foss</name><name sortKey="Foss, Sophie Dorothea" sort="Foss, Sophie Dorothea" uniqKey="Foss S" first="Sophie Dorothea" last="Foss">Sophie Dorothea Foss</name><name sortKey="Kristensen, Gunnar Balle" sort="Kristensen, Gunnar Balle" uniqKey="Kristensen G" first="Gunnar Balle" last="Kristensen">Gunnar Balle Kristensen</name><name sortKey="Kristensen, Gunnar Balle" sort="Kristensen, Gunnar Balle" uniqKey="Kristensen G" first="Gunnar Balle" last="Kristensen">Gunnar Balle Kristensen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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