Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer
Identifieur interne : 001B34 ( Pmc/Curation ); précédent : 001B33; suivant : 001B35Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer
Auteurs : Satish B. Maddineni [Royaume-Uni] ; Maurice M. Lau [Royaume-Uni] ; Vijay K. Sangar [Royaume-Uni]Source :
- BMC Urology [ 1471-2490 ] ; 2009.
Abstract
Penile cancer is an uncommon malignancy with an incidence of 1 per 100,000. Conservative and radical treatments can be disfiguring and may have an impact on sexual function, quality of life (QOL), social interactions, self-image and self-esteem. Knowledge of how this disease affects patients is paramount to developing a global, multi-disciplinary approach to treatment.
A Medline/PubMed literature search was conducted using the terms "sexual function penis cancer"; "quality of life penis cancer" and "psychological effects penis cancer" from 1985 to 2008. Articles containing quantitative data on QOL, sexual function or psychological well-being were included.
128 patients from 6 studies were included. 5 studies contained retrospective data whilst 1 study collected prospective data on erectile function. In the 6 studies 13 different quantitative tools were used to assess psychological well-being, QOL and sexual function. The General Health Questionnaire (GHQ) showed impaired well-being in up to 40% in 2 studies. Patients undergoing more mutilating treatments were more likely to have impaired well-being. The Hospital Anxiety and Depression Score (HADS) demonstrated pathological anxiety up to 31% in 2 studies. 1 study used the Diagnostic and Statistical Manual of Mental Disorders of psychiatric illness (DSM III-R) with 53% exhibiting mental illness, 25% avoidance behaviour and 40% impaired well-being. 12/30 suffered from post-traumatic stress disorder. The IIEF-15 was the commonest tool used to assess sexual function. The results varied from 36% in 1 study with no sexual function to 67% in another reporting reduced sexual satisfaction to 78% in another reporting high confidence with erections.
The treatment of penile cancer results in negative effects on well-being in up to 40% with psychiatric symptoms in approximately 50%. Up to two-thirds of patients report a reduction in sexual function. This study demonstrates that penile cancer sufferers can exhibit significant psychological dysfunction, yet no standardised tools or interventional pathways are available. Therefore, there is a need to identify and assess adequate tools to measure psychological and sexual dysfunction in this group of patients.
Url:
DOI: 10.1186/1471-2490-9-8
PubMed: 19664235
PubMed Central: 2731105
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Lau</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, The Christie Hospital, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, The Christie Hospital, Manchester</wicri:regionArea></affiliation></author><author><name sortKey="Sangar, Vijay K" sort="Sangar, Vijay K" uniqKey="Sangar V" first="Vijay K" last="Sangar">Vijay K. Sangar</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, The Christie Hospital, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, The Christie Hospital, Manchester</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Urology, University Hospital of South Manchester, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, University Hospital of South Manchester, Manchester</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Division of Cancer Studies & Imaging, University of Manchester, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Division of Cancer Studies & Imaging, University of Manchester, Manchester</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19664235</idno><idno type="pmc">2731105</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2731105</idno><idno type="RBID">PMC:2731105</idno><idno type="doi">10.1186/1471-2490-9-8</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">001B35</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B35</idno><idno type="wicri:Area/Pmc/Curation">001B34</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B34</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer</title><author><name sortKey="Maddineni, Satish B" sort="Maddineni, Satish B" uniqKey="Maddineni S" first="Satish B" last="Maddineni">Satish B. Maddineni</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, The Christie Hospital, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, The Christie Hospital, Manchester</wicri:regionArea></affiliation></author><author><name sortKey="Lau, Maurice M" sort="Lau, Maurice M" uniqKey="Lau M" first="Maurice M" last="Lau">Maurice M. Lau</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, The Christie Hospital, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, The Christie Hospital, Manchester</wicri:regionArea></affiliation></author><author><name sortKey="Sangar, Vijay K" sort="Sangar, Vijay K" uniqKey="Sangar V" first="Vijay K" last="Sangar">Vijay K. Sangar</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, The Christie Hospital, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, The Christie Hospital, Manchester</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Urology, University Hospital of South Manchester, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Urology, University Hospital of South Manchester, Manchester</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Division of Cancer Studies & Imaging, University of Manchester, Manchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Division of Cancer Studies & Imaging, University of Manchester, Manchester</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Urology</title><idno type="eISSN">1471-2490</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Penile cancer is an uncommon malignancy with an incidence of 1 per 100,000. Conservative and radical treatments can be disfiguring and may have an impact on sexual function, quality of life (QOL), social interactions, self-image and self-esteem. Knowledge of how this disease affects patients is paramount to developing a global, multi-disciplinary approach to treatment.</p></sec><sec sec-type="methods"><title>Methods</title><p>A Medline/PubMed literature search was conducted using the terms "sexual function penis cancer"; "quality of life penis cancer" and "psychological effects penis cancer" from 1985 to 2008. Articles containing quantitative data on QOL, sexual function or psychological well-being were included.</p></sec><sec><title>Results</title><p>128 patients from 6 studies were included. 5 studies contained retrospective data whilst 1 study collected prospective data on erectile function. In the 6 studies 13 different quantitative tools were used to assess psychological well-being, QOL and sexual function. The General Health Questionnaire (GHQ) showed impaired well-being in up to 40% in 2 studies. Patients undergoing more mutilating treatments were more likely to have impaired well-being. The Hospital Anxiety and Depression Score (HADS) demonstrated pathological anxiety up to 31% in 2 studies. 1 study used the Diagnostic and Statistical Manual of Mental Disorders of psychiatric illness (DSM III-R) with 53% exhibiting mental illness, 25% avoidance behaviour and 40% impaired well-being. 12/30 suffered from post-traumatic stress disorder. The IIEF-15 was the commonest tool used to assess sexual function. The results varied from 36% in 1 study with no sexual function to 67% in another reporting reduced sexual satisfaction to 78% in another reporting high confidence with erections.</p></sec><sec><title>Conclusion</title><p>The treatment of penile cancer results in negative effects on well-being in up to 40% with psychiatric symptoms in approximately 50%. Up to two-thirds of patients report a reduction in sexual function. This study demonstrates that penile cancer sufferers can exhibit significant psychological dysfunction, yet no standardised tools or interventional pathways are available. Therefore, there is a need to identify and assess adequate tools to measure psychological and sexual dysfunction in this group of patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Urol</journal-id><journal-title>BMC Urology</journal-title><issn pub-type="epub">1471-2490</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19664235</article-id><article-id pub-id-type="pmc">2731105</article-id><article-id pub-id-type="publisher-id">1471-2490-9-8</article-id><article-id pub-id-type="doi">10.1186/1471-2490-9-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer</article-title></title-group><contrib-group><contrib id="A1" contrib-type="author"><name><surname>Maddineni</surname><given-names>Satish B</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>satishandsian@yahoo.co.uk</email></contrib><contrib id="A2" contrib-type="author"><name><surname>Lau</surname><given-names>Maurice M</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>Maurice.Lau@christie.nhs.uk</email></contrib><contrib id="A3" corresp="yes" contrib-type="author"><name><surname>Sangar</surname><given-names>Vijay K</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><xref ref-type="aff" rid="I3">3</xref><email>vijay.sangar@nhs.net</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Urology, The Christie Hospital, Manchester, UK</aff><aff id="I2"><label>2</label>Department of Urology, University Hospital of South Manchester, Manchester, UK</aff><aff id="I3"><label>3</label>Division of Cancer Studies & Imaging, University of Manchester, Manchester, UK</aff><pub-date pub-type="collection"><year>2009</year></pub-date><pub-date pub-type="epub"><day>8</day><month>8</month><year>2009</year></pub-date><volume>9</volume><fpage>8</fpage><lpage>8</lpage><ext-link ext-link-type="uri" xlink:href="http://www.biomedcentral.com/1471-2490/9/8"></ext-link><history><date date-type="received"><day>18</day><month>2</month><year>2009</year></date><date date-type="accepted"><day>8</day><month>8</month><year>2009</year></date></history><permissions><copyright-statement>Copyright © 2009 Maddineni et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2009</copyright-year><copyright-holder>Maddineni et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0"></ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p><pmc-comment>
Maddineni
B
Satish
satishandsian@yahoo.co.uk
Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer
2009 BMC Urology 9(1): 8-. (2009) 1471-2490(2009)9:1<8> urn:ISSN:1471-2490
</license></permissions><abstract><sec><title>Background</title><p>Penile cancer is an uncommon malignancy with an incidence of 1 per 100,000. Conservative and radical treatments can be disfiguring and may have an impact on sexual function, quality of life (QOL), social interactions, self-image and self-esteem. Knowledge of how this disease affects patients is paramount to developing a global, multi-disciplinary approach to treatment.</p></sec><sec sec-type="methods"><title>Methods</title><p>A Medline/PubMed literature search was conducted using the terms "sexual function penis cancer"; "quality of life penis cancer" and "psychological effects penis cancer" from 1985 to 2008. Articles containing quantitative data on QOL, sexual function or psychological well-being were included.</p></sec><sec><title>Results</title><p>128 patients from 6 studies were included. 5 studies contained retrospective data whilst 1 study collected prospective data on erectile function. In the 6 studies 13 different quantitative tools were used to assess psychological well-being, QOL and sexual function. The General Health Questionnaire (GHQ) showed impaired well-being in up to 40% in 2 studies. Patients undergoing more mutilating treatments were more likely to have impaired well-being. The Hospital Anxiety and Depression Score (HADS) demonstrated pathological anxiety up to 31% in 2 studies. 1 study used the Diagnostic and Statistical Manual of Mental Disorders of psychiatric illness (DSM III-R) with 53% exhibiting mental illness, 25% avoidance behaviour and 40% impaired well-being. 12/30 suffered from post-traumatic stress disorder. The IIEF-15 was the commonest tool used to assess sexual function. The results varied from 36% in 1 study with no sexual function to 67% in another reporting reduced sexual satisfaction to 78% in another reporting high confidence with erections.</p></sec><sec><title>Conclusion</title><p>The treatment of penile cancer results in negative effects on well-being in up to 40% with psychiatric symptoms in approximately 50%. Up to two-thirds of patients report a reduction in sexual function. This study demonstrates that penile cancer sufferers can exhibit significant psychological dysfunction, yet no standardised tools or interventional pathways are available. Therefore, there is a need to identify and assess adequate tools to measure psychological and sexual dysfunction in this group of patients.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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