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Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison Between Surgery and Radiotherapy as Primary Treatment.

Identifieur interne : 000270 ( PubMed/Checkpoint ); précédent : 000269; suivant : 000271

Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison Between Surgery and Radiotherapy as Primary Treatment.

Auteurs : Marloes Derks [Pays-Bas] ; Luc R C W. Van Lonkhuijzen ; Rinske M. Bakker ; Anne M. Stiggelbout ; Cornelis D. De Kroon ; Henrike Westerveld ; Jan Paul W R. Roovers ; Gemma G. Kenter ; Moniek M. Ter Kuile

Source :

RBID : pubmed:27984376

Abstract

To compare long-term morbidity and quality of life after primary surgery or primary radiotherapy for stage IB/II cervical cancer.

DOI: 10.1097/IGC.0000000000000880
PubMed: 27984376


Affiliations:


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pubmed:27984376

Le document en format XML

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<title xml:lang="en">Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison Between Surgery and Radiotherapy as Primary Treatment.</title>
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<name sortKey="Derks, Marloes" sort="Derks, Marloes" uniqKey="Derks M" first="Marloes" last="Derks">Marloes Derks</name>
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<nlm:affiliation>*Department of Gynaecologic Oncology, Academic Medical Center, Centre for Gynaecological Oncology, Amsterdam; †Department of Gynaecology, ‡Department of Medical Decision Making, Leiden University Medical Center, Leiden; §Department of Radiotherapy and ∥Department of Gynaecology, Academic Medical Center, Amsterdam, the Netherlands.</nlm:affiliation>
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<wicri:regionArea>*Department of Gynaecologic Oncology, Academic Medical Center, Centre for Gynaecological Oncology, Amsterdam; †Department of Gynaecology, ‡Department of Medical Decision Making, Leiden University Medical Center, Leiden; §Department of Radiotherapy and ∥Department of Gynaecology, Academic Medical Center, Amsterdam</wicri:regionArea>
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<name sortKey="Van Lonkhuijzen, Luc R C W" sort="Van Lonkhuijzen, Luc R C W" uniqKey="Van Lonkhuijzen L" first="Luc R C W" last="Van Lonkhuijzen">Luc R C W. Van Lonkhuijzen</name>
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<name sortKey="Stiggelbout, Anne M" sort="Stiggelbout, Anne M" uniqKey="Stiggelbout A" first="Anne M" last="Stiggelbout">Anne M. Stiggelbout</name>
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<name sortKey="De Kroon, Cornelis D" sort="De Kroon, Cornelis D" uniqKey="De Kroon C" first="Cornelis D" last="De Kroon">Cornelis D. De Kroon</name>
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<name sortKey="Roovers, Jan Paul W R" sort="Roovers, Jan Paul W R" uniqKey="Roovers J" first="Jan Paul W R" last="Roovers">Jan Paul W R. Roovers</name>
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<name sortKey="Kenter, Gemma G" sort="Kenter, Gemma G" uniqKey="Kenter G" first="Gemma G" last="Kenter">Gemma G. Kenter</name>
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<name sortKey="Ter Kuile, Moniek M" sort="Ter Kuile, Moniek M" uniqKey="Ter Kuile M" first="Moniek M" last="Ter Kuile">Moniek M. Ter Kuile</name>
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<title xml:lang="en">Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison Between Surgery and Radiotherapy as Primary Treatment.</title>
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<nlm:affiliation>*Department of Gynaecologic Oncology, Academic Medical Center, Centre for Gynaecological Oncology, Amsterdam; †Department of Gynaecology, ‡Department of Medical Decision Making, Leiden University Medical Center, Leiden; §Department of Radiotherapy and ∥Department of Gynaecology, Academic Medical Center, Amsterdam, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>*Department of Gynaecologic Oncology, Academic Medical Center, Centre for Gynaecological Oncology, Amsterdam; †Department of Gynaecology, ‡Department of Medical Decision Making, Leiden University Medical Center, Leiden; §Department of Radiotherapy and ∥Department of Gynaecology, Academic Medical Center, Amsterdam</wicri:regionArea>
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<name sortKey="Van Lonkhuijzen, Luc R C W" sort="Van Lonkhuijzen, Luc R C W" uniqKey="Van Lonkhuijzen L" first="Luc R C W" last="Van Lonkhuijzen">Luc R C W. Van Lonkhuijzen</name>
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<name sortKey="Bakker, Rinske M" sort="Bakker, Rinske M" uniqKey="Bakker R" first="Rinske M" last="Bakker">Rinske M. Bakker</name>
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<name sortKey="Stiggelbout, Anne M" sort="Stiggelbout, Anne M" uniqKey="Stiggelbout A" first="Anne M" last="Stiggelbout">Anne M. Stiggelbout</name>
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<name sortKey="De Kroon, Cornelis D" sort="De Kroon, Cornelis D" uniqKey="De Kroon C" first="Cornelis D" last="De Kroon">Cornelis D. De Kroon</name>
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<name sortKey="Westerveld, Henrike" sort="Westerveld, Henrike" uniqKey="Westerveld H" first="Henrike" last="Westerveld">Henrike Westerveld</name>
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<name sortKey="Roovers, Jan Paul W R" sort="Roovers, Jan Paul W R" uniqKey="Roovers J" first="Jan Paul W R" last="Roovers">Jan Paul W R. Roovers</name>
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<name sortKey="Kenter, Gemma G" sort="Kenter, Gemma G" uniqKey="Kenter G" first="Gemma G" last="Kenter">Gemma G. Kenter</name>
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<name sortKey="Ter Kuile, Moniek M" sort="Ter Kuile, Moniek M" uniqKey="Ter Kuile M" first="Moniek M" last="Ter Kuile">Moniek M. Ter Kuile</name>
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<title level="j">International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</title>
<idno type="eISSN">1525-1438</idno>
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<date when="2017" type="published">2017</date>
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<div type="abstract" xml:lang="en">To compare long-term morbidity and quality of life after primary surgery or primary radiotherapy for stage IB/II cervical cancer.</div>
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<Year>2016</Year>
<Month>12</Month>
<Day>16</Day>
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<DateRevised>
<Year>2017</Year>
<Month>01</Month>
<Day>23</Day>
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<ISSN IssnType="Electronic">1525-1438</ISSN>
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<Volume>27</Volume>
<Issue>2</Issue>
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<Year>2017</Year>
<Month>Feb</Month>
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<Title>International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</Title>
<ISOAbbreviation>Int. J. Gynecol. Cancer</ISOAbbreviation>
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<ArticleTitle>Long-Term Morbidity and Quality of Life in Cervical Cancer Survivors: A Multicenter Comparison Between Surgery and Radiotherapy as Primary Treatment.</ArticleTitle>
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<MedlinePgn>350-356</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare long-term morbidity and quality of life after primary surgery or primary radiotherapy for stage IB/II cervical cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional study was performed. Patients treated for stage IB/II cervical cancer between 2000 and 2010 were approached to participate. Primary treatment consisted of radical hysterectomy with pelvic lymphadenectomy (RHL), for selected cases followed by adjuvant (chemo-)radiotherapy, or primary (chemo)radiotherapy (PRT). European Organization for Research and Treatment of Cancer-C30 and European Organization for Research and Treatment of Cancer-CX24 questionnaires were administered. A multivariable analysis was performed to identify factors associated with morbidity/quality of life. In a subgroup analysis, we compared patients with RHL + adjuvant radiotherapy with those after PRT.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three hundred twenty-three cervical cancer survivors were included (263 RHL/60 PRT). In the PRT group, International Federation of Gynecology and Obstetrics stage was higher and women were older. In the RHL group, more women had a partner. Women treated with PRT reported lower physical (β, -6.01) and social functioning (β, -15.2), more financial problems (β, 10.9), diarrhea (β, 9.98), symptom experience (β, 6.13), sexual worry (β, 11.3), and worse sexual/vaginal functioning (β, 11.4). Women treated with RHL reported significantly more lymphedema (β, -16.1). No differences in global health were found. In the subgroup analysis, women after PRT (n = 60) reported poorer social functioning, less sexual enjoyment, and higher symptoms experience than women after RHL and adjuvant radiotherapy (n = 60). The latter reported more lymphedema.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Although global health scores are not significantly different, women after PRT report more physical, social, and sexual symptoms. These results can be well used by physicians to inform their patients about treatment-related morbidity.</AbstractText>
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<Affiliation>*Department of Gynaecologic Oncology, Academic Medical Center, Centre for Gynaecological Oncology, Amsterdam; †Department of Gynaecology, ‡Department of Medical Decision Making, Leiden University Medical Center, Leiden; §Department of Radiotherapy and ∥Department of Gynaecology, Academic Medical Center, Amsterdam, the Netherlands.</Affiliation>
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