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Patient-rating of distressful symptoms after treatment for early cervical cancer.
Department of Oncology, Gynecological Oncology, Clinical Cancer Epidemiology, Karolinska Institutet PO Box 4402 S-102 68 Stockholm Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Department of Oncology, Gynecological Oncology, Karolinska Institutet, Stockholm Sweden.
Department of Oncology, Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden.
Department of Oncology, Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden / Department of Urology, Huddinge Hospital, Stockholm, Sweden.
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2002 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 81, no 5, 443-450 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2002. Vol. 81, no 5, 443-450 p.
Keyword [en]
Bowel dysfunction; Cervical cancer; Sexual dysfunction, lymphedema; Urinary dysfunction
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-113934DOI: 10.1034/j.1600-0412.2002.810512.xISI: 000175698400012PubMedID: 12027819Scopus ID: 2-s2.0-0036097517OAI: oai:DiVA.org:liu-113934DiVA: diva2:785731
Available from: 2015-02-03 Created: 2015-02-03 Last updated: 2017-04-20Bibliographically approved

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Åvall-Lundqvist, Elisabeth

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