Sexual health-a topic for cancer patients receiving oncological treatment with palliative intent.

Autor: Schmalz C; Department for Radiation Oncology, University Clinic Schleswig Holstein, Campus Kiel, Arnold-Heller Str. 3, Kiel, 24105, Germany. claudia.schmalz@uksh.de., Oberguggenberger AS; Medical University of Innsbruck, Innsbruck, Austria., Nagele E; Medical University of Graz, Graz, Austria., Bliem B; Medical University of Graz, Graz, Austria., Lanceley A; University College London, London, UK., Nordin A; East Kent Gynaecological Oncology Centre, Elizabeth the Queen Mother Hospital, Margate Kent, Queen, CT94AN, UK., Kuljanic K; Clinical University Hospital Centre Rijeka, Rijeka, Croatia., Jensen PT; Department of Gynecology, Aarhus University Hospital, Aarhus, Denmark., Bjelic-Radisic V; Helios University Clinic, University Witten/Herdecke, Wuppertal, Germany., Fabian A; Department for Radiation Oncology, University Clinic Schleswig Holstein, Campus Kiel, Arnold-Heller Str. 3, Kiel, 24105, Germany., Arraras JI; Complejo Hospitalario de Navarra, Pamplona, Spain., Wei-Chu C; Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, 100, Taiwan., Creutzberg CL; Department of Radiation Oncology, Leiden University Medical Center, Leiden, Netherlands., Galalae R; Department for Radiation Oncology, Klinikum Bremerhaven, Bremerhaven, Germany., Toelen H; University Hospitals Leuven, UZ Campus Gasthuisberg, Louvain, Belgium., Zimmermann K; Bundeswehrzentralkrankenhaus Koblenz, Klinik Für Urologie, Koblenz, Germany., Costantini A; Psychoncology Unit, Sant'Andrea Universitary Hospital, Rome, Italy., Almont T; Institut Universitaire du Cancer, Toulouse, France., Serpentini S; Veneto Institute of Oncology IOV - IRCCS, Padua, Italy., Frøding LP; Department of Gynecology, Copenhagen University Hospital, Copenhagen, Denmark., Vistad I; Sørlandet Hospital, Kristiansand, Norway., Tomaszewski KA; Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krako´W University, Krako´W, Poland., Inwald E; University Medical Center Regensburg, Regensburg, Germany., Greimel E; Medical University of Graz, Graz, Austria.
Jazyk: angličtina
Zdroj: BMC palliative care [BMC Palliat Care] 2024 Jul 29; Vol. 23 (1), pp. 189. Date of Electronic Publication: 2024 Jul 29.
DOI: 10.1186/s12904-024-01513-4
Abstrakt: Objectives: Sexuality is an important dimension of health-related quality of life (HRQOL) in cancer patients. Studies evidence that most patients report impairments of their sexual health related to their disease or its treatment. The Quality of Life Group of the European Organization for the Research and Treatment of Cancer (EORTC) developed a patient reported outcome measure assessing multidimensional aspects of sexual health. The validation study for this instrument revealed heterogenous results for patients in palliative oncological treatment. The aim of this secondary analyses is to examine differences in patient related sexual health outcomes between palliative patients with good performance status (GPS) and those with poor performance status (PPS).
Methods: In this observational cohort study, self-reported sexual health issue scores were compared between the two groups of patients in palliative oncological treatment with GPS vs PPS status.
Results: Patients with GPS experienced significantly more sexual satisfaction than patients with PPS (p = 0.015). They reported significantly more treatment effects on their sexual activity (p = 0.005) and suffer more from decreased libido (p = 0.008). Patients with PPS reported significantly more fatigue (p = 0.03) and regarded preservation of sexual activity of higher importance than did patients with GPS (p = 0.049).
Conclusions: Our study demonstrates the importance of sexuality for patients in palliative oncological treatment, especially for those with limited performance status. Considering the patients´ perspective, sexual health reaches beyond physical functioning. Patients in a palliative phase of disease report high levels of psychosexual problems while sexual performance deteriorates. Sexuality is an important aspect of HRQOL for these patients, needs to be addressed by health care providers and sensitively integrated into palliative care plans.
(© 2024. The Author(s).)
Databáze: MEDLINE
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