Vulvar cancer patients' quality of life: a qualitative assessment
| Autor: | Andreas Obermair, David Cella, Monika Janda, Alex J. Crandon, Michael Trimmel |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Employment
medicine.medical_specialty Psychometrics Emotions Pain Vulva Patient Education as Topic Quality of life Body Image Humans Medicine Prospective Studies Prospective cohort study Aged Aged 80 and over Vulvar neoplasm Vulvar Neoplasms Groin business.industry Age Factors Social Support Obstetrics and Gynecology Middle Aged Vulvar cancer medicine.disease Lymphedema medicine.anatomical_structure Oncology Quality of Life Physical therapy Female business Sexuality Chemoradiotherapy |
| Zdroj: | International Journal of Gynecological Cancer. 14:875-881 |
| ISSN: | 1525-1438 1048-891X |
| DOI: | 10.1111/j.1048-891x.2004.14524.x |
| Popis: | To develop a vulvar cancer-specific quality of life (QOL) subscale to accompany the Functional Assessment of Cancer–General (FACT-G) questionnaire, semistructured interviews were performed with 15 patients treated for vulvar cancer (FIGO stage 0–3). All but one patient, who received chemoradiotherapy, were treated by radical vulvectomy and six patients received a groin lymph node dissection. Patients experienced reductions in several aspects of QOL including emotional functioning, physical functioning, social functioning, sexuality, and body image. Six patients suffered from lymphedema of the legs with a mean severity of 3.5 on a 10-point scale. Four patients reported pruritus (severity rating 8.5). Seven patients expressed a need for more information about the illness and treatment. Only four patients returned to employment after treatment, and all of these patients reported work-related problems. Reductions in sexual functioning were a major concern for five patients, all younger than 65 years. Other topics were groin discomfort after removal of the lymph nodes and disturbance by odor from the vulva. Results of this study revealed vulvar cancer-specific reductions in QOL for inclusion in the newly developed vulvar cancer-specific subscale. |
| Databáze: | OpenAIRE |
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