Unmet needs in sexual health in bladder cancer patients : a systematic review of the evidence
Autor: | Anna Haire, Suzanne Amery, Margaret Northover, Mieke Van Hemelrijck, Pardeep Kumar, Harriet Wylie, Saran Green, Deborah Enting, Karen Briggs, Kathryn Chatterton, Sachin Malde, Rebecca Martin, Fidelma Cahill, Muhammad Shamim Khan, Rajesh R. Nair, Agustina Bessa, Samantha Broadhead, Ramesh Thurairaja, Christel Häggström |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Sexual health Urology media_common.quotation_subject Health-related quality of life 030232 urology & nephrology MEDLINE Orgasm lcsh:RC870-923 03 medical and health sciences Mental wellbeing 0302 clinical medicine Urologi och njurmedicin medicine Humans Urology and Nephrology Sex organ media_common Reproductive health Aged Aged 80 and over Health Services Needs and Demand Bladder cancer business.industry General Medicine Middle Aged medicine.disease lcsh:Diseases of the genitourinary system. Urology Sexual Dysfunction Physiological Radical cystectomy Systematic review Sexual dysfunction Reproductive Medicine Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Family medicine Female medicine.symptom business Research Article |
Zdroj: | BMC Urology BMC Urology, Vol 20, Iss 1, Pp 1-16 (2020) |
Popis: | Background Bladder cancer (BC) treatment can have a detrimental effect on the sexual organs of patients and yet assessment of sexual health needs has been greatly overlooked for these patients compared to those who have undergone other cancer therapies. Methods This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines in July 2019. Studies were identified by conducting searches for Medline (using the PubMed interface), the Cochrane Central Register of Controlled Trials (CENTRAL) and Ovid Gateway (Embase and Ovid) using a list of defined search terms. Results 15 out of 37 studies included men only, 10 studies women only and 11 both sexes. Most participants were aged 50 to 65 years. Most studies (n = 34) focused on muscle invasive BC and only three on non-muscle invasive BC. Measurements of sexual dysfunction, including erection, ejaculation, firmness and desire, were the most commonly used measurements to report sexual health in men. In women, lubrification/dryness, desire, orgasm and dyspareunia were the most commonly reported. Twenty-one studies evaluated sexual dysfunction based on validated questionnaires, two with a non-validated questionnaire and through interviewing participants. Conclusion While recognition of the importance of the inclusion of psychometric measurements to assess sexual health is growing, there is a lack of consistent measures to assess sexual health in BC. With the focus on QoL arising in cancer survivorship, further studies are needed to develop, standardize and implement use of sexual health questionnaires with appropriate psychometrics and social measures to evaluate QoL in BC patients. Trial registration “PROSPERO does not currently accept registrations for scoping reviews, literature reviews or mapping reviews. PROSPERO is therefore unable to accept your application or provide a registration number. This decision should not stop you from submitting your project for publication to a journal.” |
Databáze: | OpenAIRE |
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