Needs and priorities of women with endometrial and cervical cancer

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Needs and priorities of women with endometrial and cervical cancer. / Jeppesen, Mette Moustgaard; Mogensen, Ole; Dehn, Pernille; Jensen, Pernille Tine.

I: Journal of Psychosomatic Obstetrics and Gynecology, Bind 36, Nr. 3, 2015, s. 122-32.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Jeppesen, MM, Mogensen, O, Dehn, P & Jensen, PT 2015, 'Needs and priorities of women with endometrial and cervical cancer', Journal of Psychosomatic Obstetrics and Gynecology, bind 36, nr. 3, s. 122-32. https://doi.org/10.3109/0167482X.2015.1059417

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MLA

Jeppesen, Mette Moustgaard o.a.. "Needs and priorities of women with endometrial and cervical cancer". Journal of Psychosomatic Obstetrics and Gynecology. 2015, 36(3). 122-32. https://doi.org/10.3109/0167482X.2015.1059417

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Jeppesen, Mette Moustgaard ; Mogensen, Ole ; Dehn, Pernille ; Jensen, Pernille Tine. / Needs and priorities of women with endometrial and cervical cancer. I: Journal of Psychosomatic Obstetrics and Gynecology. 2015 ; Bind 36, Nr. 3. s. 122-32.

Bibtex

@article{b12a237708364a47b6bf2dde987eb086,
title = "Needs and priorities of women with endometrial and cervical cancer",
abstract = "INTRODUCTION: Rehabilitation after cancer is important, and efficient rehabilitation requires knowledge of patient's needs. This study aimed to identify short-term rehabilitation needs of women with endometrial and cervical cancer.METHODS: Ninety-six women (82.6%) were included in an exploratory questionnaire study from Odense University Hospital from September 2011 to March 2012. Needs were assessed pre-treatment and 3 months later using the three-levels-of-needs questionnaire. Furthermore, 16 women participated in focus group interviews following the treatment. The interviews were audio-recorded, transcribed verbatim and analyzed thematically.RESULTS: Forty-four of the included women were diagnosed with cervical cancer (median age 45 years). Of these, 22 had FIGO-stage 1 disease (50%) and 23 received radiation therapy (52.3%). The remaining 52 women (median age 66.5 years) were diagnosed with endometrial cancer. Of these, 38 had FIGO-stage 1 disease (73.1%) and 25 were treated with laparoscopic surgery (48.1%). Emotional functioning was significantly worse prior to treatment in both the cancers (p < 0.001 cervical and p = 0.002 endometrial) and worry constituted an unmet need in 70.7% of cervical and 34.7% of endometrial cancer patients. Both the patient groups experienced significant lymphedema post-treatment [endometrial cancer (p = 0.006) and cervical cancer (p = 0.002)]. Further, urological problems were more prevalent post-treatment in endometrial cancer patients (p = 0.018), while sexual problems were of specific concern for cervical cancer patients (p = 0.029). However, in both cancer groups, the mean problem intensity scores were comparable to normative data, suggesting that the majority of patients will not require extensive rehabilitation. Qualitative analysis indicated that treatment modality and marital status severely impacted on coping, suggesting that irradiated and single women are at higher risk of developing rehabilitation needs. Additionally, women younger than 55 years more often requested help dealing with sexual and psychological complications.DISCUSSION: Women with endometrial and cervical cancer experience emotional problems prior to therapy and lymphedema, and urological and sexual problems following treatment. An awareness of these problems may facilitate early identification of women with unmet needs and enable individualized follow-up adjusted for such patient's needs. Interventions aimed at improving sexual and psychological functioning should be available.",
keywords = "Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety/psychology, Endometrial Neoplasms/psychology, Female, Focus Groups, Health Services Needs and Demand, Humans, Middle Aged, Quality of Life/psychology, Surveys and Questionnaires, Uterine Cervical Neoplasms/psychology",
author = "Jeppesen, {Mette Moustgaard} and Ole Mogensen and Pernille Dehn and Jensen, {Pernille Tine}",
year = "2015",
doi = "10.3109/0167482X.2015.1059417",
language = "English",
volume = "36",
pages = "122--32",
journal = "Journal of Psychosomatic Obstetrics and Gynecology",
issn = "0167-482X",
publisher = "Taylor & Francis ",
number = "3",

}

RIS

TY - JOUR

T1 - Needs and priorities of women with endometrial and cervical cancer

AU - Jeppesen, Mette Moustgaard

AU - Mogensen, Ole

AU - Dehn, Pernille

AU - Jensen, Pernille Tine

PY - 2015

Y1 - 2015

N2 - INTRODUCTION: Rehabilitation after cancer is important, and efficient rehabilitation requires knowledge of patient's needs. This study aimed to identify short-term rehabilitation needs of women with endometrial and cervical cancer.METHODS: Ninety-six women (82.6%) were included in an exploratory questionnaire study from Odense University Hospital from September 2011 to March 2012. Needs were assessed pre-treatment and 3 months later using the three-levels-of-needs questionnaire. Furthermore, 16 women participated in focus group interviews following the treatment. The interviews were audio-recorded, transcribed verbatim and analyzed thematically.RESULTS: Forty-four of the included women were diagnosed with cervical cancer (median age 45 years). Of these, 22 had FIGO-stage 1 disease (50%) and 23 received radiation therapy (52.3%). The remaining 52 women (median age 66.5 years) were diagnosed with endometrial cancer. Of these, 38 had FIGO-stage 1 disease (73.1%) and 25 were treated with laparoscopic surgery (48.1%). Emotional functioning was significantly worse prior to treatment in both the cancers (p < 0.001 cervical and p = 0.002 endometrial) and worry constituted an unmet need in 70.7% of cervical and 34.7% of endometrial cancer patients. Both the patient groups experienced significant lymphedema post-treatment [endometrial cancer (p = 0.006) and cervical cancer (p = 0.002)]. Further, urological problems were more prevalent post-treatment in endometrial cancer patients (p = 0.018), while sexual problems were of specific concern for cervical cancer patients (p = 0.029). However, in both cancer groups, the mean problem intensity scores were comparable to normative data, suggesting that the majority of patients will not require extensive rehabilitation. Qualitative analysis indicated that treatment modality and marital status severely impacted on coping, suggesting that irradiated and single women are at higher risk of developing rehabilitation needs. Additionally, women younger than 55 years more often requested help dealing with sexual and psychological complications.DISCUSSION: Women with endometrial and cervical cancer experience emotional problems prior to therapy and lymphedema, and urological and sexual problems following treatment. An awareness of these problems may facilitate early identification of women with unmet needs and enable individualized follow-up adjusted for such patient's needs. Interventions aimed at improving sexual and psychological functioning should be available.

AB - INTRODUCTION: Rehabilitation after cancer is important, and efficient rehabilitation requires knowledge of patient's needs. This study aimed to identify short-term rehabilitation needs of women with endometrial and cervical cancer.METHODS: Ninety-six women (82.6%) were included in an exploratory questionnaire study from Odense University Hospital from September 2011 to March 2012. Needs were assessed pre-treatment and 3 months later using the three-levels-of-needs questionnaire. Furthermore, 16 women participated in focus group interviews following the treatment. The interviews were audio-recorded, transcribed verbatim and analyzed thematically.RESULTS: Forty-four of the included women were diagnosed with cervical cancer (median age 45 years). Of these, 22 had FIGO-stage 1 disease (50%) and 23 received radiation therapy (52.3%). The remaining 52 women (median age 66.5 years) were diagnosed with endometrial cancer. Of these, 38 had FIGO-stage 1 disease (73.1%) and 25 were treated with laparoscopic surgery (48.1%). Emotional functioning was significantly worse prior to treatment in both the cancers (p < 0.001 cervical and p = 0.002 endometrial) and worry constituted an unmet need in 70.7% of cervical and 34.7% of endometrial cancer patients. Both the patient groups experienced significant lymphedema post-treatment [endometrial cancer (p = 0.006) and cervical cancer (p = 0.002)]. Further, urological problems were more prevalent post-treatment in endometrial cancer patients (p = 0.018), while sexual problems were of specific concern for cervical cancer patients (p = 0.029). However, in both cancer groups, the mean problem intensity scores were comparable to normative data, suggesting that the majority of patients will not require extensive rehabilitation. Qualitative analysis indicated that treatment modality and marital status severely impacted on coping, suggesting that irradiated and single women are at higher risk of developing rehabilitation needs. Additionally, women younger than 55 years more often requested help dealing with sexual and psychological complications.DISCUSSION: Women with endometrial and cervical cancer experience emotional problems prior to therapy and lymphedema, and urological and sexual problems following treatment. An awareness of these problems may facilitate early identification of women with unmet needs and enable individualized follow-up adjusted for such patient's needs. Interventions aimed at improving sexual and psychological functioning should be available.

KW - Adaptation, Psychological

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Anxiety/psychology

KW - Endometrial Neoplasms/psychology

KW - Female

KW - Focus Groups

KW - Health Services Needs and Demand

KW - Humans

KW - Middle Aged

KW - Quality of Life/psychology

KW - Surveys and Questionnaires

KW - Uterine Cervical Neoplasms/psychology

U2 - 10.3109/0167482X.2015.1059417

DO - 10.3109/0167482X.2015.1059417

M3 - Journal article

C2 - 26123123

VL - 36

SP - 122

EP - 132

JO - Journal of Psychosomatic Obstetrics and Gynecology

JF - Journal of Psychosomatic Obstetrics and Gynecology

SN - 0167-482X

IS - 3

ER -