Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review
<i>Introduction</i>: The aim of this study is to analyze the available scientific evidence regarding the quality of life (QoL) and sexual function (SF) in patients affected by cervical cancer (CC) after surgical and adjuvant treatments. <i>Materials and Methods</i>: Prelimina...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/4/704 |
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| author | Stefano Cianci Mattia Tarascio Martina Arcieri Marco La Verde Canio Martinelli Vito Andrea Capozzi Vittorio Palmara Ferdinando Gulino Salvatore Gueli Alletti Giuseppe Caruso Stefano Restaino Giuseppe Vizzielli Carmine Conte Marco Palumbo Alfredo Ercoli |
| author_facet | Stefano Cianci Mattia Tarascio Martina Arcieri Marco La Verde Canio Martinelli Vito Andrea Capozzi Vittorio Palmara Ferdinando Gulino Salvatore Gueli Alletti Giuseppe Caruso Stefano Restaino Giuseppe Vizzielli Carmine Conte Marco Palumbo Alfredo Ercoli |
| author_sort | Stefano Cianci |
| collection | DOAJ |
| description | <i>Introduction</i>: The aim of this study is to analyze the available scientific evidence regarding the quality of life (QoL) and sexual function (SF) in patients affected by cervical cancer (CC) after surgical and adjuvant treatments. <i>Materials and Methods</i>: Preliminary research was conducted via electronic database (MEDLINE, PubMed and Cochrane Library) with the use of a combination of the following keywords: SF, QoL, and CC. The principal findings considered in the present review were the study design, the number of patients included in each study, the information about the malignancy (histology and stage of disease), the questionnaires administered, and the principal findings concerning SF and QoL. <i>Results</i>: All studies were published between 2003–2022. The studies selected consisted of one randomized control study, seven observational studies (three prospective series), and nine case control studies. The scores used were focused on SF, QOL, fatigue, and psychological aspects. All studies reported a decreased SF and QOL. The most developed questionnaires were the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Female Sexual Function Index (FSFI), the Hospital Anxiety and Depression scale (HADS), and the Female Sexual Distress Scale (FSDS). <i>Discussion</i>: All studies reported a decreased SF and QOL. In addition to the perception of body image, several factors coexist in influencing the outcomes such as the physical, hormonal, psychological. <i>Conclusions</i>: Sexual dysfunction after CC treatment has a multifactorial aetiology which negatively affects the quality of life. For these reasons, it is important to follow and support patients with a multidisciplinary team (doctors, nurses, psychologists, dieticians) before and after therapy. This type of tailored therapeutic approach should become a standard. Women should be informed about possible vaginal changes and menopausal symptoms after surgery and on the positive effects of psychological therapy. |
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| format | Article |
| id | doaj.art-a97017c9f5034c15978b3c323e6a442f |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T04:46:25Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj.art-a97017c9f5034c15978b3c323e6a442f2023-11-17T20:20:48ZengMDPI AGMedicina1010-660X1648-91442023-04-0159470410.3390/medicina59040704Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic ReviewStefano Cianci0Mattia Tarascio1Martina Arcieri2Marco La Verde3Canio Martinelli4Vito Andrea Capozzi5Vittorio Palmara6Ferdinando Gulino7Salvatore Gueli Alletti8Giuseppe Caruso9Stefano Restaino10Giuseppe Vizzielli11Carmine Conte12Marco Palumbo13Alfredo Ercoli14Obstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyObstetrics and Gynecology Unit, Department of Woman and Child, Azienda Sanitaria Provinciale di Catania, 95124 Catania, ItalyDepartment of Biomedical, Dental, Morphological and Functional Imaging Science, University of Messina, 98122 Messina, ItalyObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Napoli, ItalyObstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyDepartment of Medicine and Surgery, University Hospital of Parma, 43125 Parma, ItalyObstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyDepartment of Obstetrics and Gynaecology, Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Nesima, 95124 Catania, ItalyObstetrics and Gynecology Unit, Department of Woman and Child, Ospedale Buccheri La Ferla Fatebenefratelli, 90123 Palermo, ItalyDepartment of General Surgery and Medical Surgical Specialties, Gynecological Clinic, University of Catania, 95123 Catania, ItalyDepartment of Medical Area (DAME), Clinic of Obstretics and Gynecology “Santa Maria della Misericordia”, University Hospital Azienda Sanitaria Universitaria Friuli Centrale, University of Udine, 33100 Udine, ItalyDepartment of Medical Area (DAME), Clinic of Obstretics and Gynecology “Santa Maria della Misericordia”, University Hospital Azienda Sanitaria Universitaria Friuli Centrale, University of Udine, 33100 Udine, ItalyDepartment of General Surgery and Medical Surgical Specialties, Gynecological Clinic, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Gynecological Clinic, University of Catania, 95123 Catania, ItalyObstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98124 Messina, Italy<i>Introduction</i>: The aim of this study is to analyze the available scientific evidence regarding the quality of life (QoL) and sexual function (SF) in patients affected by cervical cancer (CC) after surgical and adjuvant treatments. <i>Materials and Methods</i>: Preliminary research was conducted via electronic database (MEDLINE, PubMed and Cochrane Library) with the use of a combination of the following keywords: SF, QoL, and CC. The principal findings considered in the present review were the study design, the number of patients included in each study, the information about the malignancy (histology and stage of disease), the questionnaires administered, and the principal findings concerning SF and QoL. <i>Results</i>: All studies were published between 2003–2022. The studies selected consisted of one randomized control study, seven observational studies (three prospective series), and nine case control studies. The scores used were focused on SF, QOL, fatigue, and psychological aspects. All studies reported a decreased SF and QOL. The most developed questionnaires were the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Female Sexual Function Index (FSFI), the Hospital Anxiety and Depression scale (HADS), and the Female Sexual Distress Scale (FSDS). <i>Discussion</i>: All studies reported a decreased SF and QOL. In addition to the perception of body image, several factors coexist in influencing the outcomes such as the physical, hormonal, psychological. <i>Conclusions</i>: Sexual dysfunction after CC treatment has a multifactorial aetiology which negatively affects the quality of life. For these reasons, it is important to follow and support patients with a multidisciplinary team (doctors, nurses, psychologists, dieticians) before and after therapy. This type of tailored therapeutic approach should become a standard. Women should be informed about possible vaginal changes and menopausal symptoms after surgery and on the positive effects of psychological therapy.https://www.mdpi.com/1648-9144/59/4/704cervical cancersexual functionquality of lifesexual dysfunction |
| spellingShingle | Stefano Cianci Mattia Tarascio Martina Arcieri Marco La Verde Canio Martinelli Vito Andrea Capozzi Vittorio Palmara Ferdinando Gulino Salvatore Gueli Alletti Giuseppe Caruso Stefano Restaino Giuseppe Vizzielli Carmine Conte Marco Palumbo Alfredo Ercoli Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review Medicina cervical cancer sexual function quality of life sexual dysfunction |
| title | Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review |
| title_full | Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review |
| title_fullStr | Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review |
| title_full_unstemmed | Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review |
| title_short | Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review |
| title_sort | post treatment sexual function and quality of life of patients affected by cervical cancer a systematic review |
| topic | cervical cancer sexual function quality of life sexual dysfunction |
| url | https://www.mdpi.com/1648-9144/59/4/704 |
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