Treatment modality affects long-term quality of life in gynaecological cancer

Anticancer Res. 2000 Jan-Feb;20(1B):563-8.

Abstract

In order to survey the side effects after cancer treatment, quality of life data were collected from females in clinical remission.

Materials and methods: The study was cross-sectional; every patient that visited the outpatient clinic during a period of three months was asked to anonymously complete the EORTC QLQ-C30 questionnaire and five additional specific questions related to gynaecological cancer.

Results: In total, 235 patients (90%) returned the questionnaire. In general, both the levels of functioning and symptomatology were time-dependent. Patients with short treatment-free intervals reported more problems than the others. When using treatment modality as an independent variable in the statistical calculations, a treatment-related effect on functioning and symptomatology was demonstrated (p < 0.05 to p < 0.001). Patients previously treated with chemotherapy had poorer role- and cognitive functioning and more problems with fatigue, nausea, vomiting, dyspnoea, constipation and financial problems, compared with those not treated with chemotherapy (p < 0.05 to p < 0.01). Those patients who had been treated with external radiotherapy and/or brachytherapy had significantly more problems with flatulence and diarrhoea (p < 0.05 to p < 0.001). In conclusion, patients who underwent treatment for gynaecological cancer reported long-term side effects also many years after finishing treatment. The problems where related to treatment modality which should be considered, especially when planning adjuvant treatment.

MeSH terms

  • Adult
  • Aged
  • Anorexia / etiology
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Brachytherapy / adverse effects
  • Brachytherapy / psychology
  • Cognition Disorders / etiology
  • Cross-Sectional Studies
  • Dyspnea / etiology
  • Emotions
  • Female
  • Gastrointestinal Diseases / etiology
  • Genital Neoplasms, Female / psychology
  • Genital Neoplasms, Female / therapy*
  • Humans
  • Hysterectomy / adverse effects
  • Hysterectomy / psychology
  • Middle Aged
  • Ovariectomy / adverse effects
  • Ovariectomy / psychology
  • Quality of Life*
  • Radioisotope Teletherapy / adverse effects
  • Radioisotope Teletherapy / psychology
  • Social Adjustment
  • Surveys and Questionnaires
  • Sweden
  • Time Factors

Substances

  • Antineoplastic Agents