A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer.

Introduction: Chronic pelvic pain (persisting pain in hips, groins or lower back) is poorly described in studies of cervical cancer survivors (CCSs). The aims of this study were to describe chronic pelvic pain and associated variables in CCSs surveyed >5 years post-radiotherapy, and to compare the p...

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Publicado en:Journal of Cancer Survivorship Vol. 5; no. 2; pp. 208 - 217
Autores principales: Vistad I, Cvancarova M, Kristensen GB, Fosså SD, Vistad, Ingvild, Cvancarova, Milada, Kristensen, Gunnar Balle, Fosså, Sophie Dorothea
Formato: research Journal Article
Publicado: Springer Nature Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2011
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      pub: Springer Nature
      place: New York, New York
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        atl: A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer.
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        au:
          Vistad I
          Cvancarova M
          Kristensen GB
          Fosså SD
          Vistad, Ingvild
          Cvancarova, Milada
          Kristensen, Gunnar Balle
          Fosså, Sophie Dorothea
        affil: Department of Gynaecology, Sorlandet Hospital HF, Kristiansand, Norway
      sug:
        subj:
          Pelvic Pain Epidemiology
          Survivors
          Cervix Neoplasms Radiotherapy
          Adult
          Aged
          Aged, 80 and Over
          Chronic Disease
          Cross Sectional Studies
          Female
          Middle Age
          Pelvic Pain Therapy
          Prevalence
          Quality of Life
          Cervix Neoplasms Mortality
          Cervix Neoplasms Psychosocial Factors
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: Introduction: Chronic pelvic pain (persisting pain in hips, groins or lower back) is poorly described in studies of cervical cancer survivors (CCSs). The aims of this study were to describe chronic pelvic pain and associated variables in CCSs surveyed >5 years post-radiotherapy, and to compare the presence of pain in hips and lower back in CCSs with findings in the general female population.Methods: Ninety-one CCSs treated with radiotherapy between 1994 and 1999 were in 2005 included in a cross-sectional questionnaire-based study. They were asked about demographic variables, clinical symptoms, mental distress, and quality of life (QOL). Normative data (NORM) were collected from a population-study of Norwegian females.Results: Pain in lower back and hips was significantly more prevalent (p < .001) in CCSs compared to NORMs. 35/92 (38%) of the CCSs had chronic pelvic pain. These women had significantly lower QOL, higher levels of anxiety and depression and more bladder and intestinal problems than those without chronic pelvic pain. In a multivariable regression model, use of analgesics and intestinal and bladder problems were significantly associated with chronic pelvic pain in the CCSs.Conclusions: CCSs have a higher prevalence of pain in lower back and hips than women in the general population, which might be due to late effects of radiation. 35/92 (38%) of the CCSs suffer from chronic pelvic pain, shown to be associated with high overall mental and somatic morbidity.Implications For Cancer Survivors: Evaluation and management of pelvic pain is important in follow-up of CCSs treated with radiotherapy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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