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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2018; 40(05): 260-265
DOI: 10.1055/s-0038-1646921
Original Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Functioning in Women with Cervical Cancer in Brazil: the Perspective of Experts

Funcionalidade em mulheres com câncer do colo do útero no Brasil: perspectiva dos especialistas
Luciana Castaneda
1   Instituto Federal de Educação Ciência e Tecnologia, Rio de Janeiro, RJ, Brazil
,
Anke Bergmann
2   Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brazil
,
Shamyr Castro
3   Universidade Federal do Ceara, Fortaleza, CE, Brazil
,
Rosalina Koifman
4   Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
› Author Affiliations
Further Information

Publication History

25 October 2017

24 January 2018

Publication Date:
09 May 2018 (online)

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Abstract

Objective The objective of this study was to identify the perspective of the specialists about functioning in women with cervical cancer (CC).

Methods A study was conducted with specialists using the Delphi methodology. The specialist contacts were found in oncology organizations and associations, as well as in a referral hospital in the treatment of CC. The questions that the experts answered covered the biopsychosocial domains of the International Classification of Functioning, Disability and Health (ICF).

Results Twenty-five specialists participated in the study. The experts' responses generated 485 significant concepts. The categories that presented the highest frequencies of reporting by the specialists were health services, systems and policies; structure of the reproductive system; health professionals and sexual function.

Conclusion Regarding the perception of the specialists, this study concluded that 24 categories of ICF are the most relevant in the context of functioning in women with CC. The results suggest that the biopsychosocial perspective was incorporated in the experts' perceptions about the functioning phenomenon in women with CC in Brazil.

Resumo

Objetivo O objetivo deste estudo foi identificar a perspectiva dos especialistas sobre o contexto da funcionalidade em mulheres com câncer do colo do útero (CCU).

Métodos foi realizado um estudo com especialistas utilizando a metodologia Delphi. As informações para contatar os especialistas foram obtidas em organizações e associações de oncologia, assim como em um hospital de referência no tratamento do CCU. As perguntas que os especialistas responderam abrangeram os domínios biopsicossociais da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF).

Resultados Participaram do estudo 25 especialistas. As respostas dos especialistas geraram 485 conceitos significativos. As categorias que apresentaram as maiores frequências de relato pelos especialistas foram os serviços, sistemas e políticas de saúde; estrutura do sistema reprodutivo; profissionais de saúde e função sexual.

Conclusão quanto à percepção de especialistas, este estudo concluiu que 24 categorias da CIF são as mais relevantes no contexto da funcionalidade em mulheres com CCU. Os resultados sugerem que a perspectiva biopsicossocial foi incorporada na percepção que os especialistas têm sobre o fenômeno da funcionalidade em mulheres com CCU no Brasil.

Keywords

health personnel - international classification of functioning - disability and health - medical oncology - uterine cervical neoplasms

Palavras-chave

pessoal de saúde - classificação internacional de funcionalidade - incapacidade e saúde - oncologia - neoplasias do colo do útero
 

  • References

  • 1 Pierce Campbell CM, Curado MP, Harlow SD, Soliman AS. Variation of cervical cancer incidence in Latin America and the Caribbean. Rev Panam Salud Publica 2012; 31 (06) 492-498
    CrossrefPubMedSearch in Google Scholar
  • 2 Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010; 127 (12) 2893-2917 10.1002/ijc.25516
    CrossrefPubMedSearch in Google Scholar
  • 3 da Fonseca AJ, Ferreira LP, Dalla-Benetta AC, Roldan CN, Ferreira ML. [Epidemiology and economic impact of cervical cancer in Roraima, a Northern state of Brazil: the public health system perspective]. Rev Bras Ginecol Obstet 2010; 32 (08) 386-392
    CrossrefPubMedSearch in Google Scholar
  • 4 Thuler LC, de Aguiar SS, Bergmann A. [Determinants of late stage diagnosis of cervical cancer in Brazil]. Rev Bras Ginecol Obstet 2014; 36 (06) 237-243 10.1590/S0100-720320140005010
    CrossrefPubMedSearch in Google Scholar
  • 5 Ferrandina G, Mantegna G, Petrillo M. , et al. Quality of life and emotional distress in early stage and locally advanced cervical cancer patients: a prospective, longitudinal study. Gynecol Oncol 2012; 124 (03) 389-394 10.1016/j.ygyno.2011.09.041
    CrossrefPubMedSearch in Google Scholar
  • 6 Gilchrist LS, Galantino ML, Wampler M, Marchese VG, Morris GS, Ness KK. A framework for assessment in oncology rehabilitation. Phys Ther 2009; 89 (03) 286-306 10.2522/ptj.20070309
    CrossrefPubMedSearch in Google Scholar
  • 7 Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med 2008; 44 (03) 329-342
    Search in Google Scholar
  • 8 World Health Organization. The International Classification of Functioning, Disability and Health. Geneva: WHO; 2001
    Search in Google Scholar
  • 9 Selb M, Escorpizo R, Kostanjsek N, Stucki G, Üstün B, Cieza A. A guide on how to develop an International Classification of Functioning, Disability and Health Core Set. Eur J Phys Rehabil Med 2015; 51 (01) 105-117
    PubMedSearch in Google Scholar
  • 10 Cieza A, Fayed N, Bickenbach J, Prodinger B. Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information. Disabil Rehabil 2016; 17: 1-10 10.3109/09638288.2016.1145258
    PubMedSearch in Google Scholar
  • 11 Castaneda L, Castro SS, Bahia L. Construtos de incapacidade presentes na Pesquisa Nacional por Amostra de Domicílio (PNAD): uma análise baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Rev Bras Estud Popul 2014; 31: 419-429 10.1590/S0102-30982014000200009
    CrossrefPubMedSearch in Google Scholar
  • 12 Ye S, Yang J, Cao D, Lang J, Shen K. A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. Int J Gynecol Cancer 2014; 24 (07) 1146-1157 10.1097/IGC.0000000000000207
    CrossrefPubMedSearch in Google Scholar
  • 13 Ljuca D, Marošević G. Impact of chemoradiotherapy on vaginal and sexual function of patients with FIGO IIb cervical cancer. Bosn J Basic Med Sci 2011; 11 (01) 62-64 10.17305/bjbms.2011.2628
    Search in Google Scholar
  • 14 Teh WT, Stern C, Chander S, Hickey M. The impact of uterine radiation on subsequent fertility and pregnancy outcomes. BioMed Res Int 2014; 2014: 482968 10.1155/2014/482968
    PubMedSearch in Google Scholar
  • 15 Kim SH, Kang S, Kim YM. , et al. Prevalence and predictors of anxiety and depression among cervical cancer survivors in Korea. Int J Gynecol Cancer 2010; 20 (06) 1017-1024 10.1111/IGC.0b013e3181e4a704
    CrossrefPubMedSearch in Google Scholar
  • 16 Jensen RE, Potosky AL, Moinpour CM. , et al. United States population-based estimates of patient-reported outcomes measurement information system symptom and functional status reference values for individuals with cancer. J Clin Oncol 2017; 35 (17) 1913-1920 10.1200/JCO.2016.71.4410
    CrossrefPubMedSearch in Google Scholar
  • 17 Villafuerte BE, Gómez LL, Betancourt AM, Cervantes ML. Cervical cancer: a qualitative study on subjectivity, family, gender and health services. Reprod Health 2007; 4: 2 10.1186/1742-4755-4-2
    CrossrefPubMedSearch in Google Scholar
  • 18 Pfaendler KS, Wenzel L, Mechanic MB, Penner KR. Cervical cancer survivorship: long-term quality of life and social support. Clin Ther 2015; 37 (01) 39-48 10.1016/j.clinthera.2014.11.013
    CrossrefPubMedSearch in Google Scholar
  • 19 Stormo AR, de Moura L, Saraiya M. Cervical cancer-related knowledge, attitudes, and practices of health professionals working in brazil's network of primary care units. Oncologist 2014; 19 (04) 375-382 10.1634/theoncologist.2013-0318
    CrossrefPubMedSearch in Google Scholar
  • 20 Barreto ML, Teixeira MG, Bastos FI, Ximenes RA, Barata RB, Rodrigues LC. Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs. Lancet 2011; 377 (9780): 1877-1889 10.1016/S0140-6736(11)60202-X
    CrossrefPubMedSearch in Google Scholar
  • 21 Brito-Silva K, Bezerra AFB, Chaves LDP, Tanaka OY. Integrality in cervical cancer care: evaluation of access. Rev Saude Publica 2014; 48 (02) 240-248 10.1590/S0034-8910.2014048004852
    CrossrefPubMedSearch in Google Scholar
  • 22 Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet 2011; 377 (9779): 1778-1797 10.1016/S0140-6736(11)60054-8
    CrossrefPubMedSearch in Google Scholar
  • 23 Müller R, Geyh S. Lessons learned from different approaches towards classifying personal factors. Disabil Rehabil 2015; 37 (05) 430-438 10.3109/09638288.2014.923527
    CrossrefPubMedSearch in Google Scholar
  • 24 Tschiesner U, Becker S, Cieza A. Health professional perspective on disability in head and neck cancer. Arch Otolaryngol Head Neck Surg 2010; 136 (06) 576-583 10.1001/archoto.2010.78
    CrossrefPubMedSearch in Google Scholar
  • 25 Brach M, Cieza A, Stucki G. , et al. ICF Core Sets for breast cancer. J Rehabil Med 2004; 36 (44, Suppl) 121-127 10.1080/16501960410016811
    CrossrefPubMedSearch in Google Scholar
  • 26 van de Ven-Stevens LA, Graff MJ, Selles RW. , et al. Instruments for assessment of impairments and activity limitations in patients with hand conditions: A European Delphi study. J Rehabil Med 2015; 47 (10) 948-956 10.2340/16501977-2015
    CrossrefPubMedSearch in Google Scholar
  • 27 Engelbarts M, Schuster V, Kisser U. , et al. The “Comprehensive ICF Core Set for Head and Neck Cancer”: a Delphi consensus survey among German speaking speech and language therapists. Eur Arch Otorhinolaryngol 2017; 274 (06) 2589-2599 10.1007/s00405-017-4494-y
    CrossrefPubMedSearch in Google Scholar
  • 28 Renom M, Conrad A, Bascuñana H. , et al. Content validity of the Comprehensive ICF Core Set for multiple sclerosis from the perspective of speech and language therapists. Int J Lang Commun Disord 2014; 49 (06) 672-686 10.1111/1460-6984.12086
    CrossrefPubMedSearch in Google Scholar