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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(04): 242-248
DOI: 10.1055/s-0039-1683355
Original Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Health-related Quality of Life in Women with Cervical Cancer

Qualidade de vida relacionada à saúde em mulheres com câncer do colo do útero
Larissa Nascimento dos Santos
1   Instituto Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
,
Luciana Castaneda 
1   Instituto Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
,
Suzana Sales de Aguiar
2   Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brazil
,
Luiz Claudio Santos Thuler
2   Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brazil
,
Rosalina Jorge Koifman
3   Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
,
Anke Bergmann
2   Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

14. Mai 2018

28. Januar 2019

Publikationsdatum:
07. März 2019 (online)

   Lizenzen und Reprints

Abstract

Objective To analyze the factors associated with health-related quality of life (HRQoL) in women with cervical cancer (CC) in a single center in Rio de Janeiro, state of Rio de Janeiro, Brazil.

Methods A cross-sectional study in women with a diagnosis of CC followed-up in the gynecology outpatient clinic of the Hospital do Câncer II (HCII, in the Portuguese acronym) of the Instituto Nacional de Câncer (INCA, in the Portuguese acronym). The data were collected from March to August 2015. Women with palliative care, communication/cognition difficulty, undergoing simultaneous treatment for other types of cancer, or undergoing chemotherapy and/or radiation therapy were excluded. For the evaluation of the HRQoL, a specific questionnaire for women with CC was used (Functional Assessment of Cancer Therapy – Cervix Cancer [FACT-Cx]). The total score of the questionnaire ranges from 0 to 168, with higher scores indicating a better HRQoL.

Results A total of 115 women were included in the present study, with a mean age of 52.64 years old (standard deviation [SD] = 12.13). The domains of emotional (16.61; SD = 4.55) and functional well-being (17.63; SD = 6.15) were those which presented the worst scores. The factors that had an association with better HRQoL in women with CC were having a current occupation, a longer time since the treatment and diagnosis, and women who had undergone hysterectomy.

Conclusion Considering the domains of HRQoL of the women treated for cervical cancer, a better score was observed in the domains of physical and social/family well-being. For most domains, better scores were found between those with a current occupation, with a longer time after the diagnosis and treatment, and among those who had undergone a hysterectomy.

Resumo

Objetivo Analisar os fatores associados à qualidade de vida em mulheres com câncer de colo do útero tratadas em um hospital de referência no Rio de Janeiro, RJ, Brasil.

Métodos Estudo transversal em mulheres com diagnóstico de câncer do colo do útero em seguimento ambulatorial no Hospital de Câncer II (HCII) do Instituto Nacional de Câncer (INCA). Os dados foram coletados no período de março a agosto de 2015. Foram excluídas as mulheres em cuidados paliativos, com dificuldade de comunicação/cognição, que estavam em tratamento simultâneo para outros tipos de câncer, ou em quimioterapia e/ou radioterapia. Para a avaliação da qualidade de vida relacionada à saúde, foi utilizado um questionário específico para mulheres com câncer de colo do útero (Avaliação Funcional da Terapia do Câncer – Câncer Cervical (FACT-Cx, na sigla em inglês). O escore total do questionário varia de 0 a 168, com escores mais altos indicando melhor qualidade de vida relacionada à saúde.

Resultados Foram incluídas 115 mulheres com uma média de idade de 52,64 anos (desvio padrão [DP] = 12,13). Os domínios de questões emocionais (16,61; DP = 4,55) e de bem-estar funcional (17,63; DP = 6,15) foram os que apresentaram os piores escores. Os fatores que tiveram associação com melhor qualidade de vida relacionada à saúde em mulheres com câncer de colo do útero foram ocupação atual, maior tempo após o tratamento e diagnóstico, e mulheres que haviam sido submetidas a histerectomia.

Conclusão Considerando os domínios da qualidade de vida relacionada à saúde de mulheres tratadas para câncer do colo do útero, foi observado melhor escore nos domínios de bem-estar físico e social. Para a maioria dos domínios, os melhores escores foram observados entre aquelas com ocupação atual, com mais tempo após o diagnóstico e tratamento, além daquelas que se submeteram a histerectomia.

Keywords

uterine cervical neoplasms - quality of life - cross-sectional studies - data collection

Palavras-chave

câncer do colo do útero - qualidade de vida - estudos transversais - coleta de dados

Contributors

Santos L. N., Castaneda L., Aguiar S. S., Thuler L. C. S., Koifman R. J., and Bergmann A. contributed to the conception and design of the present study, to the data collection or to the analysis and interpretation of the data, as well as to the writing of the article or to the critical review of the intellectual content and to the final approval of the version to be published.


 

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