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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 th...

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Autores principales: Vistad, Ingvild, Cvancarova, Milada, Kristensen, Gunnar Balle, Fosså, Sophie Dorothea
Formato: Texto
Lenguaje:English
Publicado: Springer US 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096775/
https://www.ncbi.nlm.nih.gov/pubmed/21259075
http://dx.doi.org/10.1007/s11764-011-0172-z
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author Vistad, Ingvild
Cvancarova, Milada
Kristensen, Gunnar Balle
Fosså, Sophie Dorothea
author_facet Vistad, Ingvild
Cvancarova, Milada
Kristensen, Gunnar Balle
Fosså, Sophie Dorothea
author_sort Vistad, Ingvild
collection PubMed
description 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.
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spelling pubmed-30967752011-07-07 A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer Vistad, Ingvild Cvancarova, Milada Kristensen, Gunnar Balle Fosså, Sophie Dorothea J Cancer Surviv Article 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. Springer US 2011-01-23 2011 /pmc/articles/PMC3096775/ /pubmed/21259075 http://dx.doi.org/10.1007/s11764-011-0172-z Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Vistad, Ingvild
Cvancarova, Milada
Kristensen, Gunnar Balle
Fosså, Sophie Dorothea
A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title_full A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title_fullStr A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title_full_unstemmed A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title_short A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
title_sort study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096775/
https://www.ncbi.nlm.nih.gov/pubmed/21259075
http://dx.doi.org/10.1007/s11764-011-0172-z
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