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Clinical practice recommendations for quality of life assessment in patients with gynecological cancer

Quality of life (QoL) is a multidimensional concept regarding self-assessment of patients’ situation. Quality of life has not been clearly defined up to date, although it is clear that it is a subjective self-assessment that to a significant extent is determined by individual needs, beliefs, values,...

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Autores principales: Leppert, Wojciech, Gottwald, Leszek, Forycka, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733903/
https://www.ncbi.nlm.nih.gov/pubmed/26848300
http://dx.doi.org/10.5114/pm.2015.56539
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author Leppert, Wojciech
Gottwald, Leszek
Forycka, Maria
author_facet Leppert, Wojciech
Gottwald, Leszek
Forycka, Maria
author_sort Leppert, Wojciech
collection PubMed
description Quality of life (QoL) is a multidimensional concept regarding self-assessment of patients’ situation. Quality of life has not been clearly defined up to date, although it is clear that it is a subjective self-assessment that to a significant extent is determined by individual needs, beliefs, values, attitudes, which are changing with time. Health-related QoL comprises basic dimensions such as patients’ performance status, physical, emotional, and social functioning, symptoms of the disease and adverse effects of treatment, spiritual (God and existential) and other dimensions. In women, the ovary, cervical, corpus uterus, vagina and vulva cancers deteriorate QoL by disease progression and consequences of treatment, also in cancer survivors. Common symptoms include the genito-urinary system, the lower gastrointestinal tract and peripheral neuropathies induced by chemotherapy. In young women, QoL is impaired by infertility, sexual problems and menopause symptoms. An overview of QoL questionnaires used in oncology with special regard to patients with gynecological tumors was conducted. A screening tool for psychological state assessment of oncology patients (distress thermometer), the Edmonton Symptom Assessment System (ESAS) and modular approach of QoL assessment recommended by the EORTC (European Organization for the Research and Treatment of Cancer) were presented. Practical guidelines were proposed to assess appropriately QoL in patients with gynecological cancers who stay at in-patient gynecology units and those treated at home and in an ambulatory care setting.
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spelling pubmed-47339032016-02-04 Clinical practice recommendations for quality of life assessment in patients with gynecological cancer Leppert, Wojciech Gottwald, Leszek Forycka, Maria Prz Menopauzalny Review Paper Quality of life (QoL) is a multidimensional concept regarding self-assessment of patients’ situation. Quality of life has not been clearly defined up to date, although it is clear that it is a subjective self-assessment that to a significant extent is determined by individual needs, beliefs, values, attitudes, which are changing with time. Health-related QoL comprises basic dimensions such as patients’ performance status, physical, emotional, and social functioning, symptoms of the disease and adverse effects of treatment, spiritual (God and existential) and other dimensions. In women, the ovary, cervical, corpus uterus, vagina and vulva cancers deteriorate QoL by disease progression and consequences of treatment, also in cancer survivors. Common symptoms include the genito-urinary system, the lower gastrointestinal tract and peripheral neuropathies induced by chemotherapy. In young women, QoL is impaired by infertility, sexual problems and menopause symptoms. An overview of QoL questionnaires used in oncology with special regard to patients with gynecological tumors was conducted. A screening tool for psychological state assessment of oncology patients (distress thermometer), the Edmonton Symptom Assessment System (ESAS) and modular approach of QoL assessment recommended by the EORTC (European Organization for the Research and Treatment of Cancer) were presented. Practical guidelines were proposed to assess appropriately QoL in patients with gynecological cancers who stay at in-patient gynecology units and those treated at home and in an ambulatory care setting. Termedia Publishing House 2015-12-22 2015-12 /pmc/articles/PMC4733903/ /pubmed/26848300 http://dx.doi.org/10.5114/pm.2015.56539 Text en Copyright © 2015 Termedia http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Review Paper
Leppert, Wojciech
Gottwald, Leszek
Forycka, Maria
Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title_full Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title_fullStr Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title_full_unstemmed Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title_short Clinical practice recommendations for quality of life assessment in patients with gynecological cancer
title_sort clinical practice recommendations for quality of life assessment in patients with gynecological cancer
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733903/
https://www.ncbi.nlm.nih.gov/pubmed/26848300
http://dx.doi.org/10.5114/pm.2015.56539
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