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Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer
BACKGROUND: With the growing number of older endometrial cancer (EC) and ovarian cancer (OC) survivors, data on long-term health-related quality of life (HRQoL) became an important issue in the management of older patients. So, the aim of this study was to describe and compare according to age long-...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881660/ https://www.ncbi.nlm.nih.gov/pubmed/33579310 http://dx.doi.org/10.1186/s12955-021-01675-2 |
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author | Mamguem Kamga, Ariane Bengrine-Lefevre, Leila Quipourt, Valérie Favier, Laure Darut-Jouve, Ariane Marilier, Sophie Arveux, Patrick Desmoulins, Isabelle Dabakuyo-Yonli, Tienhan Sandrine |
author_facet | Mamguem Kamga, Ariane Bengrine-Lefevre, Leila Quipourt, Valérie Favier, Laure Darut-Jouve, Ariane Marilier, Sophie Arveux, Patrick Desmoulins, Isabelle Dabakuyo-Yonli, Tienhan Sandrine |
author_sort | Mamguem Kamga, Ariane |
collection | PubMed |
description | BACKGROUND: With the growing number of older endometrial cancer (EC) and ovarian cancer (OC) survivors, data on long-term health-related quality of life (HRQoL) became an important issue in the management of older patients. So, the aim of this study was to describe and compare according to age long-term HRQoL, sexual function, and social deprivation of adults with either EC or OC. METHODS: A cross-sectional study was set up using data from the Côte d’Or gynecological cancer registry. A series of questionnaires assessing HRQoL (SF-12), sexual function (FSFI), anxiety/depression (HADS), social support (SSQ6) and deprivation (EPICES) were offered to women with EC or OC diagnosed between 2006 and 2013. HRQoL, sexual function, anxiety/depression, social support and deprivation scores were generated and compared according to age (< 70 years and ≥ 70 years). RESULTS: A total of 145 women with EC (N = 103) and OC (N = 42) participated in this study. Fifty-six percent and 38% of EC and OC survivors respectively were aged 70 and over. Treatment did not differ according to age either in OC or EC. The deprivation level did not differ between older and younger survivors with OC while older survivors with EC were more precarious. The physical HRQoL was more altered in older EC survivors. This deterioration concerned only physical functioning (MD = 24, p = 0.012) for OC survivors while it concerned physical functioning (MD = 30, p < 0.0001), role physical (MD = 22, p = 0.001) and bodily pain (MD = 21, p = 0.001) for EC survivors. Global health (MD = 11, p = 0.011) and role emotional (MD = 12, p = 0.018) were also deteriorated in elderly EC survivors. Sexual function was deteriorated regardless of age and cancer location with a more pronounced deterioration in elderly EC survivors for desire (p = 0.005), arousal (p = 0.015) and orgasm (p = 0.007). Social support, anxiety and depression were not affected by age regardless of location. CONCLUSION: An average 6 years after diagnosis, the impact of cancer on HRQoL is greatest in elderly survivors with either EC or OC. |
format | Online Article Text |
id | pubmed-7881660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78816602021-02-17 Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer Mamguem Kamga, Ariane Bengrine-Lefevre, Leila Quipourt, Valérie Favier, Laure Darut-Jouve, Ariane Marilier, Sophie Arveux, Patrick Desmoulins, Isabelle Dabakuyo-Yonli, Tienhan Sandrine Health Qual Life Outcomes Research BACKGROUND: With the growing number of older endometrial cancer (EC) and ovarian cancer (OC) survivors, data on long-term health-related quality of life (HRQoL) became an important issue in the management of older patients. So, the aim of this study was to describe and compare according to age long-term HRQoL, sexual function, and social deprivation of adults with either EC or OC. METHODS: A cross-sectional study was set up using data from the Côte d’Or gynecological cancer registry. A series of questionnaires assessing HRQoL (SF-12), sexual function (FSFI), anxiety/depression (HADS), social support (SSQ6) and deprivation (EPICES) were offered to women with EC or OC diagnosed between 2006 and 2013. HRQoL, sexual function, anxiety/depression, social support and deprivation scores were generated and compared according to age (< 70 years and ≥ 70 years). RESULTS: A total of 145 women with EC (N = 103) and OC (N = 42) participated in this study. Fifty-six percent and 38% of EC and OC survivors respectively were aged 70 and over. Treatment did not differ according to age either in OC or EC. The deprivation level did not differ between older and younger survivors with OC while older survivors with EC were more precarious. The physical HRQoL was more altered in older EC survivors. This deterioration concerned only physical functioning (MD = 24, p = 0.012) for OC survivors while it concerned physical functioning (MD = 30, p < 0.0001), role physical (MD = 22, p = 0.001) and bodily pain (MD = 21, p = 0.001) for EC survivors. Global health (MD = 11, p = 0.011) and role emotional (MD = 12, p = 0.018) were also deteriorated in elderly EC survivors. Sexual function was deteriorated regardless of age and cancer location with a more pronounced deterioration in elderly EC survivors for desire (p = 0.005), arousal (p = 0.015) and orgasm (p = 0.007). Social support, anxiety and depression were not affected by age regardless of location. CONCLUSION: An average 6 years after diagnosis, the impact of cancer on HRQoL is greatest in elderly survivors with either EC or OC. BioMed Central 2021-02-12 /pmc/articles/PMC7881660/ /pubmed/33579310 http://dx.doi.org/10.1186/s12955-021-01675-2 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Mamguem Kamga, Ariane Bengrine-Lefevre, Leila Quipourt, Valérie Favier, Laure Darut-Jouve, Ariane Marilier, Sophie Arveux, Patrick Desmoulins, Isabelle Dabakuyo-Yonli, Tienhan Sandrine Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title | Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title_full | Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title_fullStr | Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title_full_unstemmed | Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title_short | Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
title_sort | long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881660/ https://www.ncbi.nlm.nih.gov/pubmed/33579310 http://dx.doi.org/10.1186/s12955-021-01675-2 |
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