Are patients and physicians willing to accept less-radical procedures for cervical cancer? / 부인종양
Journal of Gynecologic Oncology
; : e50-2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-716098
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
To evaluate the opinions of women who underwent surgery for cervical cancer (CC) and physicians who treat CC about the acceptability of increased oncological risk after less-radical surgery.METHODS:
One hundred eighty-two women who underwent surgery for CC and 101 physicians participated in a structured survey in 3 tertiary cancer centers in Czech Republic and Turkey. Patients and physicians were asked whether they would accept any additional oncological risks, which would be attributable to the omission of parametrectomy (radical hysterectomy/trachelectomy vs. simple hysterectomy/trachelectomy) or pelvic lymph node dissection (systematic resection vs. sentinel lymph node sampling).RESULTS:
Although 52.2% of patients reported morbidity related to their previous treatment, the majority of patients would not accept less-radical surgical treatment if it was associated with any increased risk of recurrence (50%–55%, no risk; 17%–24%, risk < 0.1%). Physicians tended to accept a significantly higher risk than patients in the Czech Republic, but not in Turkey. Patients with higher education levels, more advanced-stage of disease, or adverse events related to previous cancer treatment, and patients who received adjuvant therapy were significantly more likely to accept an increased oncological risk.CONCLUSION:
Patients, even if they suffered from morbidity related to previous CC treatment, do not want to choose between oncological safety and a better quality of life. Physicians tend to accept the higher oncological risk associated with less-radical surgical procedures, but attitudes differ regionally. Professionals should be aware of this tendency when counselling the patients before less-radical surgery.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3C Aumentar o financiamento da saúde e o recrutamento, desenvolvimento, formação e retenção da força de trabalho da saúde
Problema de saúde:
Autoridade e Responsabilidade dos Profissionais de Saúde
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Qualidade de Vida
/
Recidiva
/
Turquia
/
Neoplasias do Colo do Útero
/
República Tcheca
/
Educação
/
Excisão de Linfonodo
/
Linfonodos
Tipo de estudo:
Pesquisa qualitativa
Aspecto:
Preferência do paciente
Limite:
Feminino
/
Humanos
País/Região como assunto:
Ásia
/
Europa
Idioma:
Inglês
Revista:
Journal of Gynecologic Oncology
Ano de publicação:
2018
Tipo de documento:
Artigo