quality and adoption to family life in cervical cancer survivors after radiotherapy
DESCRIPTION
QUALITY AND ADOPTION TO FAMILY LIFE IN CERVICAL CANCER SURVIVORS AFTER RADIOTHERAPY. Dr.Rishan.T.S, Cancer Institute(WIA), Adyar,Chennai. INTRODUCTION. Most common cancer among women in rural population 2 nd most common among women in urban population - PowerPoint PPT PresentationTRANSCRIPT
QUALITY AND ADOPTION TO FAMILY LIFE IN CERVICAL
CANCER SURVIVORS AFTER RADIOTHERAPY
Dr.Rishan.T.S,Cancer Institute(WIA),
Adyar,Chennai
INTRODUCTION
Most common cancer among women in rural population
2nd most common among women in urban population
MMTR recorded 21.2% incidence in 2005 and 17.2% at present
Still under reported in India
MATERIALS AND METHODS
101 Disease free survival patients selected for the study
Age group 27 to 47 years Minimum survival period of 3 years
TOOLS
Cancer Institute-Quality of life Questionnaire EORTC Cervical cancer module ( QLQ CX 24) Distress Thermometer
CI-QOL
Comprises 41 questions 39 questions in Likert four point scale Last two questions in semantic scale ranging
from 1-10 More than one item in questionnaire assess
various components
Factor No Name No of items Item numbers
1. General well being 5 items 7,26, 30, 40, 41
2. Physical well being 10 items 1,2,3,4,5,6,8,10,11, 31
3. Psychological wellbeing 8 items 12,13,15,16,19,20,21,29
4. Interpersonal relationship 4 items 22,23,24,25
5. Sexual and personal ability 2 items 9,33
6. Cognitive well being 3 items 27,34,35
7. Optimism and Belief 2 items 36,37
8. Economical well being 3 items 14,17,32
9. Informational support 2 items 38,39
10. Patient- Physician relationship
1 item 28
11. Body image 1 item 18
SCORES
Below 99 Very Low
99-117 Low
118-146 Average
147-165 High
Above 165 Very high
EORTC QLQ CX 24
Module meant for patients varying in disease stage and treatment modality
Comprises 24 Questions Based on functional and symptomatic scale.
Distress Thermometer
Scores 0-4 no distress
Scores 5-7 some level of distress
Scores 8-10 High level of distress
ADMINISTRATION
Informed consent obtained prior to the study
45 to 60 minutes for questionnaire.
RESULTS
Radiation alone N=55 Concurrent Chemoradiation N=56 Stage 1 and 2 N=75 Stage 3 N=26 3 years of survival
BODY IMAGE
SEXUAL FUNCTIONING
ANALYSIS
52% 39%
9%
66.9% reported poor quality of life. 79.6% reported better body image Sexual dysfunction due to social stigma and
not due to treatment factors. Compared to western population, discomfort
not due to treatment modalities, but various social factors.
CONCLUSION
Compared to western population, our patients experienced a better QOL
Type of treatment and disease stage didnot affect QOL
Ignorance about cancers, reluctance among females, and age factors contributed to poor QOL.
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