Impact of gynecological cancers on health-related quality of life: historical context, measurement instruments, and current knowledge.
Blanca Gil-IbañezJennifer C DaviesGregorio López GonzálezBerta Díaz-FeijooÁlvaro TejerizoJalid SehouliPublished in: International journal of gynecological cancer : official journal of the International Gynecological Cancer Society (2023)
Gynecologic cancers, comprising 14.4% of newly diagnosed cancer cases in women globally, are substantial causes of both mortality and morbidity, with a profound impact on the quality of life (QoL) of survivors. Over the past few decades, advancements in interdisciplinary and interprofessional care have contributed to an increase in the average life expectancy of gynecological cancer patients. However, the disease and its treatments have a profound impact on patients, leading to physical changes and psychological consequences, including psychosocial and psychosexual effects, which negatively affect their QoL.The primary objective of management strategies is to minimize harm while improving survival rates and enhancing QoL during the survivorship stage. QoL measures play a crucial role in enhancing our comprehension of how cancer and its treatments affect individuals. Consequently, various measurement instruments, such as the EORTC QLQ 30, PROMIS-29, FACT-G, and QOL-CS, have been developed to assess health-related quality of life (HRQoL). Pre- and post-treatment HRQoL measurements have been shown to be predictive factors for post-operative complications and prognostic factors for overall survival and progression-free survival in gynecological oncology patients. Patient-reported outcomes related to HRQoL are essential tools for measuring patient outcomes and enabling patient-centered clinical decision-making.This article focuses on HRQoL, providing a historical context, summarizing measurement instruments, and discussing the current understanding of the impact of gynecological cancers on HRQoL.
Keyphrases
- patient reported outcomes
- newly diagnosed
- prognostic factors
- free survival
- end stage renal disease
- healthcare
- ejection fraction
- mental health
- palliative care
- decision making
- childhood cancer
- papillary thyroid
- cardiovascular events
- risk factors
- pregnant women
- intellectual disability
- chronic pain
- type diabetes
- cardiovascular disease
- physical activity
- patient safety
- metabolic syndrome
- quality improvement
- pain management
- lymph node metastasis
- cervical cancer screening