Quality of life after pelvic exenteration

Objectives. Pelvic exenteration, for gynecological and urological cancer, is an extensive and mutilating procedure. The 5-year survival rate is fairly good (40–60%), but little is known about the long-term quality of life. Methods. In this retrospective cohort study, the quality of life was assessed...

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Bibliographic Details
Published in:Gynecologic oncology 2004-06, Vol.93 (3), p.610-614
Main Authors: Roos, E.J, de Graeff, A, van Eijkeren, M.A, Boon, T.A, Heintz, A.P.M
Format: Article
Language:English
Subjects:
Adult
Aged
Cohort Studies
EORTC-QLQ-C30
Female
Genital Neoplasms, Female - psychology
Genital Neoplasms, Female - surgery
Gynecological malignancy
Humans
Middle Aged
Neoplasm Recurrence, Local
Pelvic exenteration
Pelvic Exenteration - adverse effects
Pelvic Exenteration - methods
Pelvic Exenteration - psychology
Quality of Life
Retrospective Studies
Surveys and Questionnaires
Urinary Bladder Neoplasms - psychology
Urinary Bladder Neoplasms - surgery
Urological malignancy
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Summary:Objectives. Pelvic exenteration, for gynecological and urological cancer, is an extensive and mutilating procedure. The 5-year survival rate is fairly good (40–60%), but little is known about the long-term quality of life. Methods. In this retrospective cohort study, the quality of life was assessed using the EORTC QLQ-C30 (version 3.0) and the EORTC QLQ-OV28 questionnaires. Results. Healthy females and those who underwent pelvic exenteration for a gynecological or urological malignancy reported comparable levels of emotional functioning and general quality of life. More physical, sexual, and social problems were, however, noted after exenteration. Younger patients and patients who underwent total pelvic exenteration had the most difficulty in adapting to daily life, disease, and treatment. They also had a worse body image, and the influence of the operation on their sex life was greater compared to other patient groups of this study. Conclusion. Despite the immense effect of pelvic exenteration on physical, sexual, and social functioning, women who underwent this procedure reported similar levels of emotional functioning and general quality of life compared to healthy women. Adaptation and the mechanism of response shift presumably play an important role.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2004.03.008