Contraception and screening for cervical and breast cancer in neuromuscular disease: A retrospective study of 50 patients monitored at a clinical reference centre

• Published in: Annals of physical and rehabilitation medicine 2009-09, Vol.52 (7), p.538-545
• Main Authors: Goutard, S, Baron, C, Bouton, C, Penisson-Besnier, I, Fossé, G, Aube-Nathier, A.-C, Havet-Thomassin, V, Dubas, F, Richard, I
• Format: Article
• Language: English
• Subjects: Accessibilité; Adult; Aged; Architectural accessibility; Architectural Accessibility - statistics & numerical data; Biological and medical sciences; Breast cancer; Breast Neoplasms - diagnosis; Breast Neoplasms - epidemiology; Cancer du col utérin; Cancer du sein; Cervical cancer; Contraception; Contraception Behavior - statistics & numerical data; Data Collection; Disabled Persons - statistics & numerical data; Diseases of the osteoarticular system; Diseases of the osteoarticular system. Orthopedic treatment; Dépistage; Early Detection of Cancer - utilization; Female; Female genital diseases; France; Gynecology; Gynecology. Andrology. Obstetrics; Health Services Accessibility - statistics & numerical data; Healthcare Disparities - statistics & numerical data; Humans; Internal Medicine; Mammography - utilization; Mass screening; Medical sciences; Middle Aged; Neuromusculaire; Neuromuscular disease; Neuromuscular Diseases - epidemiology; Neuromuscular Diseases - therapy; Patient Care Team; Physical Examination - utilization; Physical Medicine and Rehabilitation; Physician-Patient Relations; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Respiration, Artificial; Retrospective Studies; Tumors; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - epidemiology; Vaginal Smears - utilization; Wheelchairs; Young Adult
• ISSN: 1877-0657; 1877-0665
• DOI: 10.1016/j.rehab.2009.06.003

Abstract Objective To analyse contraceptive methods and the extent of screening for breast and cervical cancer in women with neuromuscular disease, compare these results with data and guidelines for the general population and determine the environmental and attitudinal barriers encountered. Patients and methods A retrospective, descriptive study in a population of female neuromuscular disease patients (aged 20 to 74) monitored at a clinical reference centre. Results Complete datasets were available for 49 patients. Seventy percent used contraception (hormonal contraception in most cases). Sixty-eight percent had undergone screening for cervical cancer at some time in the previous 3 years and 100% of the patients over 50 had undergone a mammography. Architectural accessibility and practical problems were the most common barriers to care and were more frequently encountered by wheelchair-bound, ventilated patients. Conclusions In general, the patients had good access to contraceptive care and cervical and breast cancer screening. However, specific measures may be useful for the most severely disabled patients.