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A prospective study on the assessment of the quality of life in patients with locally advanced carcinoma cervix preand post-chemo-radiotherapy
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NAVANEETHA SUBRAMANIYAN, PRANABANDHU DAS, AMMAGUNTA HARITHA, VARADHA RAVI KISHORE, NAYAB REENAZ, VELAMALA SRILATHA, ANNA BALAJI, BV SUBRAMANIAN
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| Abstract:
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The objective of the present work is to explore the quality of life (QoL) among women affected by cervix
cancer both before and after treatment with chemoradiotherapy, to investigate various factors influencing the
QoLamong this women and to assess the effect of treatment modalities on the QoL. This prospective study
covered thirty two newly diagnosed locally advanced carcinoma cervix patients (FIGO IB2-IVA) in the
department of radiation oncology, Sri Venkateshwara Institute of Medical Sciences (SVIMS), Tirupati, India.
Patients who met inclusion criteria were questioned with the structured questionnaire of QoL i.e European
Organization for Research and Treatment of Cancer (EORTC) QLQ30, and its Cervical Cancer Module
(Cx24) was employed to assess the QoL before treatment and four months after completion of the planned
chemoradiotherapy treatment. Themean global health score,post treatment was 60.48 whereas pre-treatment
score of 99.85. This is statistically significantly. Various measured parameters of QoL such as physical, role,
emotional, cognitive and social functioning improved significantly (p<0.05) behind the treatment. Loss of
appetite, fatigue, nausea, vomiting, pain, constipation, insomnia improved significantly (p<0.05), but no
significant improvement observed for dyspnea. There was a significant change in cervical cancer related
symptomscore (EORTC QLQ CX-24) such as decrease in burning micturition, sexual activity, and vaginal
discharge after treatment which were statically significant. But the painful sexual activity did not change
significantly. The Quality of life was improved significantly after using chemo-radiotherapy in newly diagnosed
locally advanced carcinoma cervix patients. Improvement was also exhibited on the five functional scales of
EORTC QLQ-C30. To facilitate further improvement of QoL, the proper psychological, social assistance and
awareness about various self-limiting complications to allay fear and anxiety of the patients may be needed.
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| Keyword:
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locally advanced carcinoma cervix, quality of life,chemo-radiotherapy
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.04.043
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| Download:
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