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Exploring knowledge,attitudes and experience of genitourinary symptoms in women with early breast cancer on adjuvant endocrine therapy
Authors:M. Sousa MD  PhD  M. Peate BSc  GradDipSc   MScMed  PhD  C. Lewis MBBS  MMed   FRACP  S. Jarvis BAppSc   A. Willis BMedSc  MScMed   MGC  M. Friedlander AM  MBChB   MRCP  FRACP   PhD
Affiliation:1. Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia;2. School of Nursing and Midwifery, Centre for Applied Nursing Research, South Western Sydney Local Health District, Ingham Institute for Applied Medical Research, Western Sydney University, Sydney, NSW, Australia;3. Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, VIC, Australia;4. The Royal Women's Hospital, Parkville, VIC, Australia;5. Department of Medical Oncology, Prince of Wales Hospital, Randwick, NSW, Australia;6. Pelvic Floor Physiotherapy, Women's Health & Research Institute of Australia, Sydney, NSW, Australia
Abstract:Clinical trials of adjuvant endocrine therapy in women with early breast cancer have consistently reported that genitourinary symptoms are common. However, little is known about women's experiences of genitourinary symptoms, their views about the symptoms and how they impact on their lives. The aim of this study was to explore knowledge, attitudes and experiences of genitourinary symptoms among women receiving adjuvant endocrine therapy for early breast cancer. Thirty‐two semi‐structured interviews were conducted and subjected to a rigorous qualitative analysis. Genitourinary symptoms were commonly reported to negatively impact on personal, social and physical activities, were often attributed to anxiety and stress and were a source of embarrassment. Women also commented on the limited information available or provided regarding the potential genitourinary adverse effects of adjuvant endocrine therapy. There was a general lack of awareness that their symptoms could be associated with or exacerbated by adjuvant endocrine therapy. Women indicated a preference to receive information and advice about potential management options from either their general practitioner or specialist. These findings underscore the importance of improving communication and increasing awareness among both clinicians and patients about the potential impact of adjuvant endocrine therapy on genitourinary symptoms.
Keywords:breast cancer  endocrine therapy  genitourinary symptoms  information needs  patient‐reported experience  qualitative study
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