The experiences of women receiving brachytherapy for cervical cancer: A systematic literature review |
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| Affiliation: | 1. Gynecologic Oncology, Olive View-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA;2. Radiation Oncology, Regional Health – John T. Vucurevich Cancer Care Institute, Rapid City, SD;3. Gynecologic Oncology, Fox Chase Cancer Center, Philadelphia, PA;4. Radiation Oncology, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA;5. Gynecologic Oncology, Loma Linda University, Loma Linda, CA;6. Radiation Oncology, MD Anderson Cancer Center, Houston, TX;7. Gynecologic Oncology, NYU Langone Laura and Isaac Perlmutter Cancer Center, New York, NY;8. Gynecologic Oncology, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA;9. Radiation Oncology, UC San Diego School of Medicine, San Diego, CA;2. Department of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins Medicine, Baltimore, MD;3. Department of Radiotherapy, Gustave Roussy Cancer Campus, Villejuif, France |
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| Abstract: | ObjectivesTo determine women's experiences of brachytherapy for cervical cancer.Key findingsNineteen studies were included for data extraction/synthesis. Twelve studies focussed on psychological issues, seven on pharmacological aspects of women's experiences. Themes of anxiety, distress, pain, informational needs and non-pharmacological interventions were found. Nine out of ten psychological studies described brachytherapy as a distressing experience causing anxiety and distress for most women. Non-pharmacological interventions were found to be effective and inexpensive adjuncts. Peri and post-operative pharmacological management was variable, but duration of procedure was an important factor.ConclusionBrachytherapy for gynaecological cancer causes varying levels of pain, anxiety and distress. To improve women's experiences there needs to be better pain management, patient information and the development of non-pharmacological interventions. Future recommendations are to develop clinical support guidelines, audit the quality of services and develop effective interventions to improve women's experiences of brachytherapy for locally advanced cervical cancer. |
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| Keywords: | Brachytherapy Cervical cancer High dose rate Anesthesia Analgesia Anxiety |
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