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Original Research

Open Access

Quality of life in patients with cervical cancer and endometrial cancer during adjuvant treatment—similarities and differences useful in personalized care

  • Joanna Trawińska1,*,†,
  • Joanna Ewa Skręt-Magierło2,†
  • Edyta Czetyrbok1
  • Joanna Bielatowicz3
  • Alicja Szczepańska4
  • Anna Rybicka5
  • Sebastian Kowalski6
  • Aleksander Myszka2,7
  • Andrzej Skręt3
  • Edyta Barnaś2
  • Małgorzata Gawlik8
  • Bogusław Gawlik3

1Department of Gynecology, Oncological Gynecology and Obstetrics, University Clinical Hospital, 35-055 Rzeszów, Poland

2Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, 35-310 Rzeszow, Poland

3Department of Gynecology and Obstetrics with Oncological Gynecology, Health Care Facility, 39-200 Dębica, Poland

4Department of Clinical Oncology with the Sub-Department of Gynecological Oncology, University Clinical Hospital, 35-055 Rzeszów, Poland

5Clinical Department of Brachytherapy, University Clinical Hospital, 35-055 Rzeszów, Poland

6Independent Laboratory of Emergency Medical Activities and Specialized Rescue, Medical University of Lublin, 20-093 Lublin, Poland

7Department of Medical and Health Sciences, State Vocational University of prof. Stanisław Tarnowski in Tarnobrzeg, 39-400 Tarnobrzeg, Poland

8Faculty of Medicine, Jagiellonian University Medical College, 31-008 Cracow, Poland

DOI: 10.22514/ejgo.2025.007 Vol.46,Issue 1,January 2025 pp.63-75

Submitted: 01 July 2024 Accepted: 02 August 2024

Published: 15 January 2025

*Corresponding Author(s): Joanna Trawińska E-mail: jtrawinska@ur.edu.pl

† These authors contributed equally.

Abstract

Background: The most important goal of oncological therapy is to cure or achieve long-term survival while maintaining good quality of life. Currently the new idea appears that cervical cancer and endometrial cancer belong to uterus associated tumors group. Methods: The retrospective study enrolled 62 patients: 22 with cervical cancer and 40 with endometrial cancer. In this study standardized questionnaires were applied: European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaires: QLQ (Quality of life questionnaires)-C30 and QLQ-CX24 modules for cervical cancer and QLQ-EN24 for endometrial cancer. Spearman’s rank correlation test was used to investigate the second aim. Results: The two studied cancers were similar with respect to global health status and functional scales. They differed in terms of emotional functioning with better functioning in endometrial cancer and some symptoms like nausea and vomiting which were more severe in women with cervical cancer. The age of the subjects, chemotherapy and the frequency of hospitalization significantly reduced the quality of life in patients in both groups (p < 0.05). Conclusions: While planning holistic care for a patient with cervical or endometrial cancer during adjuvant treatment, it is important to understand the factors that may significantly affect the general health condition and quality of life. Some side effects that appear during treatment, e.g., nausea and vomiting, require appropriate adjuvant therapy.


Keywords

Quality of life; Cervical cancer; Endometrial cancer; Adjuvant therapy


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Joanna Trawińska,Joanna Ewa Skręt-Magierło,Edyta Czetyrbok,Joanna Bielatowicz,Alicja Szczepańska,Anna Rybicka,Sebastian Kowalski,Aleksander Myszka,Andrzej Skręt,Edyta Barnaś,Małgorzata Gawlik,Bogusław Gawlik. Quality of life in patients with cervical cancer and endometrial cancer during adjuvant treatment—similarities and differences useful in personalized care. European Journal of Gynaecological Oncology. 2025. 46(1);63-75.

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