OBJECTIVES: Difficulties with diagnosis and aggressive, long-term treatment may result in lower quality of life (QOL), including high levels of anxiety, depression, and uncertainty, greater symptom distress, and lower overall QOL among women with ovarian cancer. The purpose of this study was to describe demographic, clinical, and other risk factors associated with compromised QOL among women who have undergone surgery for ovarian malignancies. METHODS: Subjects were recruited to participate in a clinical trial that tested a specialized nursing intervention addressing psychological and physical care among women post-surgical for ovarian cancer. QOL was measured using five standardized self-report measures: the State-Trait Anxiety Scale (SAS), the Center for Epidemiological Studies Depression Scale (CES-D), the Mishel Uncertainty in Illness Scale (MUIS), the Symptom Distress Scale (SDS), and the Short-Form Health Survey (SF-12). Baseline data were collected while women were hospitalized following surgery. RESULTS:The sample (n=145) included women with ovarian cancer (58%) and other cancers metastasized to the ovaries and abdomen (42%). Mean scores on the measures were consistent with or higher than previously reported means for similar populations. Women reporting the lowest QOL were more likely to be younger, more educated, and have early stage disease. SIGNIFICANCE OF RESULTS:Women who have undergone surgery for ovarian malignancies have psychological needs that are often considered secondary to physical needs. Interventions should include routine screening for distress and referral to appropriate psychological and social services, thereby facilitating quality cancer care.
RCT Entities:
OBJECTIVES: Difficulties with diagnosis and aggressive, long-term treatment may result in lower quality of life (QOL), including high levels of anxiety, depression, and uncertainty, greater symptom distress, and lower overall QOL among women with ovarian cancer. The purpose of this study was to describe demographic, clinical, and other risk factors associated with compromised QOL among women who have undergone surgery for ovarian malignancies. METHODS: Subjects were recruited to participate in a clinical trial that tested a specialized nursing intervention addressing psychological and physical care among women post-surgical for ovarian cancer. QOL was measured using five standardized self-report measures: the State-Trait Anxiety Scale (SAS), the Center for Epidemiological Studies Depression Scale (CES-D), the Mishel Uncertainty in Illness Scale (MUIS), the Symptom Distress Scale (SDS), and the Short-Form Health Survey (SF-12). Baseline data were collected while women were hospitalized following surgery. RESULTS: The sample (n=145) included women with ovarian cancer (58%) and other cancers metastasized to the ovaries and abdomen (42%). Mean scores on the measures were consistent with or higher than previously reported means for similar populations. Women reporting the lowest QOL were more likely to be younger, more educated, and have early stage disease. SIGNIFICANCE OF RESULTS:Women who have undergone surgery for ovarian malignancies have psychological needs that are often considered secondary to physical needs. Interventions should include routine screening for distress and referral to appropriate psychological and social services, thereby facilitating quality cancer care.
Authors: Jill S Barnholtz-Sloan; Michael A Tainsky; Judith Abrams; Richard K Severson; Faisal Qureshi; Suzanne M Jacques; Nancy Levin; Ann G Schwartz Journal: Cancer Date: 2002-03-15 Impact factor: 6.860
Authors: Jeffrey M Fowler; Kristen M Carpenter; Parul Gupta; Deanna M Golden-Kreutz; Barbara L Andersen Journal: Obstet Gynecol Date: 2004-06 Impact factor: 7.661
Authors: Tina R Norton; Sharon L Manne; Stephen Rubin; John Carlson; Enrique Hernandez; Mitchell I Edelson; Norman Rosenblum; David Warshal; Cynthia Bergman Journal: J Clin Oncol Date: 2004-03-01 Impact factor: 44.544
Authors: Janet H Van Cleave; Brian L Egleston; Meg Bourbonniere; Lauren Cardone; Ruth McCorkle Journal: Geriatr Nurs Date: 2012-03-03 Impact factor: 2.361
Authors: Dena Schulman-Green; Elizabeth H Bradley; Nicholas R Nicholson; Erin George; Allie Indeck; Ruth McCorkle Journal: Oncol Nurs Forum Date: 2012-07 Impact factor: 2.172
Authors: Jeremie Abitbol; Beste Kucukyazici; Sonya Brin; Susie Lau; Shannon Salvador; Agnihotram V Ramanakumar; Roy Kessous; Liron Kogan; John D Fletcher; Valerie Pare-Miron; Gilbert Liu; Walter H Gotlieb Journal: J Robot Surg Date: 2022-08-04
Authors: Susan K Lutgendorf; George M Slavich; Koenraad Degeest; Michael Goodheart; David Bender; Premal H Thaker; Frank Penedo; Bridget Zimmerman; Joseph Lucci; Luis Mendez; Katherine Collins; Anil K Sood Journal: Gynecol Oncol Date: 2013-10-03 Impact factor: 5.482
Authors: Yang Zhou; Melinda L Irwin; Leah M Ferrucci; Ruth McCorkle; Elizabeth A Ercolano; Fangyong Li; Kevin Stein; Brenda Cartmel Journal: Gynecol Oncol Date: 2016-04-19 Impact factor: 5.482
Authors: Caroline W Cohen; Kevin R Fontaine; Rebecca C Arend; Taraneh Soleymani; Barbara A Gower Journal: Nutrients Date: 2018-08-30 Impact factor: 5.717