Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection

被引：61

作者：

Kim, Se Ik ^{[1
,2
]}

Lim, Myong Cheol ^{[1
,3
]}

Lee, Jeong Seon ^{[1
]}

Lee, Yumi ^{[1
]}

Park, KiByung ^{[4
]}

Joo, Jungnam ^{[4
]}

Seo, Sang-Soo ^{[1
]}

Kang, Sokbom ^{[1
,3
]}

Chung, Seung Hyun ^{[5
]}

Park, Sang-Yoon ^{[1
,3
]}

机构：

[1] Res Inst & Hosp, Natl Canc Ctr, Ctr Uterine Canc, Goyang Si 410769, Gyeonggi Do, South Korea

[2] Seoul Natl Univ, Coll Med, Dept Obstet & Gynecol, Seoul, South Korea

[3] Res Inst & Hosp, Natl Canc Ctr, Gynecol Canc Branch, Goyang Si 410769, Gyeonggi Do, South Korea

[4] Res Inst & Hosp, Natl Canc Ctr, Biometr Res Branch, Goyang Si 410769, Gyeonggi Do, South Korea

[5] Res Inst & Hosp, Natl Canc Ctr, Rehabil Med, Goyang Si 410769, Gyeonggi Do, South Korea

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2015年 / 192卷

关键词：

Gynecologic cancer; Lymphedema; Quality of life; LOWER-EXTREMITY LYMPHEDEMA; KOREAN VERSION; ENDOMETRIAL; PREVALENCE; WOMEN; QUESTIONNAIRE; SYMPTOMS; DISTRESS; RISK;

D O I：

10.1016/j.ejogrb.2015.06.011

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To evaluate the impact of lower limb lymphedema (LLL) on quality of life (QOL) in cervical, ovarian, and endometrial cancer survivors after pelvic lymph node dissection. Study design: A cross-sectional case-control study was performed using the Korean version of the Gynecologic Cancer Lymphedema Questionnaire (GCLQ-K) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30). In total, 25 women with LLL and 28 women without LLL completed both questionnaires. Results: The GCLQ-K total symptom score and scores for swelling-general, swelling-limb, and heaviness were significantly higher in the LLL group than in the control group. In the EORTC QLQ-C30, the LLL group reported more financial difficulties compared to the control group (mean score, 16.0 vs. 6.0; P = 0.035). Global health status was poorer in the LLL group with borderline statistical significance (mean score, 62.7 vs. 71.4; P = 0.069). Spearman's correlations suggested that global health status in the EORTC QLQ-C30 correlated with the GCLQ-K total symptom score (in the LLL group, R = -0.64, P = 0.001; in the control group, R = -0.42, P = 0.027). Conclusions: QOL decreases due to LLL-related symptoms and financial difficulty in women with LLL. Well-designed prospective studies are required to confirm these findings. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

引用

页码：31 / 36

页数：6

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