Avtor/Urednik | Smet, Stéphanie; Pötter, Richard; Haie-Meder, Christine; Lindegaard, Jacob Christian; Jürgenliemk-Schulz, Ina Maria; Mahantshetty, Umesh; Šegedin, Barbara; Bruheim, Kjesti; Hoskin, Peter J.; Rai, Bhavana | |
Naslov | Fatigue, insomnia and hot flashes after definitive radiochemotherapy and image-guided adaptive brachytherapy for locally advanced cervical cancer | |
Tip | članek | |
Vol. in št. | Letnik 127, št. 3 | |
Leto izdaje | 2018 | |
Obseg | str. 440-448 | |
ISSN | 0167-8140 - Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology | |
Jezik | eng | |
Abstrakt | To evaluate the pattern of manifestation of fatigue, insomnia and hot flashes within the prospective, observational, multi-center EMBRACE study. METHODS: Morbidity was prospectively assessed according to CTCAE v.3 and patient-reported outcome with EORTC QLQ-C30/CX24 at baseline and regular follow-up. Analyses of crude incidence, prevalence rates and actuarial estimates were performed. RESULTS: A total of 1176 patients were analyzed with a median follow-up of 27%months. At baseline, CTCAE G1/G2 prevalence rates for fatigue were 29%/6.2%, for insomnia 18%/3.1% and for hot flashes 7.9%/1.6% with respective 3-year prevalence rates of 29%/6.8%, 17%/4.4% and 19%/5.9%. Similar patterns of manifestation were seen in patient-reported EORTC outcomes. The 3-year actuarial estimates for G%%%3 CTCAE fatigue, insomnia and hot flashes were 5.5%, 4.7% and 1.9%. Younger age was associated with significantly higher risk for fatigue, insomnia and hot flashes. CONCLUSION: Fatigue, insomnia and hot flashes occurred mainly in the mild to moderate range. Fatigue and insomnia were already present before treatment and showed minor fluctuations or recovery during follow-up, whereas hot flashes showed a considerable increase after treatment. More research is needed to evaluate contributing risk factors in order to define intervention strategies. | |
Proste vsebinske oznake | rak materničnega vratu lokalno napredovali rak utrujenost obsevanje cervical cancer locally advanced cervical cancer fatigue radiotherapy |