Brief report: Total pelvic exenteration - A retrospective clinical needs assessment Journal Article


Authors: Carter, J.; Chi, D. S.; Abu Rustum, N.; Brown, C. L.; Mccreath, W.; Barakat, R.
Article Title: Brief report: Total pelvic exenteration - A retrospective clinical needs assessment
Abstract: This clinical needs assessment retrospectively identified 11 women with a history of gynecologic cancer who had undergone pelvic exenteration within the last 4 years, of whom six were available for interview. All patients agreed to telephone interviews, which lasted approximately 45-60 min and addressed their surgical experience. Seven themes emerged from the interviews: concerns about recovery, complications, ostomies, social support, sexuality, disclosure, and fear. The findings of our needs assessment concur with the existing literature noting decreased sexual interest/activity and difficulties with body image. An improvement in mood and an increase in activities over time postoperatively were noted. We also found reluctance by participants to disclose information about their exenterative procedure. Copyright © 2003 John Wiley & Sons, Ltd.
Keywords: adult; clinical article; aged; middle aged; retrospective studies; postoperative period; recurrent cancer; endometrium cancer; cancer palliative therapy; edema; quality of life; retrospective study; postoperative complication; genital neoplasms, female; social support; mood; sexuality; uterine cervix cancer; experience; stoma; pelvis exenteration; postoperative infection; health services research; interview; interpersonal communication; medical literature; physical activity; leiomyosarcoma; fear; gynecologic cancer; physiotherapy; needs assessment; body image; life event; sexual behavior; telephone; confidentiality; abscess; eating disorder; pelvic exenteration; truth disclosure; vagina reconstruction; humans; human; female; article
Journal Title: Psycho-Oncology
Volume: 13
Issue: 2
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2004-02-01
Start Page: 125
End Page: 131
Language: English
DOI: 10.1002/pon.766
PROVIDER: scopus
PUBMED: 14872531
DOI/URL:
Notes: Psycho-Oncology -- Cited By (since 1996):7 -- Export Date: 16 June 2014 -- CODEN: POJCE -- Source: Scopus
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  1. Richard R Barakat
    629 Barakat
  2. Carol Brown
    167 Brown
  3. Dennis S Chi
    707 Chi
  4. Jeanne Carter
    159 Carter