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17.11.2016 | Review

Patient-provider communication about sexual concerns in cancer: a systematic review

verfasst von: Jennifer Barsky Reese, Kristen Sorice, Mary Catherine Beach, Laura S. Porter, James A. Tulsky, Mary B. Daly, Stephen J. Lepore

Erschienen in: Journal of Cancer Survivorship | Ausgabe 2/2017

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Abstract

Purpose

Cancer survivors’ needs around sexual concerns are often unmet. The primary objective of this systematic review was to examine the prevalence of and factors associated with patient-provider communication about sexual concerns in cancer.

Methods

Using PRISMA guidelines, we searched PubMed/MEDLINE, PsychInfo, and CINAHL databases for peer-reviewed quantitative research papers (2000–2015) in cancer samples. Search terms across three linked categories were used (sexuality, communication, and cancer). The National Comprehensive Cancer Network (NCCN) Sexual Function Guidelines were used as a framework to categorize communication reported in each study.

Results

Twenty-nine studies from 10 countries (29 % in USA) were included. Studies assessed patients only (21), providers only (4), and both (4). Communication measures differed across studies and many lacked validity data. When reported by patients or providers, the average prevalence of discussing potential treatment effects on sexual function was 50 (60 % for men and 28 % for women) and 88 %, respectively. As reported by patients or providers, respectively, assessing patients’ sexual concerns (10 and 21 %) and offering treatments (22 and 17 %) were measured in fewer studies and were reported less frequently. Both patients and providers (28 and 32 %, respectively) reported a low prevalence of other non-specific communication. Greater prevalence of communication was associated with male patient gender and more years of provider experience.

Conclusions

Sexual issues go unaddressed for many cancer survivors, particularly women. Both patient and provider interventions are needed.

Implications for Cancer Survivors

Enhancing patient-provider communication about sexual concerns through evidence-based interventions could improve patient sexual function and quality of life.

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The term “discuss” was entered as a Boolean phrase as “discuss*” which searched for any word beginning with this item stem. The terms “sexual behavior,” “sexuality,” “communication,” and “neoplasms” were also included in relevant searches as a MESH term and/or subject heading in addition to their appearance in the title or abstract.

The Scheer study presented a prevalence rate using patient chart review (100 %) and patient self-report survey (53 %), both of which were included in the mean prevalence calculation.

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Titel: Patient-provider communication about sexual concerns in cancer: a systematic review
verfasst von: Jennifer Barsky Reese
Kristen Sorice
Mary Catherine Beach
Laura S. Porter
James A. Tulsky
Mary B. Daly
Stephen J. Lepore
Publikationsdatum: 17.11.2016
Verlag: Springer US
Erschienen in: Journal of Cancer Survivorship / Ausgabe 2/2017
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-016-0577-9

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Patient-provider communication about sexual concerns in cancer: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

Implications for Cancer Survivors

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Implications for Cancer Survivors

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