Gynecologic oncology
-
Gynecologic oncology · Oct 2013
Comparative Study Controlled Clinical TrialIntensive complete decongestive physiotherapy for cancer-related upper-limb lymphedema: 11 days achieved greater volume reduction than 4.
Upper-limb lymphedema (ULL) occurs in 15-20% of women after breast-cancer treatment. Its intensive therapy relies on complete (complex) decongestive physiotherapy (CDP), whose duration is not well-established. ⋯ Intensive phase CDP for 11 days obtained significantly more volume reduction of breast cancer-related ULL than 4.
-
Gynecologic oncology · Oct 2013
Assessment of intraoperative tube thoracostomy after diaphragmatic resection as part of debulking surgery for primary advanced-stage Müllerian cancer.
The present study assessed the use of an intraoperative tube thoracostomy for patients with primary advanced-stage ovarian, fallopian tube, or peritoneal cancer who underwent a diaphragmatic resection as part of debulking surgery and to define which patients are more likely to benefit from an intraoperative tube thoracostomy. ⋯ A prophylactic tube thoracostomy might be considered if the volume of the estimated blood loss is higher than usual.
-
Gynecologic oncology · Oct 2013
The wait time creep: changes in the surgical wait time for women with uterine cancer in Ontario, Canada, during 2000-2009.
Uterine cancer is a major cancer of women, with outcomes potentially worsening with delayed diagnosis or hysterectomy, the main treatment. Yet cancer surgery wait times are not reported by cancer site. This study sought to examine changes in wait times for uterine cancer surgery between 2000 and 2009 and to identify predictors of longer surgery wait times. ⋯ Over half of uterine cancer patients waited longer than the recommended 6 weeks for surgery. Future reporting of cancer wait times by each disease site regularly would help to identify progress to reduce wait times and opportunities for improvement.
-
Gynecologic oncology · Sep 2013
Palliative care education in gynecologic oncology: a survey of the fellows.
Gynecologic oncologists regularly care for patients at the end of life, yet little is known about their training or preparedness to deal with issues of palliative care. We sought to examine the training provided to gynecologic oncology fellows as well as their perceived preparedness to provide palliative care. ⋯ The quantity and quality of training in palliative care are lower compared to other common procedural and oncological issues. Gynecologic oncology fellowship programs need to incorporate a palliative care training curriculum.