Gynecologic oncology
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Gynecologic oncology · Nov 2013
Randomized Controlled TrialDevelopment and pilot of an advance care planning website for women with ovarian cancer: a randomized controlled trial.
Few available tools facilitate cancer patients and physicians' discussions of quality of life and end-of-life. Our objective was to develop a web-based tool to promote advance care planning for women with ovarian cancer. ⋯ A website providing information and decisional support for women with ovarian cancer is feasible. Increasing frequency of website use requires future research.
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Gynecologic oncology · Nov 2013
Preoperative hypoalbuminemia is an independent predictor of poor perioperative outcomes in women undergoing open surgery for gynecologic malignancies.
To quantify the impact of preoperative hypoalbuminemia on 30-day mortality and morbidity after gynecologic cancer surgery. ⋯ Preoperative albumin levels <3g/dL identify a population of patients at a very high-risk of experiencing perioperative morbidity and 30-day mortality after open surgery.
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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.
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Despite the increasing availability of palliative care, oncology providers often misunderstand and underutilize these resources. The goals of palliative care are relief of suffering and provision of the best possible quality of life for both the patient and her family, regardless of where she is in the natural history of her disease. ⋯ Patients with gynecologic malignancies remain an ideal population for palliative care intervention. This review of the literature explores the current state of palliative care in the treatment of gynecologic cancers and its implications for the quality and cost of this treatment.
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Gynecologic oncology · Oct 2013
Randomized Controlled TrialInfluence of gum chewing on postoperative bowel activity after complete staging surgery for gynecological malignancies: a randomized controlled trial.
To investigate whether gum chewing affects the return of bowel function after complete staging surgery for gynecologic malignancies. ⋯ Gum chewing early in the postoperative period following elective total abdominal hysterectomy and systematic retroperitoneal lymphadenectomy hastens time to bowel motility and ability to tolerate feedings. This inexpensive and well-tolerated treatment should be added as an adjunct in postoperative care of gynecologic oncology.