Evidence map›Paper›PMID 27787681›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

A nurse-led sexual rehabilitation intervention after radiotherapy for gynecological cancer.

R M Bakker, J W M Mens, H E de Groot, C C Tuijnman-Raasveld, C Braat, W C P Hompus, J G M Poelman, M S Laman, L A Velema, C D de Kroon and 3 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03611517 (SPARC Study), which is not on this map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03611517 naunknown statusnot on this mapstarted 2018, after this paper: background citation

SPARC Study: A Nurse-led Sexual Rehabilitation Programme for Women With Gynaecological Cancers Receiving Radiotherapy: a Randomized Multicentre Trial

TypeinterventionalSponsorLeiden University Medical CenterRan2018 to 2022Enrolled220ConditionsEndometrial Cancer, Cervical Cancer, Vaginal Cancer, Gynecologic CancerArmsSexual rehabilitation programme
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Effectiveness of psychoeducation intervention among women with gynecological cancer: a systematic review and meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Management Strategies for Sexuality Complaints after Gynecologic Cancer: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Pooled it
  3. Pooled it
  4. A systematic review and meta-analysis of couple-based intervention on sexuality and the quality of life of cancer patients and their partners.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
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  13. Vaginal dilator use more than 9 months is a main prognostic factor for reducing G2‑late vaginal complications in 3D‑vaginal‑cuff brachytherapy (interventional radiotherapy)?Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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  16. Sexual health and wellbeing among female pelvic cancer survivors following individualized interventions in a nurse-led clinic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

R M BakkerDepartment of Gynecology, Leiden University Medical Center, Zone VRSP, PO Box 9600, 2300 RC, Leiden, the Netherlands. R.M.Bakker@lumc.nl.
J W M MensDepartment of Radiotherapy, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
H E de GrootDepartment of Gynecology, Leiden University Medical Center, Zone VRSP, PO Box 9600, 2300 RC, Leiden, the Netherlands.
C C Tuijnman-RaasveldDepartment of Gynecology, Leiden University Medical Center, Zone VRSP, PO Box 9600, 2300 RC, Leiden, the Netherlands.
C BraatDepartment of Radiotherapy, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
W C P HompusDepartment of Gynecology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
J G M PoelmanDepartment of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands.
M S LamanDepartment of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands.
L A VelemaDepartment of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands.
C D de KroonDepartment of Gynecology, Leiden University Medical Center, Zone VRSP, PO Box 9600, 2300 RC, Leiden, the Netherlands.
H C van DoornDepartment of Gynecology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
C L CreutzbergDepartment of Radiation Oncology, Leiden University Medical Center, Leiden, the Netherlands.
M M Ter KuileDepartment of Gynecology, Leiden University Medical Center, Zone VRSP, PO Box 9600, 2300 RC, Leiden, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough vaginal dilator use after combined pelvic radiation therapy and brachytherapy (RT/BT) is recommended to prevent vaginal shortening and stenosis, women fail to use them and experience sexual problems. A nurse-led sexual rehabilitation intervention targeting sexual recovery and vaginal dilatation was developed. Its feasibility was investigated during a prospective, longitudinal, observational pilot study.

methodsFour oncology nurses were specifically trained to conduct the intervention. Gynecologic cancer patients treated with RT/BT were assessed using (i) questionnaires on frequency of dilator use (monthly), sexual functioning, and sexual distress (at baseline and 1, 6, and 12 months) and psychological and relational distress (at 1, 6, and 12 months); (ii) semi-structured interviews (between 6 and 12 months); and (iii) consultation recordings (a random selection of 21 % of all consults).

resultsTwenty participants were 26-71 years old (mean = 40). Eight participants discontinued participation after 3 to 9 months. At 6 months after RT, 14 out of 16 (88 %), and at 12 months 9 out of 12 (75 %), participants dilated regularly, either by having sexual intercourse or by using dilators. Sexual functioning improved between 1 and 6 months after RT, with further improvement at 12 months. Most participants reported that the intervention was helpful and the nurses reported having sufficient expertise and counseling skills.

conclusionsAccording to the pilot results, the intervention was feasible and promising for sexual rehabilitation and regular dilator use after RT. Its (cost-)effectiveness will be investigated in a randomized controlled trial.

Indexed as

Nurse's RoleAgedBrachytherapyConstriction, PathologicFemaleGenital Neoplasms, FemaleHumansMiddle AgedPilot ProjectsProspective StudiesRadiation InjuriesSexual BehaviorSurveys and QuestionnairesVaginaDilator use complianceGynecological cancerNurse-led interventionPelvic radiation therapy and brachytherapySexual rehabilitation

Identifiers

PMID27787681
PMCPMC5266770

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.