Evidence map›Paper›PMID 37891709›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Anxiety and depression among women with newly diagnosed vulvar cancer - A nationwide longitudinal study.

Diana Zach, Pernille T Jensen, Henrik Falconer, Zuzana Kolkova, Katja Stenström Bohlin, Preben Kjølhede, Elisabeth Åvall Lundqvist, Angelique Flöter Rådestad

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Evaluating perioperative self-reported sleep quality in patients with a gynecologic malignancy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

8 authors.

Diana ZachDepartment of Gynecological Cancer, Karolinska University Hospital, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-2871-5951
Pernille T JensenDepartment of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark.
Henrik FalconerDepartment of Gynecological Cancer, Karolinska University Hospital, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Zuzana KolkovaDepartment of Obstetrics and Gynecology, Skåne University Hospital, Department of Clinical Sciences, Lund University, Lund, Sweden.
Katja Stenström BohlinDepartment of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Preben KjølhedeDepartment of Obstetrics and Gynecology and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0001-5702-4116
Elisabeth Åvall LundqvistDepartment of Oncology and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Angelique Flöter RådestadDepartment of Gynecological Cancer, Karolinska University Hospital, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1068-9732

Funding

Radiumhemmets Forskningsfonder 009618Stockholm läns landsting ALF 2018-2023Svenska Sällskapet för Gynekologisk Cancer Stipendium 2018
6 · The paper itself

Abstract

introductionOur objective was to investigate the trajectories of anxiety, depression, emotional and social functioning in women with newly diagnosed vulvar cancer from the time of diagnosis to 12 months after treatment. A further aim was to identify risk factors for high levels of anxiety. MATERIAL AND

methodsPROVE (PROspective Vulvar Cancer Evaluation) is a nationwide longitudinal cohort study investigating quality of life in women with newly diagnosed vulvar cancer by the following validated patient-reported outcome measures at diagnosis, and 3 and 12 months after treatment: The Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Vulvar module VU34. Mean scores, changes over time and associations were analyzed by generalized estimated equations and log-linear regression models, adjusted for possible confounders.

resultsBetween 2019 and 2021, 105 (69%) women completed the questionnaires at all three time points. At diagnosis, 42% of the women reported elevated anxiety levels, decreasing significantly to 30% during the first 12 months. Insomnia, persisting vulvar symptoms and high information needs were significantly associated with a high level of anxiety (relative risk [RR] 2.1, 95% CI 1.2-3.7 for insomnia; RR 2.8, 95% CI 1.7-4.6 for vulvar symptoms, RR 2.7, 95% CI 1.5-4.9 for information needs). We found a trend towards a higher level of anxiety in younger women (<65 years: RR 1.5, 95% CI 1.0-2.5). Participants reported a low and stable prevalence of depression (14%) and high social functioning throughout the study period.

conclusionsWomen with newly diagnosed vulvar cancer report a high level of anxiety at diagnosis. Despite a significant improvement, anxiety remains widely prevalent during the first year of follow-up. Targeting insomnia, vulvar symptoms and unmet needs may decrease anxiety during surveillance.

Indexed as

Sleep Initiation and Maintenance DisordersVulvar NeoplasmsAnxietyDepressionFemaleHumansLongitudinal StudiesProspective StudiesQuality of Lifeanxietyclinical oncologypatient-reported outcomesquality of lifevulvar cancer

Identifiers

PMID37891709
PMCPMC10823412

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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.