Evidence map›Paper›PMID 42771088›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Informational needs in vulvar cancer and precursor conditions: a social listening study.

D Wouters, M V G L van Lynden van Sandenburg, K K Hulscher, E M G van Esch, J W M Aarts

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

D WoutersAmsterdam UMC, De Boelelaan 1117, Amsterdam, 1081 HV, Netherlands. d.wouters1@amsterdamumc.nl.ORCID https://orcid.org/0009-0007-9045-0927
M V G L van Lynden van SandenburgAmsterdam UMC, De Boelelaan 1117, Amsterdam, 1081 HV, Netherlands.ORCID http://orcid.org/0009-0000-6859-5600
K K HulscherOlijf Patiëntenorganisatie Gynaecologische Kanker, Utrecht, Netherlands.
E M G van EschCatharina Ziekenhuis Eindhoven, Michelangelolaan 2, Eindhoven, 5623 EJ, Netherlands.ORCID http://orcid.org/0000-0001-7387-5922
J W M AartsAmsterdam UMC, De Boelelaan 1117, Amsterdam, 1081 HV, Netherlands.ORCID http://orcid.org/0000-0002-0674-9405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVulvar cancer and precursor conditions including vulvar intraepithelial neoplasia (VIN) impose substantial burden, yet patient information provision remains poorly evidenced. Stigma and taboo contribute to diagnostic delays of 6-11 months. This study used social listening to map the online information-seeking landscape of women with vulvar cancer and VIN, with the aim of informing phase-integrated supportive care strategies.

methodsQuestions were collected from six publicly accessible online platforms in the Netherlands, the UK, and the US (November 2025-January 2026), encompassing posts from 2008 onward. After screening 4859 posts, 619 questions were included. Data were analyzed using inductive qualitative content analysis with independent coding; reporting followed COREQ.

resultsSeven themes were identified: Causes, Early signs, Diagnostics, Treatments, After treatment, Long-term concerns, and Psychosocial impact. Early signs and After treatment each accounted for 19% of coded segments, and Diagnostics for 17%. Recognition uncertainty-difficulty interpreting bodily changes as normal, abnormal, or recurrence-related-was the most frequently expressed informational need, accounting for 20% of all coded segments across the Early signs, After treatment, and Long-term concerns themes, more than any single theme. After treatment, questions predominantly concerned wound complications and recovery expectations, including among preoperative women.

conclusionThis recognition uncertainty is the central unmet need across the patient journey, from pre-diagnostic symptom appraisal through survivorship. These findings support phase-integrated supportive care interventions: initiating symptom-related communication before diagnosis, structuring preoperative education around recovery and wound care, and developing visually supported materials. Proactive clinician-patient communication could reduce diagnostic delays and psychological burden.

Indexed as

Carcinoma in SituInformation Seeking BehaviorVulvar NeoplasmsFemaleHumansNetherlandsSocial StigmaUnited KingdomUnited StatesHealth communicationPatient educationQualitative researchSocial listeningSupportive careVulvar neoplasms

Identifiers

PMID42771088
PMCPMC13597542

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Registered trials

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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.