Health-related quality of life and pelvic floor dysfunction in advanced-stage ovarian cancer survivors: associations with objective activity behaviors and physiological characteristics

Christelle Schofield, Robert U. Newton, Paul Cohen, Daniel Galvão, Joanne McVeigh, Raj Kader Ali Mohan, Jason Tan, Stuart Salfinger, Leon Straker, Carolyn J. Peddle-McIntyre

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

Purpose: Little is known about the relationship between health-related quality of life (HRQoL), pelvic floor dysfunction (PFD), and modifiable lifestyle and physiological factors for ovarian cancer survivors (OCS). The primary aim of the study was to compare post-treatment advanced-stage OCS with age-matched controls on measures of HRQoL and PFD. The secondary aim was to examine associations between HRQoL, PFD, objective activity behaviors, physical function, and body composition in OCS.
Methods:
Twenty advanced-stage OCS and 20 controls completed questionnaires assessing HRQoL (SF-36) and PFD (Australian Pelvic Floor Questionnaire), and underwent objective assessments of activity behavior (7-day accelerometer), physical function (400-m walk, repeated chair rise, 6-m usual-pace walk, one-repetition maximum chest press, and single-leg extension), and body composition (dual-energy x-ray absorptiometry).
Results:
Compared to controls, OCS had worse physical HRQoL (− 4.3 median difference, p = 0.013), but equivalent self reported PFD, indicated by combined bladder, bowel, and pelvic organ prolapse symptoms (0.89 mean difference, p = 0.277). In OCS, physical HRQoL was significantly negatively associated with PFD (r = 0.468, p = 0.043). Decreased physical HRQoL and increased PFD were significantly associated with less moderate-to-vigorous physical activity in ≥ 10-min bouts (ρ = 0.627,
p = 0.003; ρ = − 0.457, p = 0.049), more sedentary time (r = − 0.449, p = 0.047; r = 0.479, p = 0.038), and slower 400-m walk time (ρ = − 0.565, p = 0.022; ρ = 0.504, p = 0.028).
Conclusions:
Post-treatment advanced-stage OCS have decreased physical HRQoL, which is associated with modifiable factors such as worse PFD, less moderate-to-vigorous physical activity, more sedentary time, and decreased objective physical function.
This highlights the need for ongoing supportive care and multidisciplinary interventions after first-line ovarian cancer treatment.
Original languageEnglish
Pages (from-to)2239-2246
Number of pages8
JournalSupportive Care in Cancer
Volume26
Issue number7
DOIs
Publication statusPublished - Jul 2018

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