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Survivorship issues in ovarian cancer: a review
1Harris College of Nursing and Health Sciences at Texas Christian University in Fort Worth, USA. s.lockwood@tcu.edu
Purpose/Objectives:
To review what is known about survivorship issues for women after ovarian cancer treatment while identifying gaps and controversies.
Data Sources:
MEDLINE, CINAHL, and CancerLit database searches using the key words ovarian cancer, quality of life (QOL), chronic care, coping, uncertainty, and survivor separately and in combination.
Data Synthesis:
Data were categorized into psychosocial, QOL, and physical symptoms and reviewed for design, sample size, method, and outcome.
Conclusions:
Ovarian cancer studies focus on women's symptoms and concerns during treatment. Needs and issues of long-term survivors lack exploration. The relationship of ovarian cancer survivorship and physical side effects of treatment or recurrence is insufficient given increasing survival rates.
Implications For Nursing:
The nature and management of physical symptoms, beyond pain, in ovarian cancer survivors need further study. Specifically, QOL and psychosocial issues for long-term survivors require study. Consequences for women who undergo major tissue debulking or multiple and aggressive courses of cytotoxic treatments must be understood to facilitate intervention.
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