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[CERVICAL CANCER REHABILITATION: A PROSPECTIVE STUDY].

L Idrisova1, A Solopova1, A Savchenko1

  • 1Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University; Oncological Clinical Health center №1 of Moscow Department of Health, Russia.

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Summary
This summary is machine-generated.

This study shows that a rehabilitation program significantly improves the quality of life for gynecological cancer patients. Rehabilitation reduced lymphedema, deep vein thrombosis, anxiety, and depression, while enhancing cognitive function and employment rates.

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Area of Science:

  • Gynecologic Oncology
  • Rehabilitation Medicine
  • Quality of Life Research

Background:

  • Cervical cancer treatment can lead to significant long-term side effects impacting patients' quality of life.
  • Comprehensive rehabilitation strategies are crucial for managing post-treatment sequelae in gynecologic oncology patients.

Purpose of the Study:

  • To evaluate the effectiveness of a structured rehabilitation program on the quality of life in women treated for cervical cancer.
  • To assess the program's impact on physical complications, cognitive function, emotional well-being, and return to work.

Main Methods:

  • A prospective study involving 93 women treated for cervical cancer, divided into a rehabilitation (experimental) group and a standard care (control) group.
  • Assessment included questionnaires (EORTC QLQ-C30), physical examinations, laboratory tests, and cognitive function tests (Moka test).
  • Key outcomes measured were lymphedema, deep vein thrombosis, cognitive impairment, anxiety, depression, quality of life, and employment status.

Main Results:

  • The rehabilitation group showed significantly lower rates of lower limb lymphedema (2.1% vs 19.1%) and deep vein thrombosis (15.22% vs 44.7%).
  • Cognitive function improved (Moka score 26.85 vs 24.02), and subjective cognitive impairment, anxiety (7.02 vs 11.02), and depression (7.69 vs 12.43) levels were significantly reduced in the experimental group.
  • Quality of life, socialization, and employment rates (76.0% vs 36.2%) were significantly higher in the rehabilitation group, with lower fatigue levels.

Conclusions:

  • A structured rehabilitation program offers substantial benefits for gynecologic oncology patients post-treatment.
  • The program effectively mitigates physical complications, enhances emotional and cognitive well-being, and improves overall quality of life and return to work capacity.