Prioritizing women's health: essential concerns before surgical intervention for gynecological cancer

To investigate women's health prior to surgical intervention for suspected or confirmed gynecological cancer, with a specific focus on sexual - and mental health.

A cross-sectional study including women scheduled for surgery due to gynecological cancer. Patient-reported outcomes were collected at a single time point upon admission to an oncological surgery ward using validated questionnaires (GAD-7, EORTC QLQ CX-24, EQ-5D-5L) and two open-ended questions: "Describe what concerns distress you the most right now?" and "What is most important to you right now?"

Out of 206 eligible patients, 155 (median age 62, range 29-87) completed the questionnaires. All major gynecological cancer types were represented. Most women (76%) underwent minimally invasive surgery, and 31% had benign conditions. Additionally oncological treatment (chemotherapy and/or radiotherapy) was needed in 40% of cases. The mean EQ-5D-5L VAS score was 72 (SD 20), with 35% reporting low preoperative health status (<70). Women with suspected ovarian cancer reported the lowest health status, while those with suspected endometrial cancer reported the highest, though differences between groups were not statistically significant (p = 0.101). Uncertainty prior to diagnosis was a shared concern and affected women's physical, psychological, and sexual well-being. Responses to "What is most important to you right now?" reflected the need for personalized care.

Improved long-term survival in gynecological cancers increases the need to address health concerns already prior to surgery. The study highlights the need for a holistic, narrative-based approach in preoperative care to address not only physical symptoms but also emotional, social and existential needs.

researchweb.org/project/282380.