QUALITY AND ADOPTION TO FAMILY LIFE IN CERVICAL CANCER SURVIVORS AFTER RADIOTHERAPY Dr.Rishan.T.S, Cancer Institute(WIA), Adyar,Chennai

INTRODUCTION Most common cancer among women in rural population 2 nd most common among women in urban population MMTR recorded 21.2% incidence in 2005 and 17.2% at present Still under reported in India

MATERIALS AND METHODS 101 Disease free survival patients selected for the study Age group 27 to 47 years Minimum survival period of 3 years

TOOLS Cancer Institute-Quality of life Questionnaire EORTC Cervical cancer module ( QLQ CX 24) Distress Thermometer

CI-QOL Comprises 41 questions 39 questions in Likert four point scale Last two questions in semantic scale ranging from 1-10 More than one item in questionnaire assess various components

Factor No Name No of items Item numbers 1.General well being 5 items7,26, 30, 40, 41 2.Physical well being 10 items1,2,3,4,5,6,8,10,11, 31 3.Psychological wellbeing 8 items12,13,15,16,19,20,21,29 4.Interpersonal relationship 4 items22,23,24,25 5.Sexual and personal ability 2 items9,33 6.Cognitive well being 3 items27,34,35 7.Optimism and Belief 2 items36,37 8.Economical well being 3 items14,17,32 9.Informational support 2 items38,39 10.Patient- Physician relationship 1 item28 11.Body image 1 item18

SCORES Below 99Very Low Low Average High Above 165Very high

EORTC QLQ CX 24 Module meant for patients varying in disease stage and treatment modality Comprises 24 Questions Based on functional and symptomatic scale.

Distress Thermometer Scores 0-4 no distress Scores 5-7 some level of distress Scores 8-10 High level of distress

ADMINISTRATION Informed consent obtained prior to the study 45 to 60 minutes for questionnaire.

RESULTS Radiation alone N=55 Concurrent Chemoradiation N=56 Stage 1 and 2 N=75 Stage 3 N=26 3 years of survival

BODY IMAGE

SEXUAL FUNCTIONING

ANALYSIS

66.9% reported poor quality of life. 79.6% reported better body image Sexual dysfunction due to social stigma and not due to treatment factors. Compared to western population, discomfort not due to treatment modalities, but various social factors.

CONCLUSION Compared to western population, our patients experienced a better QOL Type of treatment and disease stage didnot affect QOL Ignorance about cancers, reluctance among females, and age factors contributed to poor QOL.

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