QUALITY OF LIFE IN THAI WOMEN DIAGNOSED WITH GENITAL WARTS, CERVICAL CANCER AND CERVICAL INTRAEPITHELIAL NEOPLASIA AT KING CHULALONGKORN MEMORIAL HOSPITAL

Author(s)

Khemapech N1, Havanond P1, Termrungruanglert W1, Lertmaharit S1, Pongpanich S1, Khorprasert C1, Jirakorbchaipong P2, Kitsiripornchai S2, Taneepanichskul S11Chulalongkorn University, Bangkok, Bangkok, Thailand, 2MSD (Thailand) Ltd., Bangkok, Bangkok, Thailand

OBJECTIVES: To determine health related quality-of-life (QoL) of patients diagnosed with genital warts, cervical cancer and cervical intraepithelial neoplasia (CIN), compare QoL across genital warts, CIN1, CIN2/3 and stages of cervical cancer and to study association between QoL and general characteristics of patients. METHODS:  The cross-sectional descriptive study was conducted at the King Chulalongkorn Memorial Hospital using a standard questionnaire. The questionnaire elicited information on general patient characteristics such as age, occupation, and educational attainment, and on QoL using Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire. The study population were patients with a diagnosis of one of the four FIGO stages of cervical cancer, cervical intraepithelial neoplasia low-grade (CIN1) or cervical intraepithelial neoplasia high-grade (CIN2/3) or genital warts as confirmed by physical and pathological examination. RESULTS:  A total of 197 patients completed the study questionnaire with a diagnosis of genital warts (n=25), CIN1 (n=25), CIN 2/3 (n=25), IA1 (n=25), IA2 IB IIA (n=37), IIB-IVA (n=32) and IVB (n=28).  The mean age was 47.3 years and majority were housewives with educational attainment of primary school or lower. The adjusted mean scores were as follows: global QoL 78.08 (95%CI=76.4, 79.8); physical wellbeing, 81.9 (95%CI=79.6, 84.3); social well-being, 72.5 (95%CI=70.1, 74.9); emotional well-being, 78.7 (95%CI=76.3, 81.2); functional well-being, 79.3   (95%CI=76.9, 81.7). There were no significant differences between stages of diseases and global QoL or subscales. We found a positive association between age and emotional well being scores (p=0.001). Lower educational attainment was associated with higher emotional well being scores (p=0.049). CONCLUSIONS:   Our finding shows that, impact of QoL on disease of CIN or genital warts did not differ from cervical cancer. Young HPV related-disease patients and those with higher education may experience emotional difficulties. Social, family or religion support may be considered for these patients.

Conference/Value in Health Info

2010-09, ISPOR Asia Pacific 2010, Phuket, Thailand

Value in Health, Vol. 13, No. 7 (November 2010)

Code

PIH18

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Infectious Disease (non-vaccine), Oncology, Pediatrics, Reproductive and Sexual Health, Respiratory-Related Disorders

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