Department of Paediatrics, Obstetrics & Gynaecology and Preventive Medicine, Universtitat Autònoma de Barcelona, 08193 Bellaterra, Spain.
Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.
Int J Environ Res Public Health. 2022 Oct 27;19(21):13976. doi: 10.3390/ijerph192113976.
Breast cancer (BC) is the leading cause of cancer in women, and has implications for sexual function (SF). In this study, we used an evidence map to identify, describe, and organise the current available evidence regarding SF in women with BC. We searched the MEDLINE, PsycINFO, and CINAHL databases for observational studies assessing SF in women with BC published in English, Spanish, Portuguese, and French between 2000 and 2021 (sample ≥ 50 women). Of the 64 included studies (13,257 women with BC), 58 were published since 2010. Women who were married, partnered, or in relationships represented 74.1% of the entire sample. Only a single study was conducted on women representing a sexual minority. We identified 22 assessment instruments and 40 sexual dysfunction (SdF) domains. The number of publications on SF in women with BC has increased in the last 10 years, but still remains low. Some groups of women are underrepresented, and some SdF domains are underdiagnosed, with the assessment instrument used affecting which domains are studied. Women with BC need to be better screened, as their quality of life (QoL) is affected by SdF.
乳腺癌（BC）是女性癌症的主要病因，对性功能（SF）有影响。在这项研究中，我们使用证据图谱来确定、描述和组织目前关于 BC 女性 SF 的现有证据。我们在 MEDLINE、PsycINFO 和 CINAHL 数据库中搜索了 2000 年至 2021 年期间以英文、西班牙语、葡萄牙语和法语发表的评估 BC 女性 SF 的观察性研究（样本≥50 名女性）。在纳入的 64 项研究（13257 名 BC 女性）中，58 项是 2010 年后发表的。在整个样本中，已婚、有伴侣或有恋爱关系的女性占 74.1%。仅有一项研究针对代表性少数群体的女性进行。我们确定了 22 个评估工具和 40 个性功能障碍（SdF）领域。过去 10 年，BC 女性 SF 的出版物数量有所增加，但仍然很低。一些女性群体代表性不足，一些 SdF 领域被低估，所使用的评估工具影响了研究的领域。BC 女性需要更好的筛查，因为她们的生活质量（QoL）受到 SdF 的影响。
