Thimm Anne Marie, Hansson Eva Helena, Wraae Katrine Bak, Olesen Mette Linnet
Department of Gynecology, Fertility and Births & The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Department of Pediatrics and Adolescent Medicine & The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Scand J Caring Sci. 2025 Jun;39(2):e70037. doi: 10.1111/scs.70037.
Previous reviews have indicated a high burden of physical, emotional and sexual symptoms in women who have undergone surgery for vulvar cancer. Numerous surgical modifications have been made over the past few decades to limit post-operative symptoms. However, few reviews have investigated a wide range of symptoms in women with vulvar cancer. A comprehensive review of the literature examining these symptoms following advanced surgical treatment for vulvar cancer could contribute to an updated understanding of symptom experiences in these women.
To map the literature on women's symptom experiences after surgical treatment for vulvar cancer.
A scoping review was conducted, following the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). The included studies provided independent analyses of women with vulvar cancer, utilised patient-reported outcome measures or qualitative data, were published between 2008 and 2024 and were in English, Danish, Norwegian or Swedish. Searches were conducted on February 20, 2024, in Embase, MEDLINE, CINAHL and PsycINFO. Data were thematically analysed as described by Braun and Clarke.
The following themes were identified in the 20 studies: lymphedema, sexuality and body image, pain, physical functioning, fatigue, urinary symptoms, emotional symptoms and support from relatives and healthcare professionals.
Women who have undergone surgery for vulvar cancer experience several physical and emotional symptoms. However, there is a shortage of qualitative studies that thoroughly explore the concept of symptom experience and quantitative studies that include vulvar-specific patient-reported outcome measures.
The protocol was preregistered on Open Science Framework on April 9, 2024, registration https://doi.org/10.17605/OSF.IO/429JW.
既往综述表明，接受外阴癌手术的女性存在较高的身体、情感和性症状负担。在过去几十年中，人们进行了多种手术改良以减轻术后症状。然而，很少有综述对外阴癌女性的一系列症状进行研究。全面回顾外阴癌手术治疗后这些症状的文献，有助于更新对这些女性症状体验的认识。
梳理外阴癌手术治疗后女性症状体验的相关文献。
按照系统评价和Meta分析扩展版的首选报告项目（PRISMA-ScR）进行范围综述。纳入的研究提供了对外阴癌女性的独立分析，使用了患者报告的结局指标或定性数据，发表于2008年至2024年之间，语言为英语、丹麦语、挪威语或瑞典语。于2024年2月20日在Embase、MEDLINE、CINAHL和PsycINFO数据库进行检索。按照布劳恩和克拉克的描述对数据进行主题分析。
在20项研究中确定了以下主题：淋巴水肿、性与身体形象、疼痛、身体功能、疲劳、泌尿系统症状、情感症状以及亲属和医护人员的支持。
接受外阴癌手术的女性会经历多种身体和情感症状。然而，缺乏深入探讨症状体验概念的定性研究以及纳入外阴特异性患者报告结局指标的定量研究。
该方案于2024年4月9日在开放科学框架上预先注册，注册链接为https://doi.org/10.17605/OSF.IO/429JW 。
