盆底肌和教育疗法对女性乳腺癌患者膀胱、肠、阴道、性、心理功能、生活质量和盆底肌功能的影响:系统综述。

IF 4.7 2区 医学 Q1 ONCOLOGY
Current Oncology Reports Pub Date : 2025-02-01 Epub Date: 2025-01-29 DOI:10.1007/s11912-024-01633-3
Marie-Pierre Cyr, Tamara Jones, Udari N Colombage, Helena C Frawley
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引用次数: 0

摘要

综述目的:乳腺恶性肿瘤是女性中最常见的肿瘤。盆底紊乱和性功能障碍的症状继发于全身癌症治疗。非手术,非药物的保守治疗,即盆底肌(PFM)和教育为基础的治疗,可能有利于减少这些症状的人群。本系统综述旨在研究其对乳腺癌人群膀胱、肠、阴道、性、心理功能、生活质量和PFM功能的有效性。最近的发现:检索了六个数据库,以确定PFM治疗、教育治疗或联合(多模式)治疗对任何感兴趣的结果的影响的介入研究。搜索产生了603个结果,其中包括12项研究。其中,6项(50%)为随机对照试验,1项(8%)为两组非随机对照试验,5项(42%)为单组非随机对照试验。研究结果表明,PFM治疗(主动)可能是有益的,CBT形式的教育可能改善膀胱功能。没有发现有关肠功能的数据,两项随机对照试验的结果无法得出关于阴道功能的结论。性功能是最常被报道的结果。PFM治疗(主动b>被动)可能是有益的,教育更有可能改善性功能。对于心理功能,PFM治疗(主动+被动)可能是有益的,教育更不可能改善心理功能。对于生活质量而言,PFM疗法(主动+被动)可能是有益的,而教育更不可能改善生活质量,尽管CBT结合体育锻炼可能会进一步改善生活质量。PFM治疗(主动±被动)可改善PFM功能。考虑到研究数量有限及其方法上的局限性,在解释这些研究结果时应谨慎行事。需要更多的研究来证实这些发现,并调查PFM治疗和联合、多模式治疗对乳腺癌人群的临床价值。非手术、非药物的保守疗法可能对乳腺癌患者有帮助。临床医生应考虑现有证据的最高水平来指导他们的实践,并使用他们的临床判断来选择治疗成分和适当的剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Pelvic Floor Muscle and Education-based Therapies on Bladder, Bowel, Vaginal, Sexual, Psychological Function, Quality of Life, and Pelvic Floor Muscle Function in Females Treated for Breast Cancer: A Systematic Review.

Purpose of review: Breast malignancy is the most common cancer in females. Symptoms of pelvic floor disorders and sexual dysfunction secondary to systemic cancer treatment may occur. Non-surgical, non-pharmaceutical conservative therapies, namely pelvic floor muscle (PFM) and education-based therapies, could be beneficial to reduce these symptoms in this population. This systematic review aimed to examine the evidence regarding their effectiveness on bladder, bowel, vaginal, sexual, psychological function, quality of life, and PFM function in breast cancer populations.

Recent findings: Six databases were searched to identify interventional studies on the effect of PFM therapies, education-based therapies, or combined (multimodal) therapies on any outcome of interest. The search yielded 603 results, from which 12 studies were included. Of these, six (50%) were RCTs, one (8%) was a non-RCT with two groups, and five (42%) were non-RCTs with a single group. Findings suggest that PFM therapies (active) may be beneficial, and education in the format of CBT may improve bladder function. No data were found for bowel function and results from two RCTs were inconclusive to draw conclusions for vaginal function. Sexual function was the most frequently reported outcome. PFM therapies (active > passive) may be beneficial, and education is more likely than not to improve sexual function. For psychological function, PFM therapies (active + passive) may be beneficial, and education is more unlikely than likely to improve psychological function. For quality of life, PFM therapies (active + passive) may be beneficial, and education is more unlikely than likely to improve quality of life, although CBT combined with physical exercise may provide further improvement. PFM therapies (active ± passive) may improve PFM function. Given the limited number of studies and their methodological limitations, caution should be exercised when interpreting these study results. More research is needed to confirm findings and to investigate the clinical value of PFM therapies and combined, multimodal therapies for breast cancer populations. Non-surgical, non-pharmaceutical conservative therapies may be helpful for breast cancer populations. Clinicians should consider the highest level of available evidence to guide their practice and use their clinical judgement to select the treatment components and appropriate dosages.

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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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