General Internist Communication about Sexual Function with Cancer Survivors
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Sexual dysfunction is an important issue that affects many cancer survivors who are increasingly being cared for by internists.
To examine the attitudes and reported practices of internists regarding survivorship care as it pertains to sexual dysfunction.
Surveys were sent to 406 physicians affiliated with the Department of Internal Medicine at the University of Colorado Denver School of Medicine. Of the 319 eligibles, 227 were returned (71% RR).
Of the 227 responders, 46% were “somewhat/very” likely to initiate a conversation about sexual dysfunction; 62% “never/rarely” addressed sexual dysfunction. Each additional weekly hour spent in patient care was associated with a 2% increase in the likelihood of sexual dysfunction being addressed or discussions about sexual dysfunction being initiated. Reported inadequate preparation/formal training around survivorship issues was associated with sexual dysfunction being addressed less often (odds ratio [OR] = 0.45). Perception of patient anxiety or fears about health was associated with sexual dysfunction being addressed more often (OR = 2.38). Perceived preparedness to evaluate long-term effects was associated with a greater likelihood of physicians initiating discussions about sexual functioning (OR = 2.49).
Cancer survivors receive their long-term care from internists. Our results suggest that sexual dysfunction is often not addressed during their follow-up care. Additional training is needed to prepare physicians to negotiate this difficult issue.
- Ries LAG, Melbert D, Krapcho M, et al (eds). SEER cancer statistics review, 1975–2005, National Cancer Institute. Bethesda, MD: http://seer.cancer.gov/csr/1975_2005/, based on November 2007 SEER data submission, posted to the SEER web site, 2008. Accessed May 8, 2009.
- Hewitt M, Greenfield S, Stovall E, eds. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, D.C.: The National Academies Press; 2006.
- Kornblith AB, Ligibel J. Psychosocial and sexual functioning of survivors of breast cancer. Semin Oncol. 2003;30(6):799–813. CrossRef
- Siegel T, Moul JW, Spevak M, Alvord WG, Costabile RA. The development of erectile dysfunction in men treated for prostate cancer. J Urol. 2001;165(2):430–5. CrossRef
- Kornblith AB, Anderson J, Cella DF, et al. Hodgkin disease survivors at increased risk for problems in psychosocial adaptation. Cancer. 1992;70(8):2214–24. CrossRef
- Monga U, Tan G, Ostermann HJ, Monga TN. Sexuality in head and neck cancer patients. Arch Phys Med Rehabil. 1997;78(3):298–304. CrossRef
- Schover LR, Jensen SB. Sexuality and Chronic Illness: A Comprehensive Approach. New York, NY, US: Guilford Press;1988.
- Andersen BL, Woods XA, Copeland LJ. Sexual self-schema and sexual morbidity among gynecologic cancer survivors. J Consult Clin Psychol. 1997;65(2):221–9. CrossRef
- Bruner DW, Boyd CP. Assessing women’s sexuality after cancer therapy: Checking assumptions with the focus group technique. Cancer Nurs. 1999;22(6):438–47. CrossRef
- Marwick C. Survey says patients expect little physician help on sex. JAMA. 1999;281(23):2173–4. CrossRef
- Tsimtsiou Z, Hatzimouratidis K, Nakopoulou E, Kyrana E, Salpigidis G, Hatzichristou D. Predictors of physicians’ involvement in addressing sexual health issues. J Sex Med. 2006;3(4):583–8. CrossRef
- Sadovsky R. Asking the questions and offering solutions: The ongoing dialogue between the primary care physician and the patient with erectile dysfunction. Rev Urol. 2003;5 Suppl7:S35–48.
- Gott M, Galena E, Hinchliff S, Elford H. “Opening a can of worms": GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract. 2004;21(5):528–36. CrossRef
- Holzapfel S. Sexual medicine in family practice Part 1: How to help. Can Fam Physician. 1993;39:608–14.
- Hartmann U, Burkart M. Erectile dysfunctions in patient-physician communication: Optimized strategies for addressing sexual issues and the benefit of using a patient questionnaire. J Sex Med. 2007;4(1):38–46. CrossRef
- Humphery S, Nazareth I. GPs’ views on their management of sexual dysfunction. Fam Pract. 2001;18(5):516–8. CrossRef
- Recklitis CJ, Campbell EG, Kutner JS, Bober SL. Money talks: Non-monetary incentive fails to increase response rates to a physician survey. J Clin Epidemiol. 2009;62(2):224–6. CrossRef
- Bober SL, Recklitis CJ, Campbell EG, et al. Caring for cancer survivors: A survey of primary care physicians. Cancer. In Press.
- Penson RT, Gallagher J, Gioiella ME, et al. Sexuality and cancer: Conversation comfort zone. Oncologist. 2000;5(4):336–44. CrossRef
- Park ER, Bober SL, Norris RL. Sexual health communication during cancer care: Barriers and recommendations. Cancer J. 2009;15(1):74–7. CrossRef
- General Internist Communication about Sexual Function with Cancer Survivors
Journal of General Internal Medicine
Volume 24, Issue 2 Supplement, pp 407-411
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- general internist
- sexuality communication
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- Author Affiliations
- 1. Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street, 9th floor, Boston, MA, 02114, USA
- 2. Perini Family Survivors’ Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
- 3. University of Colorado Denver School of Medicine, 50 Staniford Street, 9th floor, Denver, CO, USA