Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7611
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dc.contributor.authorHasenburg, Annette-
dc.contributor.authorPlett, Hellmut-
dc.contributor.authorKrämer, Bernhard-
dc.contributor.authorBraicu, Elena-
dc.contributor.authorCzogalla, Bastian-
dc.contributor.authorBossart, Michaela-
dc.contributor.authorSinger, Susanne-
dc.contributor.authorMayr, Doris-
dc.contributor.authorStaebler, Annette-
dc.contributor.authordu Bois, Andreas-
dc.contributor.authorKommoss, Stefan-
dc.contributor.authorLink, Theresa-
dc.contributor.authorBurges, Alexander-
dc.contributor.authorHeitz, Florian-
dc.contributor.authorKeul, Jacqueline-
dc.contributor.authorTrillsch, Fabian-
dc.contributor.authorHarter, Philipp-
dc.contributor.authorWimberger, Pauline-
dc.contributor.authorBuderath, Paul-
dc.contributor.authorKlar, Maximilian-
dc.date.accessioned2022-08-24T09:28:42Z-
dc.date.available2022-08-24T09:28:42Z-
dc.date.issued2021-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7625-
dc.description.abstractPurpose Malignant ovarian germ cell (MOGCT) and sex cord stromal tumors (SCST) are ovarian neoplasms that affect disproportionally young women. Little is known about the impact of surgical and adjuvant management of these patient’s sexual life. This study investigated the effect of fertility-sparing surgery on sexual activity and global quality of life (gQoL) in women with MOGCT and SCST. Methods CORSETT was an observational, multicenter, mixed retrospective/prospective cohort study of the AGO study group. Women of any age who had been diagnosed with MOGCTs and SCSTs between 2001 and 2011 were asked to complete the Sexual Activity Questionnaire (SAQ) and the EORTC QLQ-C30. Results In total, 355 patients were included. Of these, 152 patients with confirmed histological diagnosis had completed the questionnaires. A total of 106 patients were diagnosed with SCST and 46 with MOGCT. Totally, 83 women (55%) were sexually active. After fertility-sparing surgery, patients had a 2.6 fold higher probability for being sexually active than after non-fertility-conserving treatment (unadjusted odds ratio (OR) 2.6, p = 0.01). After adjustment for age, time since diagnosis, FIGO stage, histology and phase of disease, the OR dropped to 1.8 (p = 0.22). Of the sexually active patients, 35 (42%) reported high levels of discomfort during intercourse; 38% after fertility-sparing; and 58% after non-fertility-sparing surgery (adjusted OR 2.8, p = 0.18). Women with fertility-conserving treatment reported a significantly better global QoL (Fadj 2.1, 6.2 points difference, p = 0.03) but not more pleasure during intercourse than women without fertility-sparing surgery (Fadj 0.4, p = 0.52). Conclusion Fertility preserving approaches should be offered to every patient, when oncologically acceptable.en_GB
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleThe effect of fertility-sparing surgery on sexuality and global quality of life in women with malignant ovarian germ cell and sex cord stromal tumors : an analysis of the CORSETT database of the AGO study groupen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7611-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleArchives of gynecology and obstetricsde
jgu.journal.volume304de
jgu.pages.start1541de
jgu.pages.end1549de
jgu.publisher.year2021-
jgu.publisher.nameSpringerde
jgu.publisher.placeBerlin u.a.de
jgu.publisher.issn1432-0711de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s00404-021-06019-5de
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:JGU-Publikationen

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