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Article

Interventions to Address Sexual Problems in People with Cancer

by
Lisa Barbera
1,*,
C. Zwaal
2,
D. Elterman
3,
K. McPherson
4,
W. Wolfman
5,
A. Katz
6,
A. Matthew
3 and
the Interventions to Address Sexual Problems in People with Cancer Guideline Development Group
1
Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada
2
Program in Evidence-Based Care, Cancer Care Ontario, Hamilton, ON, Canada
3
Department of Surgery, Division of Urology, University of Toronto, Toronto, ON, Canada
4
Patient and Family Advisory Council, Cancer Care Ontario, Hamilton, ON, Canada
5
Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada
6
CancerCare Manitoba, Winnipeg, MB, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2017, 24(3), 192-200; https://doi.org/10.3747/co.24.3583
Submission received: 4 March 2017 / Revised: 5 April 2017 / Accepted: 9 May 2017 / Published: 1 June 2017

Abstract

Background: Sexual dysfunction in people with cancer is a significant problem. The present clinical practice guideline makes recommendations to improve sexual function in people with cancer. Methods: This guideline was undertaken by the Interventions to Address Sexual Problems in People with Cancer Expert Panel, a group organized by the Program in Evidence-Based Care (PEBC). Consistent with the PEBC standardized approach, a systematic search was conducted for existing guidelines, and the literature in MEDLINE and EMBASE for the years 2003–2015 was systematically searched for both systematic reviews and primary literature. Evidence found for men and for women was evaluated separately, and no restrictions were placed on cancer type or study design. Content and methodology experts performed an internal review of the resulting draft recommendations, which was followed by an external review by targeted experts and intended users. Results: The search identified 4 existing guidelines, 13 systematic reviews, and 103 studies with relevance to the topic. The present guideline provides one overarching recommendation concerning the discussion of sexual health and dysfunction, which is aimed at all people with cancer. Eleven additional recommendations made separately for men and women deal with issues such as sexual response, body image, intimacy and relationships, overall sexual functioning and satisfaction, and vasomotor and genital symptoms. Conclusions: To our knowledge this clinical practice guideline is the first to comprehensively evaluate interventions for the improvement of sexual problems in people with cancer. The guideline will be a valuable resource to support practitioners and clinics in addressing sexuality in cancer survivors.
Keywords: sexual problems; practice guidelines; interventions sexual problems; practice guidelines; interventions

Share and Cite

MDPI and ACS Style

Barbera, L.; Zwaal, C.; Elterman, D.; McPherson, K.; Wolfman, W.; Katz, A.; Matthew, A.; , the Interventions to Address Sexual Problems in People with Cancer Guideline Development Group. Interventions to Address Sexual Problems in People with Cancer. Curr. Oncol. 2017, 24, 192-200. https://doi.org/10.3747/co.24.3583

AMA Style

Barbera L, Zwaal C, Elterman D, McPherson K, Wolfman W, Katz A, Matthew A, the Interventions to Address Sexual Problems in People with Cancer Guideline Development Group. Interventions to Address Sexual Problems in People with Cancer. Current Oncology. 2017; 24(3):192-200. https://doi.org/10.3747/co.24.3583

Chicago/Turabian Style

Barbera, Lisa, C. Zwaal, D. Elterman, K. McPherson, W. Wolfman, A. Katz, A. Matthew, and the Interventions to Address Sexual Problems in People with Cancer Guideline Development Group. 2017. "Interventions to Address Sexual Problems in People with Cancer" Current Oncology 24, no. 3: 192-200. https://doi.org/10.3747/co.24.3583

APA Style

Barbera, L., Zwaal, C., Elterman, D., McPherson, K., Wolfman, W., Katz, A., Matthew, A., & , the Interventions to Address Sexual Problems in People with Cancer Guideline Development Group. (2017). Interventions to Address Sexual Problems in People with Cancer. Current Oncology, 24(3), 192-200. https://doi.org/10.3747/co.24.3583

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