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Health and Quality of Life Outcomes BioMed Central Review Open Access Quality of life and psychosocial adjustment in gynecologic cancer survivors Timothy Pearman* Address: Tulane University Medical Center, 1415 Tulane Avenue, Box HC-62 New Orleans, LA 70112, U.S.A Email: Timothy Pearman* - tpearman@tulane.edu * Corresponding author Published: 20 August 2003 Health and Quality of Life Outcomes 2003, 1:33 This article is available from: http://www.hqlo.com/content/1/1/33 Received: 16 July 2003 Accepted: 20 August 2003 © 2003 Pearman; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's. | BioMed Central Health and Quality of Life Outcomes Review Open Access Quality of life and psychosocial adjustment in gynecologic cancer survivors Timothy Pearman Address Tulane University Medical Center 1415 Tulane Avenue Box HC-62 New Orleans LA 70112 U.S.A Email Timothy Pearman - tpearman@tulane.edu Corresponding author Published 20 August 2003 Received 16 July 2003 Accepted 20 August 2003 Health and Quality of Life Outcomes 2003 1 33 This article is available from http www.hqlo.cOm content 1 1 33 2003 Pearman licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Gynecologic malignancies occur in approximately 1 in 20 women in the United States. Until recently clinical management of these cancers has focused almost exclusively on prolonging the survival of patients. A recent literature search using MEDLINE revealed relatively few research studies that reported data on quality of life QOL in a gynecologic cancer population. Reports in the literature have been conflicting with some studies finding deterioration in QOL and some finding stability or improvement in QOL over time. Until recently the impact of various treatments surgery radiation chemotherapy on QOL in this population was unknown. Recently the QOL of women with gynecologic cancer has been compared to that of women with other types of cancer. Also risk factors for poor adjustment in gynecologic cancer are beginning to be investigated. This presentation will attempt to 1 summarize the relevant literature on QOL in a gynecologic cancer population 2 compare QOL in this population to other types of cancer 3 examine risk factors for poor adjustment and 4 describe the limitations of the literature and future research directions. Overall it appears that QOL is most negatively affected from time of diagnosis through completion of .