Ovarian cancer: early symptom patterns.

Abstract:

PURPOSE/OBJECTIVES:To examine early symptom and diagnostic-seeking experiences of women newly diagnosed with ovarian cancer. DESIGN:Longitudinal descriptive. SETTING:Homes of families. SAMPLE:Purposive; 19 families were obtained by referrals. METHODS:Interviews and questionnaires; descriptive analysis. MAIN RESEARCH VARIABLES:Early symptoms and delays in diagnosis. FINDINGS:Families were 88% Caucasian and 12% African American. Almost two-thirds had annual incomes of 25,000 dollars or more. The ages of the patients with cancer ranged from 28-73 years (mean = 56 years). Delay between initial symptoms and diagnosis was mean = 14 weeks. Early symptoms experienced by 95% of women were abdominal bloating, vague abdominal pain and "spots," indigestion problems, fatigue, and urinary problems. CONCLUSIONS:Women usually experience a cluster of symptoms, unrecognized and discounted, which delays diagnosis. IMPLICATIONS FOR NURSING:Pelvic assessments should be reformulated to conceptualize early symptoms, risk factors, and family cancer history as a dynamic, interconnected whole to guide and interpret ovarian health.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Koldjeski D,Kirkpatrick MK,Swanson M,Everett L,Brown S

doi

10.1188/03.ONF.927-933

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

927-33

issue

6

eissn

0190-535X

issn

1538-0688

journal_volume

30

pub_type

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