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2 results

  • Chapter 30 - Gynecologic Issues

  • from Section III - Care of the Elderly by Organ System
  • Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
  • Book:
    Reichel's Care of the Elderly
    Published online:
    30 June 2022
    Print publication:
    21 July 2022, pp 373-382

  • Summary

    Gynecologic issues continue throughout a woman’s lifespan. Elderly patients are less likely to report symptoms than younger patients, especially when pertaining to gynecologic concerns and sexual dysfunction. Sensitive history taking with careful attention to risk factors and sexual history is an important part of caring for older women. If a pelvic exam is going to be performed, adjustments may need to be made. This chapter focuses on the most common gynecologic issues of the elderly: vulvovaginitis and other vulvar conditions, menopausal symptoms, pelvic floor prolapse, sexual dysfunction, and gynecologic malignancies.

  • Does gynecologic malignancy predict likelihood of a tertiary palliative care unit hospital admission? A comparison of local, provincial and national death rates

  • Jana Pilkey, Chantale Demers, Harvey Chochinov, Nithya Venkatesan
  • Journal:
    Palliative & Supportive Care / Volume 10 / Issue 4 / December 2012
    Published online by Cambridge University Press:
    22 May 2012, pp. 249-254
  • Objective:

    The purpose of this study was to determine whether the presence of gynecologic malignancies predicts the likelihood of a tertiary palliative care unit hospital admission.

    Method:

    In this study, patients admitted to a specialized tertiary palliative care unit (TPCU) with gynecologic malignancies were compared to national and provincial death rates to determine if gynecologic malignancy predicts admission, and subsequent death, in a TPCU.

    Results:

    Eighty-two gynecologic cancer patients were admitted to our TPCU over the 5- year study period. Out of all cancer deaths in the TPCU, death from ovarian cancer was 3.7% compared with 2.4% (p = 0.0068) of all cancer deaths in Manitoba and 2.3% (p = 0.0043) of all cancer deaths in Canada. Cervical cancer accounted for 1.7% of all our patients deaths compared with 0.7% (p = 0.0001) provincially and 0.6% (p = 0.0001) nationally. Uterine cancer deaths were not significantly different from the provincial and national death rates, whereas vulvar and fallopian cancers were too rare to allow for statistical analysis.

    Significance of Results:

    Gynecologic cancers may be predictive of admission to a palliative care unit.