Prevalência de incapacidades e aspectos associados em mulheres com câncer de colo do útero, Rio de Janeiro, Brasil

Abstract

Background: Cervical cancer is the third most common cancer among women worldwide. Its incidence is considerably higher in low and middle-income countries. Objective: To verify the prevalence of disability in women with cervical cancer (CC) using the International Classification of Functioning, Disability, and Health (ICF) as a reference. Method: This is a cross-sectional observational study conducted with women with CC under treatment at a referral hospital in Rio de Janeiro. The ICF Checklist and a specific Quality of Life Assessment Tool (FACT - Cx, Cervix Cancer) were applied. Results: A total of 116 women were included in the study. Most of them were diagnosed at stage IB, and more than half of them received chemotherapy combined with radiotherapy. The highest prevalence of disability was found for deficiency of reproductive system structures (96.6%), followed by problems with energy and impulse functions (70.3%), emotional functions (70.7%) and limitation for load and transport objects (67.2%). The domain of emotional well-being was the most compromised in the analysis by FACT-Cx. Conclusion: The prevalence of disability in women with CC was high for all ICF components, reflecting the impact of both the disease and its treatment on functionality. The biopsychosocial approach should be incorporated into cancer care planning routines for women with cervical cancer