Survivorship Issues in Ovarian Cancer: A Review

PURPOSE/OBJECTIVES: To review what is known about survivorship issues for women after ovarian cancer treatment while identifying gaps and controversies. DATA SOURCES: MEDLINE, CINAHL, and CancerLit database searches using the key words ovarian cancer, quality of life (QOL), chronic care, coping, uncertainty, and survivor separately and in combination. DATA SYNTHESIS: Data were categorized into psychosocial, QOL, and physical symptoms and reviewed for design, sample size, method, and outcome. CONCLUSIONS: Ovarian cancer studies focus on women's symptoms and concerns during treatment. Needs and issues of long-term survivors lack exploration. The relationship of ovarian cancer survivorship and physical side effects of treatment or recurrence is insufficient given increasing survival rates. IMPLICATIONS FOR NURSING: The nature and management of physical symptoms, beyond pain, in ovarian cancer survivors need further study. Specifically, QOL and psychosocial issues for long-term survivors require study. Consequences for women who undergo major tissue debulking or multiple and aggressive courses of cytotoxic treatments must be understood to facilitate intervention.