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dc.contributor.authorBernard, Stéphanie
dc.contributor.authorDumoulin, Chantale
dc.contributor.authorRoy, Jean-Sébastien
dc.contributor.authorMoffet, Hélène
dc.contributor.authorOuellet, Marie-Pier
dc.date.accessioned2017-01-12T13:36:34Z
dc.date.availableMONTHS_WITHHELD:12fr
dc.date.available2017-01-12T13:36:34Z
dc.date.issued2016-04
dc.identifier.citationBernard S, Ouellet MP, Moffet H, Roy JS, Dumoulin C. (2015) Effects of radiation therapy on the structure and function of the pelvic floor muscles of patients with cancer in the pelvic area: a systematic review. Journal of Cancer Survivorship, 10(2), 351-62.fr
dc.identifier.urihttp://rdcu.be/ot2H
dc.identifier.urihttp://hdl.handle.net/1866/16374
dc.subjectLiterature reviewfr
dc.subjectPelvic cancerfr
dc.subjectRadiation therapyfr
dc.subjectPelvic floor disordersfr
dc.subjectPelvic floor musclesfr
dc.subjectCancer survivorshipfr
dc.titleEffects of radiation therapy on the structure and function of the pelvic floor muscles of patients with cancer in the pelvic area : a systematic reviewfr
dc.typeArticlefr
dc.contributor.affiliationUniversité de Montréal. Faculté de médecine. École de réadaptationfr
UdeM.statutProfesseur(e) / Professorfr
dc.identifier.doi10.1007/s11764-015-0481-8
dcterms.abstractPurpose Radiation therapy (RT) is often recommended in the treatment of pelvic cancers. Following RT, a high prevalence of pelvic floor dysfunctions (urinary incontinence, dyspareunia, and fecal incontinence) is reported. However, changes in pelvic floor muscles (PFMs) after RT remain unclear. The purpose of this review was to systematically document the effects of RT on the PFM structure and function in patients with cancer in the pelvic area. Methods An electronic literature search using Pubmed Central, CINAHL, Embase, and SCOPUS was performed from date of inception up to June 2014. The following keywords were used: radiotherapy, muscle tissue, and pelvic floor. Two reviewers selected the studies in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). Out of the 369 articles screened, 13 met all eligibility criteria. The methodological quality was assessed using the QualSyst scoring system, and standardized mean differences were calculated. Results Thirteen studies fulfilled all inclusion criteria, from which four were of good methodological quality. One presented strong evidence that RT affects PFM structure in men treated for prostate cancer. Four presented high-level evidence that RT affects PFM function in patients treated for rectal cancer. Meta-analysis was not possible due to heterogeneity and lack of descriptive statistics. Conclusion There is some evidence that RT has detrimental impacts on both PFMs’ structure and function. Implications for cancer survivors A better understanding of muscle damage and dysfunction following RT treatment will improve pelvic floor rehabilitation and, potentially, prevention of its detrimental impacts.fr
dcterms.bibliographicCitationJournal of Cancer Survivorship ; vol. 10, no 2
dcterms.isPartOfurn:ISSN:1932-2259
dcterms.isPartOfurn:ISSN:1932-2267
dcterms.languageengfr
UdeM.VersionRioxxVersion acceptée / Accepted Manuscript


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