Health-related quality of life in women after colposcopy: results from a longitudinal patient survey

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dc.contributor.author O'Connor, Mairead
dc.contributor.author Ó Céilleachair, A.
dc.contributor.author O'Brien, K.
dc.contributor.author O'Leary, J.
dc.contributor.author Martin, C.
dc.contributor.author D'Arcy, T.
dc.contributor.author Flannelly, G.
dc.contributor.author McRae, J.
dc.contributor.author Prendiville, W.
dc.contributor.author Ruttle, C.
dc.contributor.author White, C.
dc.contributor.author Pilkington, L.
dc.contributor.author Sharp, L.
dc.date.accessioned 2021-05-04T10:17:11Z
dc.date.available 2021-05-04T10:17:11Z
dc.date.issued 2021-04-01
dc.identifier.citation O'Connor, M., Ó Céilleachair, A., O'Brien, K., O'Leary, J., Martin, C., D'Arcy, T., Flannelly, G., McRae, J., Prendiville, W., Ruttle, C., White, C., Pilkington, L. and Sharp, L. (2021) 'Health-related quality of life in women after colposcopy: results from a longitudinal patient survey', Quality of Life Research. doi: 10.1007/s11136-021-02831-3 en
dc.identifier.issn 0962-9343
dc.identifier.uri http://hdl.handle.net/10468/11244
dc.identifier.doi 10.1007/s11136-021-02831-3 en
dc.description.abstract Background: Information concerning the health-related quality-of-life (HRQoL) consequences of colposcopy is limited, particularly over time. In a longitudinal study, we investigated women’s HRQoL at 4, 8 and 12 months post colposcopy and the factors associated with this. Methods: Women attending colposcopy at two large hospitals affiliated with the national screening programme in Ireland were invited to complete questionnaires at 4, 8 and 12 months post colposcopy. HRQoL was measured using the EQ-5D-3L and compared across a range of socio-demographic, clinical and attitudinal variables. A mixed-effects logistic multivariable model was employed to investigate associations between these variables and low HRQoL. Results: Of 584 women initially recruited, 429, 343 and 303 completed questionnaires at 4, 8 and 12 months, respectively. The mean overall HRQoL score for the sample across all time points was 0.90 (SD 0.16). Approximately 18% of women experienced low HRQoL at each of the three time points. In multivariable testing, over the entire 12-month follow-up period, non-Irish nationals (OR 8.99, 95% CI 2.35–34.43) and women with high-grade referral cytology (OR 2.78, 95% CI 1.08–7.13) were at higher odds of low HRQoL. Women who were past (OR 0.20, 95% CI 0.07–0.58) or never (OR 0.42, 95% CI 0.16–1.12) smokers were at lower odds of low HRQoL than current smokers. As women’s satisfaction with their healthcare increased their odds of experiencing low HRQoL fell (OR per unit increase 0.51, 95% CI 0.34–0.75). Conclusions: Women’s HRQoL did not change over the 12 months post colposcopy, but some subgroups of women were at higher risk of experiencing low HRQoL. These subgroups may benefit from additional support. en
dc.description.sponsorship Health Research Board (HS-05–09; ICE 2011/2; ICE 2015–1037; HRA-HSR/2012/30; HRA-HSR/2012/30) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Nature Switzerland AG en
dc.rights © 2021, the Authors, under exclusive licence to Springer Nature Switzerland AG, part of Springer Nature. This is a post-peer-review, pre-copyedit version of an article published in Quality of Life Research. The final authenticated version is available online at: https://doi.org/10.1007/s11136-021-02831-3 en
dc.subject Health-related quality of life en
dc.subject Colposcopy en
dc.subject Cervical screening en
dc.subject Longitudinal study design en
dc.title Health-related quality of life in women after colposcopy: results from a longitudinal patient survey en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Mairead O'Connor, Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: maireadoconnor@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2022-04-01
dc.date.updated 2021-05-04T10:04:27Z
dc.description.version Accepted Version en
dc.internal.rssid 564883837
dc.internal.pmid 33792833
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Quality of Life Research en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress maireadoconnor@ucc.ie en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation as necessary. en
dc.identifier.eissn 1573-2649


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