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Use of Social Media to Conduct a Cross-Sectional Epidemiologic and Quality of Life Survey of Patients with Neuroendocrine Carcinoma of the Cervix: A Feasibility Study

T. Zaid, J. Burzawa, K. Basen-Engquist, D. Bodurka, L. Ramondetta, Jubilee Brown, M. Frumovitz

Gynecologic Oncology, 2013

57 participants · 32 citations

Abstract

Objective To determine the feasibility of using social media to perform cross-sectional epidemiologic and quality-of-life research on patients with rare gynecologic tumors, we performed a survey of patients with neuroendocrine tumors of the cervix using Facebook. Methods After approval from our Institutional Review Board, a support group of patients with neuroendocrine tumors of the cervix was identified on Facebook. Group members were asked to complete an survey comprising 84 questions evaluating clinical presentation; treatment; recurrence; quality of life; and sexual function. Results The survey was posted for 30 days, during which 57 women responded from 8 countries across 4 continents treated at 51 centers. All respondents provided a detailed clinical and tumor history. The mean age was 38.5 years. The stage distribution was stage I, 36 patients (63%); II, 13 (23%); III, 2 (4%); and IV, 6 (11%). Forty-nine patients (86%) had small cell and 8 (14%) large cell tumors. Forty-five of the respondents (79%) had completed primary therapy, 53 (93%) had no evidence of disease, and 8 (14%) had recurrent disease. Forty-one patients (72%) reported symptoms at time of presentation. Thirty-seven patients (65%) received multimodality primary therapy. Quality of life instruments demonstrated high scores for anxiety and a negative impact of anxiety and cancer on functional and emotional well-being. Sexual function scores did not differ significantly between respondents and the PROMIS…

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