{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:57:47Z","timestamp":1790895467342,"version":"4.1.0"},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2016,1,15]],"date-time":"2016-01-15T00:00:00Z","timestamp":1452816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Curr Oncol Rep"],"published-print":{"date-parts":[[2016,2]]},"DOI":"10.1007\/s11912-015-0497-2","type":"journal-article","created":{"date-parts":[[2016,1,15]],"date-time":"2016-01-15T09:06:38Z","timestamp":1452848798000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Communication About Sexuality in Advanced Illness Aligns With a Palliative Care Approach to Patient-Centered Care"],"prefix":"10.1007","volume":"18","author":[{"given":"Margaret W.","family":"Leung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Goldfarb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don S.","family":"Dizon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2016,1,15]]},"reference":[{"key":"497_CR1","doi-asserted-by":"crossref","unstructured":"Bober S, Varela VS. Sexuality in adult cancer survivors: challenges and interventions. J Clin Oncol. 2012;30:3712\u20139. This succinct review paper cites the prevalence of sexual problems after cancer treatment and interventions. It offers strategies for assessing sexual dysfunction.","DOI":"10.1200\/JCO.2012.41.7915"},{"key":"497_CR2","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.maturitas.2010.03.027","volume":"66","author":"G Emilee","year":"2010","unstructured":"Emilee G, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66:397\u2013407.","journal-title":"Maturitas"},{"key":"497_CR3","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s00520-010-0814-0","volume":"18","author":"S Mercadante","year":"2010","unstructured":"Mercadante S, Vitrano V, Catania V. Sexual issues in early and late stage cancer: a review. Support Care Cancer. 2010;18:659\u201365.","journal-title":"Support Care Cancer"},{"key":"497_CR4","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.currproblcancer.2013.10.009","volume":"37","author":"VS Varela","year":"2013","unstructured":"Varela VS, Zhou ES, Bober SL. Management of sexual problems in cancer patients and survivors. Curr Probl Cancer. 2013;37:319\u201352. This comprehensive paper details the literature of sexual problems experienced by cancer site and various screening indices.","journal-title":"Curr Probl Cancer"},{"key":"497_CR5","first-page":"224","volume":"186","author":"AJ Hordern","year":"2007","unstructured":"Hordern AJ, Street AF. Communicating about patient sexuality and intimacy after cancer: mismatched expectations and unmet needs. MJA. 2007;186:224\u20137.","journal-title":"MJA"},{"key":"497_CR6","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1136\/bmj.323.7317.836","volume":"323","author":"ML Stead","year":"2001","unstructured":"Stead ML, Fallowfield L, Brown JM, Selby P. Communication about sexual problems and sexual concerns in ovarian cancer: qualitative study. BMJ. 2001;323:836\u20137.","journal-title":"BMJ"},{"key":"497_CR7","doi-asserted-by":"crossref","unstructured":"Flynn KE, Reese JB, Jeffery DD, Abernethy AP, Lin L, et al. Patient experiences with communication about sex during and after treatment for cancer. Psycho-Oncology. 2012;21:594\u2013601. This primary study surveys patients\u2019 views of oncology professionals addressing sexual problems and how often they had received information about sexual problems.","DOI":"10.1002\/pon.1947"},{"key":"497_CR8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/104990910402100109","volume":"21","author":"JM Stausmire","year":"2004","unstructured":"Stausmire JM. Sexuality at the end of life. Am J Hosp Palliat Care. 2004;21:33\u20139.","journal-title":"Am J Hosp Palliat Care"},{"key":"497_CR9","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1191\/0269216303pm759oa","volume":"17","author":"H Ananth","year":"2003","unstructured":"Ananth H, Jones L, King M, Tookman A. The impact of cancer on sexual function: a controlled study. Palliat Med. 2003;17:202\u20135.","journal-title":"Palliat Med"},{"key":"497_CR10","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1177\/1049909110386044","volume":"28","author":"V Vitrano","year":"2011","unstructured":"Vitrano V, Catania V, Mercadante S. Sexuality in patients with advanced cancer: a prospective study in a population admitted to an acute pain relief and palliative care unit. Am J Hosp Palliat Med. 2011;28:198\u2013202.","journal-title":"Am J Hosp Palliat Med"},{"key":"497_CR11","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1191\/0269216304pm941oa","volume":"18","author":"L Lemieux","year":"2004","unstructured":"Lemieux L, Kaiser S, Pereira J, Meadows ML. Sexuality in palliative care: patient perspectives. Palliat Med. 2004;18:630\u20137.","journal-title":"Palliat Med"},{"key":"497_CR12","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1002\/pon.1787","volume":"20","author":"ST Lindau","year":"2011","unstructured":"Lindau ST, Surawska H, Paice J, Baron SR. Communication about sexuality and intimacy in couples affected by lung cancer and their clinical care providers. Psychooncology. 2011;20:179\u201385.","journal-title":"Psychooncology"},{"key":"497_CR13","doi-asserted-by":"crossref","first-page":"S74","DOI":"10.1353\/pbm.2003.0055","volume":"46","author":"ST Lindau","year":"2003","unstructured":"Lindau ST, Laumann EO, Levinson W, Waite LJ. Synthesis of scientific disciplines in pursuit of health: the interactive biopsychosocial model. Perspect Biol Med. 2003;46:S74\u201386.","journal-title":"Perspect Biol Med"},{"key":"497_CR14","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/NCC.0b013e31819b5a93","volume":"32","author":"Y Hawkins","year":"2009","unstructured":"Hawkins Y, Ussher J, Gilbert E, Perz J, Sandoval M, et al. Changes in sexuality and intimacy after the diagnosis and treatment. Cancer Nurs. 2009;32:271\u201380.","journal-title":"Cancer Nurs"},{"key":"497_CR15","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/14681990410001715454","volume":"19","author":"E Cort","year":"2004","unstructured":"Cort E, Monroe B, Oliviere D. Couples in palliative care. Sex Relat Ther. 2004;19:337\u201354.","journal-title":"Sex Relat Ther"},{"key":"497_CR16","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.soncn.2008.02.007","volume":"24","author":"JA Shell","year":"2008","unstructured":"Shell JA. Sexual issues in the palliative care population. Semin Oncol Nurs. 2008;24:131\u20134.","journal-title":"Semin Oncol Nurs"},{"key":"497_CR17","doi-asserted-by":"crossref","first-page":"122","DOI":"10.12968\/bjcn.2009.14.3.40095","volume":"14","author":"G Bowden","year":"2009","unstructured":"Bowden G, Bliss J. Does a hospital bed impact on sexuality expression in palliative care? Br J Community Nurs. 2009;14:122\u20136.","journal-title":"Br J Community Nurs"},{"key":"497_CR18","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1177\/0269216313519489","volume":"28","author":"B Taylor","year":"2014","unstructured":"Taylor B. Experiences of sexuality and intimacy in terminal illness: a phenomenological study. Palliat Med. 2014;28:438\u201347. This is one of a few recent papers in the palliative care literature examining how sexuality changes in a couplehood.","journal-title":"Palliat Med"},{"key":"497_CR19","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s11606-009-1026-5","volume":"24","author":"ER Park","year":"2009","unstructured":"Park ER, Bober SLL, Campbell EG, Recklitis CJ, Kutner JS, et al. General internist communication about sexual function with cancer survivors. J Gen Intern Med. 2009;24:407\u201311.","journal-title":"J Gen Intern Med"},{"key":"497_CR20","unstructured":"Clinical practice guidelines for quality palliative care. 2nd edn. National Consensus for Quality Palliative Care; 2009."},{"key":"497_CR21","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1056\/NEJMoa1000678","volume":"363","author":"JS Temel","year":"2010","unstructured":"Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, et al. Early palliative care for patient with metastatic non-small lung cancer. N Engl J Med. 2010;363:733\u201342.","journal-title":"N Engl J Med"},{"key":"497_CR22","unstructured":"NCCN clinical practice guidelines in oncology: survivorship. National Comprehensive Cancer Network; 2013. The survivorship guidelines contain an algorithm for diagnosing and treating sexual function in women and men."},{"key":"497_CR23","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.1001\/jama.281.23.2173","volume":"281","author":"C Marwick","year":"1999","unstructured":"Marwick C. Survey says patients expect little physician help on sex. JAMA. 1999;281:2173\u20134.","journal-title":"JAMA"},{"key":"497_CR24","author":"NJ Sporn","year":"2014","unstructured":"Sporn NJ, Smith KB, Pirl WF, Lennes IT, Hyland KA, et al. Sexual health communication between cancer survivors and providers: how frequently does it occur and which providers are preferred? Psycho-Oncology. 2014. doi: 10.1002\/pon.3736 . This paper surveyed patients in a survivorship clinic how often their oncologist addressed and initiated discussed about sexual function and what predictors such as sociodemographics and mood were associated with survivors\u2019 sexual health communication rates and preferences.","journal-title":"Psycho-Oncology"},{"key":"497_CR25","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1093\/fampra\/cmg612","volume":"20","author":"M Gott","year":"2003","unstructured":"Gott M, Hinchliff S. Barriers to seeking treatment for sexual problems in primary care: a qualitative study with older people. Fam Pract. 2003;20:690\u20135.","journal-title":"Fam Pract"},{"key":"497_CR26","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1089\/jwh.2008.1133","volume":"18","author":"JL Shifren","year":"2009","unstructured":"Shifren JL, Johannes CB, Monz BU, Russo PA, Bennett L, et al. Help-seeking behavior of women with self-reported distressing sexual problems. J Women\u2019s Health. 2009;18:461\u20138.","journal-title":"J Women\u2019s Health"},{"key":"497_CR27","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1016\/j.socscimed.2006.12.012","volume":"64","author":"AJ Hordern","year":"2007","unstructured":"Hordern AJ, Street AF. Constructions of sexuality and intimacy after cancer: patient and health professional perspectives. Soc Sci Med. 2007;64:1704\u201318.","journal-title":"Soc Sci Med"},{"key":"497_CR28","doi-asserted-by":"crossref","DOI":"10.1371\/annotation\/5fa9cfb4-9964-4586-845d-d8205f318d68","volume":"8","author":"F Wang","year":"2013","unstructured":"Wang F, Chen F, Huo X, Xu R, Wu L, et al. A neglected issue on sexual well-being following breast cancer diagnosis and treatment among Chinese women. PLOS One. 2013;8, e74473. This mixed qualitative and quantitative study surveyed Chinese women about changes in their sexuality and misconceptions about sex.","journal-title":"PLOS One"},{"key":"497_CR29","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1186\/1471-2407-13-270","volume":"13","author":"J Perz","year":"2013","unstructured":"Perz J, Ussher JM, Gilbert E. Constructions of sex and intimacy after cancer: Q methodology study of people with cancer, their partners, and health professionals. BMC Cancer. 2013;13:270. This paper compares patients, partners, and health-care providers on how they rank-ordered statements about sexuality and intimacy.","journal-title":"BMC Cancer"},{"key":"497_CR30","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/PPO.0b013e31819587dc","volume":"15","author":"ER Park","year":"2009","unstructured":"Park ER, Norris RL, Bober SL. Sexual health communication during cancer care. Cancer J. 2009;15:74\u20137.","journal-title":"Cancer J"},{"key":"497_CR31","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1038\/sj.bjc.6600799","volume":"88","author":"ML Stead","year":"2003","unstructured":"Stead ML, Brown JM, Fallowfield L. Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer. 2003;88:666\u201371.","journal-title":"Br J Cancer"},{"key":"497_CR32","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1093\/fampra\/cmh509","volume":"21","author":"M Gott","year":"2004","unstructured":"Gott M, Galena E, Hinchliff S, Elford H. \u201cOpening a can of worms\u201d: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract. 2004;21:528\u201336.","journal-title":"Fam Pract"},{"key":"497_CR33","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/1099-1166(200101)16:1<27::AID-GPS267>3.0.CO;2-S","volume":"16","author":"WP Bouman","year":"2001","unstructured":"Bouman WP, Arcelus J. Are psychiatrist guilty of \u201cageism\u201d when it comes to taking a sexual history? Int J Geriatr Psychiatry. 2001;16:27\u201331.","journal-title":"Int J Geriatr Psychiatry"},{"key":"497_CR34","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1056\/NEJMoa067423","volume":"357","author":"ST Lindau","year":"2007","unstructured":"Lindau ST, Schumm LP, Laumann EO, et al. A study of sexuality and health among older adults in the United States. NEJM. 2007;357:762\u20134.","journal-title":"NEJM"},{"key":"497_CR35","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5172\/conu.2007.27.1.49","volume":"27","author":"AJ Hordern","year":"2007","unstructured":"Hordern AJ, Street AF. Let\u2019s talk about sex: risky business for cancer and palliative care clinicians. Contemp Nurse. 2007;27:49\u201360.","journal-title":"Contemp Nurse"},{"key":"497_CR36","doi-asserted-by":"crossref","first-page":"610","DOI":"10.4066\/AMJ.2011.1047","volume":"4","author":"H Vocht de","year":"2011","unstructured":"de Vocht H, Hordern A, Notter J, van de Wiel H. Stepped skills: a teach approach towards communication about sexuality and intimacy in cancer and palliative care. Australas Med J. 2011;4:610\u20139.","journal-title":"Australas Med J"},{"key":"497_CR37","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1053\/j.seminoncol.2013.09.002","volume":"40","author":"S Goldfarb","year":"2013","unstructured":"Goldfarb S, Mulhall J, Nelson C, Kelvin J, et al. Sexual and reproductive health in cancer survivors. Semin Oncol. 2013;40:726\u201344. This review paper reviews how different cancer treatments affect sexual functioning and reproductive problems facing cancer survivors.","journal-title":"Semin Oncol"},{"key":"497_CR38","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1300\/J077v25n04_04","volume":"25","author":"DL Wiggins","year":"2007","unstructured":"Wiggins DL, Wood R, Granai CO, Dizon DS. Sex, intimacy, and the gynecologic oncologist: survey results of the New England Association of Gynecologic Oncologists. J Psychosoc Oncol. 2007;25:61\u201370.","journal-title":"J Psychosoc Oncol"},{"key":"497_CR39","doi-asserted-by":"crossref","unstructured":"Tsimtsiou Z, Hatzimoratidis K, Nakopoulou E, Kyrana E, Salpigidis G, et al. Predictors of physicians\u2019 involvement in addressing sexual health issues. J Sex Med. 2006;583\u20138.","DOI":"10.1111\/j.1743-6109.2006.00271.x"},{"key":"497_CR40","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1001\/jamainternmed.2014.5271","volume":"174","author":"R Bernacki","year":"2014","unstructured":"Bernacki R, Block S. Communication about serious illness care goals: a review and synthesis of best practices. JAMA Intern Med. 2014;174:1994\u20132003. This thoughtful paper provides a thorough review on the literature about communication around goals of care. While it does not address sexuality, the conversation guide can be adapted to better inform providers how patients view their functionality and trade-offs.","journal-title":"JAMA Intern Med"},{"key":"497_CR41","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1002\/cncr.10848","volume":"95","author":"LR Schover","year":"2002","unstructured":"Schover LR, Fouladi RT, Warneke CL, Neese L, Klein EA, et al. Defining sexual outcomes after treatment for localized prostate carcinoma. Cancer. 2002;95:1773\u201385.","journal-title":"Cancer"},{"key":"497_CR42","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1200\/JCO.2005.05.101","volume":"22","author":"A Katz","year":"2005","unstructured":"Katz A. The sounds of silence: sexuality information for cancer patients. J Clin Oncol. 2005;22:238\u201341.","journal-title":"J Clin Oncol"},{"key":"497_CR43","volume-title":"A physician\u2019s guide to pain and symptom management in cancer patients","author":"A Moment","year":"2014","unstructured":"Moment A. Sexuality, intimacy, and cancer. In: Abrahm JL, editor. A physician\u2019s guide to pain and symptom management in cancer patients. Baltimore: Johns Hopkins University Press; 2014."},{"key":"497_CR44","doi-asserted-by":"crossref","first-page":"3148","DOI":"10.1200\/JCO.1998.16.9.3148","volume":"16","author":"KL Syrjala","year":"1998","unstructured":"Syrjala KL, Roth-Romer SL, Abrams JR, Scanlan JM, Chapka MK, et al. Prevalence and predictors of sexual dysfunction in long-term survivors of marrow transplantation. J Clin Oncol. 1998;16:3148\u201357.","journal-title":"J Clin Oncol"},{"key":"497_CR45","first-page":"S8","volume":"179","author":"AJ Hordern","year":"2003","unstructured":"Hordern AJ, Currow DC. A patient-centred approach to sexuality in the face of life-limiting illness. MJA. 2003;179:S8\u201311.","journal-title":"MJA"},{"key":"497_CR46","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","volume":"26","author":"R Rosen","year":"2000","unstructured":"Rosen R, Brown C, Heiman J, Leiblum S, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191\u2013208.","journal-title":"J Sex Marital Ther"},{"key":"497_CR47","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/S0959-8049(00)00353-1","volume":"37","author":"P Hopwood","year":"2001","unstructured":"Hopwood P, Fletwcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001;37:189\u201397.","journal-title":"Eur J Cancer"},{"key":"497_CR48","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1752-0606.1981.tb01351.x","volume":"7","author":"MT Schaefer","year":"1981","unstructured":"Schaefer MT, Olson DH. Assessing intimacy: the pair inventory. J Marital Fam Ther. 1981;7:47\u201360.","journal-title":"J Marital Fam Ther"},{"key":"497_CR49","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1111\/j.1743-6109.2009.01619.x","volume":"7","author":"D Hatzichristou","year":"2010","unstructured":"Hatzichristou D, Rosen RC, Derogatis LR, Low WY, Meuleman EJ, et al. Recommendations for the clinical evaluation of men and women with sexual dysfunction. J Sex Med. 2010;7:337\u201348.","journal-title":"J Sex Med"},{"key":"497_CR50","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/jsm.12035","volume":"10S","author":"SE Althof","year":"2013","unstructured":"Althof SE, Parish SJ. Clinical interviewing techniques and sexuality questionnaires for male and female cancer patients. J Sex Med. 2013;10S:35\u201342. This important paper provides principles, goals, and examples of screening tools to help providers improve their assessment and management of sexual concerns through a patient-centered approach.","journal-title":"J Sex Med"},{"key":"497_CR51","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1188\/04.CJON.84-86","volume":"8","author":"J Mick","year":"2004","unstructured":"Mick J, Cohen MZ. Using the BETTER model to assess sexuality. Clin J Oncol Nurs. 2004;8:84\u20137.","journal-title":"Clin J Oncol Nurs"},{"key":"497_CR52","first-page":"81","volume":"4","author":"BL Andersen","year":"1990","unstructured":"Andersen BL. How cancer affects sexual functioning. Oncology. 1990;4:81\u20138.","journal-title":"Oncology"},{"key":"497_CR53","volume-title":"Behavioral treatment of sexual problems: brief therapy","author":"JS Annon","year":"1976","unstructured":"Annon JS. Behavioral treatment of sexual problems: brief therapy. New York: Harper and Row; 1976."}],"container-title":["Current Oncology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-015-0497-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11912-015-0497-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-015-0497-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T14:41:51Z","timestamp":1567521711000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s11912-015-0497-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,15]]},"references-count":53,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["497"],"URL":"https:\/\/doi.org\/10.1007\/s11912-015-0497-2","relation":{},"ISSN":["1523-3790","1534-6269"],"issn-type":[{"value":"1523-3790","type":"print"},{"value":"1534-6269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,15]]},"article-number":"11"}}