{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:01:25Z","timestamp":1784700085651,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to assess the quality of life (QoL) among Thai patients with cervical cancer and identify the factors influencing utility scores using the European Organization for the Research and Treatment of Cancer: Quality of Life Questionnaire Core 30 (EORTC QLQ\u2010C30), EORTC: Cervical Cancer Module 24 (EORTC QLQ\u2010CX24), and EQ\u20105D\u20105L instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was conducted at Vajira Hospital, Thailand, and included 205 patients with cervical cancer. Demographics data, cancer stage, treatment status, and caregiving support, were collected. The participants completed the QoL questionnaires. Multivariate Tobit regression analysis was used to analyze the predictors of EQ\u20105D\u20105L utility scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean global QoL score (EORTC QLQ\u2010C30) and mean utility score (EQ\u20105D\u20105L) were 73.62\u2009\u00b1\u200921.57 and 0.90\u2009\u00b1\u20090.18, respectively. Fatigue was the most frequently reported symptom, whereas sexual dysfunction (EORTC QLQ\u2010CX24) and emotional distress were common challenges. Patients who had completed treatment without disease reported the highest utility score (mean: 0.96), whereas Stages III\u2013IVA patients under palliative care had the lowest utility score (mean: 0.66). Multivariable analysis revealed that Stage III\/IVa, palliative treatment, and having at least one caregiver were independently associated with significantly lower utility scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cervical cancer significantly affects the QoL, with advanced stage and treatment status being major contributors to reduced utility. Additionally, the patient symptom burden is dominated by prominent fatigue and a distinct sexual health profile, characterized by a marked discordance between profoundly low sexual activity and persistent sexual worry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70392","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:57:10Z","timestamp":1783058230000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Affecting Quality of Life of Thai Cervical Cancer Patients"],"prefix":"10.1111","volume":"52","author":[{"given":"Kanyarat","family":"Katanyoo","sequence":"first","affiliation":[{"name":"Department of Radiology, Faculty of Medicine Vajira Hospital Navamindradhiraj University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montarat","family":"Thavorncharoensap","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Faculty of Pharmacy Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0169-8135","authenticated-orcid":false,"given":"Thannaporn","family":"Kittisiam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital Navamindradhiraj University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"\u201cGlobal Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem \u201d(2020) https:\/\/www.who.int\/publications\/i\/item\/9789240014107."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2021.22.1.25"},{"key":"e_1_2_14_4_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines): Cervical Cancer \u201d(2024) Plymouth Meeting (PA): National Comprehensive Cancer Network https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/cervical.pdf."},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2014.11.013"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijc.IJC_712_18"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0252779"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-12612-z"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455065211066075"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.08.036"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2022.23.6.1945"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000207"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2024.25.12.4391"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1640178"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2021.1945013"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2023.34.e42"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.7.1891"},{"issue":"2","key":"e_1_2_14_18_1","first-page":"385","article-title":"Quality of Life in Cervical Cancer Survivors and Healthy Women: Thai Urban Population Study","volume":"18","author":"Prasongvej P.","year":"2017","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737167.2018.1494574"},{"key":"e_1_2_14_20_1","volume-title":"EOTRC QLQ Scoring Manual","author":"Fayers P. 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