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Volume 17, Issue 3 (Iranian Journal of Breast Diseases 2024)
ijbd 2024, 17(3): 33-54 |
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Ethics code: IR. MODARES. Rec 1397.207
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Roshandel S, Lamyian M, Azin S A, Mohammadi E, Haghighat. S. Development and validation of clinical practice guidelines to provide sexual and reproductive health services for breast cancer survivors in Iran. ijbd 2024; 17 (3) :33-54
URL: http://ijbd.ir/article-1-1108-en.html
URL: http://ijbd.ir/article-1-1108-en.html
1- Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
4- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
5- Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran ,haghighat@acecr.ac.ir
2- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
4- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
5- Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran ,
Abstract: (538 Views)
Introduction: Breast cancer survivors often encounter significant challenges in sexual and reproductive health, which necessitates specialized care. The present study aimed to develop and validate clinical practice guidelines for delivering tailored sexual and reproductive health services to breast cancer survivors in Iran.
Methods: The present work is part of a three-phase study conducted using sequential exploratory mixed methods. The first phase aimed to identify the sexual and reproductive health needs of breast cancer survivors and the ways in which they receive related services. The results of the qualitative research conducted in this phase were published earlier. In the subsequent steps, which have been mentioned in the current work, the authors first did a systematic review to find the clinical practice guidelines available in the world that deal with the sexual and reproductive health of breast cancer survivors. Then, the draft of the clinical practice guidelines was developed using the findings of the qualitative study, systematic review, and the opinions of the expert panel members. The validity of guidelines was determined using the AGREE II (Appraisal of Guidelines for Research & Evaluation II) instrument.
Results: The developed clinical practice guidelines encompass 76 recommendations across six sections: general recommendations, sexual health, body image, early menopause, contraception, and reproductive health. The guidelines scored over 86% in all domains of the AGREE II instrument; all assessors recommended the guidelines for use, with or without minor modifications.
Conclusion: These clinical practice guidelines are not only tailored and validated but also provide a comprehensive framework for addressing the specific sexual and reproductive health needs of breast cancer survivors in Iran. These guidelines can serve as a valuable scientific and practical resource.
Methods: The present work is part of a three-phase study conducted using sequential exploratory mixed methods. The first phase aimed to identify the sexual and reproductive health needs of breast cancer survivors and the ways in which they receive related services. The results of the qualitative research conducted in this phase were published earlier. In the subsequent steps, which have been mentioned in the current work, the authors first did a systematic review to find the clinical practice guidelines available in the world that deal with the sexual and reproductive health of breast cancer survivors. Then, the draft of the clinical practice guidelines was developed using the findings of the qualitative study, systematic review, and the opinions of the expert panel members. The validity of guidelines was determined using the AGREE II (Appraisal of Guidelines for Research & Evaluation II) instrument.
Results: The developed clinical practice guidelines encompass 76 recommendations across six sections: general recommendations, sexual health, body image, early menopause, contraception, and reproductive health. The guidelines scored over 86% in all domains of the AGREE II instrument; all assessors recommended the guidelines for use, with or without minor modifications.
Conclusion: These clinical practice guidelines are not only tailored and validated but also provide a comprehensive framework for addressing the specific sexual and reproductive health needs of breast cancer survivors in Iran. These guidelines can serve as a valuable scientific and practical resource.
Type of Study: Research |
Subject:
Diagnosis, treatment, rehabilitation
Received: 2024/05/4 | Accepted: 2024/09/11 | Published: 2024/10/6
Received: 2024/05/4 | Accepted: 2024/09/11 | Published: 2024/10/6
References
1. International agency for research on cancer. Islamic Republic of Source: Globocan 2022. https://gco.iarc.fr/today/data/factsheets/populations/364-iran-islamic-republic-of-fact-sheets.pdf. Accessed 10 Jul 2024.
2. Mahdavifar N, Pakzad R, Ghoncheh M, Pakzad I, Moudi A, Salehiniya H. Spatial Analysis of Breast Cancer Incidence in Iran. Asian Pacific journal of cancer prevention: APJCP. 2016;17(S3):59-64. [DOI:10.7314/APJCP.2016.17.S3.59]
3. Akbari ME, Sayad S, Sayad S, Khayamzadeh M, Shojaee L, Shormeji Z, et al. Breast Cancer Status in Iran: Statistical Analysis of 3010 Cases between 1998 and 2014. Int J Breast Cancer. 2017;2017:2481021. [DOI:10.1155/2017/2481021]
4. Wang Y, Chen L, Ruan JY, Cheung WY. Discussions about reproductive and sexual health among young adult survivors of cancer. Cancer medicine. 2016;5(6):1037-46. [DOI:10.1002/cam4.666]
5. Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerate progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission. Lancet (London, England). 2018;391(10140):2642-92. [DOI:10.1016/S0140-6736(18)30293-9]
6. Boswell EN, Dizon DS. Breast cancer and sexual function. Transl Androl Urol. 2015;4(2):160-8.
7. Harirchi I, Montazeri A, Zamani Bidokhti F, Mamishi N, Zendehdel K. Sexual function in breast cancer patients: a prospective study from Iran. J Exp Clin Cancer Res. 2012;31(1):20. [DOI:10.1186/1756-9966-31-20]
8. Shahid Sales S, Hasanzadeh M, Sania Saggade S, Al Davoud SA. Comparison of sexual dysfunction in women with breast cancer: case control study. Tehran Univ Med J. 2017;75(5):350-7.
9. Male DA, Fergus KD, Cullen K. Sexual identity after breast cancer: sexuality, body image, and relationship repercussions. Curr Opin Support Palliat Care. 2016;10(1):66-74. [DOI:10.1097/SPC.0000000000000184]
10. Rahmanian, F. Investigating factors affecting the quality of sexual life of women with cancer in Shiraz, the fourth national congress of women's cancers in Iran, Tehran. 1391. [Persian].
11. Krouwel EM, Albers LF, Nicolai MPJ, Putter H, Osanto S, Pelger RCM, et al. Discussing Sexual Health in the Medical Oncologist's Practice: Exploring Current Practice and Challenges. Journal of cancer education: the official journal of the American Association for Cancer Education. 2020;35(6):1072-88. [DOI:10.1007/s13187-019-01559-6]
12. Canada AL, Schover LR. The psychosocial impact of interrupted childbearing in long-term female cancer survivors. Psychooncology. 2012;21(2):134-43. [DOI:10.1002/pon.1875]
13. Christian N, Gemignani ML. Issues with Fertility in Young Women with Breast Cancer. Curr Oncol Rep. 2019;21(7):58. [DOI:10.1007/s11912-019-0812-4]
14. Ameri A, Novin K, Sourati A, Rashidi P. Awareness of Female Cancer Patients About the Risk of Impaired Fertility. Journal of adolescent and young adult oncology. 2019;8(3):342-8. [DOI:10.1089/jayao.2018.0112]
15. Benedict C, Thom B, Kelvin JF. Fertility preservation and cancer: challenges for adolescent and young adult patients. Curr Opin Support Palliat Care. 2016;10(1):87-94. [DOI:10.1097/SPC.0000000000000185]
16. Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical Practice Guidelines We Can Trust. Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E, editors. Washington (DC): National Academies Press (US); 2011
17. Olyaei Mensh A, Shirvani A, Salehi Zalani GH, Rabbanikhah F, Musa Qolizadeh R, Nejati M, et al. National guidelines for clinical medicine. Department of Standardization and Compilation of Health Guidlines, technology evaluation, standards development and health tariff office of the Ministry of Health, Treatment and Medical Education. 2012. [persian]
18. The ADAPTE Collaboration. The ADAPTE Process: Resource Toolkit for Guideline Adaptation. Version 2.0. 2009. http://www.g-i-n.net. Accessed 10 Sep 2020.
19. Deputy Minister of Medicine, Ministry of Health, Medical Education. Clinical guidelines for early diagnosis of breast cancer in Iran 1398. [Persian]
20. Deputy Minister of Medicine of the Ministry of Health, Treatment and Medical Education. Clinical guidelines to diagnosis and treatment of breast cancer in Iran. 1400. [Persian]
21. Barbera L, Zwaal C, Elterman D, McPherson K, Wolfman W, Katz A, et al. Interventions to address sexual problems in people with cancer. Curr Oncol. 2017;24(3):192-200. [DOI:10.3747/co.24.3583]
22. Carter J, Lacchetti C, Andersen BL, Barton DL, Bolte S, Damast S, et al. Interventions to Address Sexual Problems in People With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Adaptation of Cancer Care Ontario Guideline. J Clin Oncol. 2018;36(5):492-511. [DOI:10.1200/JCO.2017.75.8995]
23. Lambertini M, Peccatori FA, Demeestere I, Amant F, Wyns C, Stukenborg JB, et al. Fertility preservation and post-treatment pregnancies in post-pubertal cancer patients: ESMO Clinical Practice Guidelines(†). Ann Oncol. 2020;31(12):1664-78. [DOI:10.1016/j.annonc.2020.09.006]
24. Marsden J, Marsh M, Rigg A; British Menopause Society. British Menopause Society consensus statement on the management of estrogen deficiency symptoms, arthralgia and menopause diagnosis in women treated for early breast cancer. Post Reprod Health. 2019 Mar;25(1):21-32. [DOI:10.1177/2053369118824920]
25. Oktay K, Harvey BE, Partridge AH, Quinn GP, Reinecke J, Taylor HS, et al. Fertility Preservation in Patients With Cancer: ASCO Clinical Practice Guideline Update. J Clin Oncol. 2018;36(19):1994-2001. [DOI:10.1200/JCO.2018.78.1914]
26. Patel A, Schwarz EB. Cancer and contraception. Release date May 2012. SFP Guideline #20121. Contraception. 2012;86(3):191-8. [DOI:10.1016/j.contraception.2012.05.008]
27. Roshandel S, Lamyian M, Azin SA, Haghighat S, Mohammadi E, akbari m. The Provision of Sexual Health Services to Breast Cancer Survivors in Iran: A Qualitative Study. Iranian Journal of Breast Diseases. 2023;16(1):65-84. [DOI:10.30699/ijbd.16.1.65]
28. AGREE Next Steps Consortium. The AGREE II Instrument [Electronic version]. 2017. http://www.agreetrust.org. Accessed 10 Sep 2020.
29. Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. Cmaj. 2010;182(18):E839-42. [DOI:10.1503/cmaj.090449]
30. Ghanbari A, Rahmatpour P, Jafaraghaee F, Kazemnejad E, Khalili M. Quality assessment of diabetic foot ulcer clinical practice guidelines. J Evid Based Med. 2018;11(3):200-7. [DOI:10.1111/jebm.12304]
31. Day S, Bevers T, Palos G, Rodriguez M. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. Breast Diseases: A Year Book Quarterly. 2016;4(27):327-9. [DOI:10.1016/j.breastdis.2016.09.010]
32. Paluch-Shimon S, Cardoso F, Partridge AH, Abulkhair O, Azim HA Jr, Bianchi-Micheli G, Cardoso MJ, Curigliano G, Gelmon KA, Harbeck N, Merschdorf J, Poortmans P, Pruneri G, Senkus E, Spanic T, Stearns V, Wengström Y, Peccatori F, Pagani O. ESO-ESMO 4th International Consensus Guidelines for Breast Cancer in Young Women (BCY4). Ann Oncol. 2020 Jun;31(6):674-696 [DOI:10.1016/j.annonc.2020.03.284]
33. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Annals of family medicine. 2004;2(6):576-82. [DOI:10.1370/afm.245]
34. Denman C. Sexuality: A biopsychosocial approach: Bloomsbury Publishing; 2017.
35. Park K. Park's Textbook of Preventive and Social Medicine: Bhanot Publishers; 2017.
36. Schünemann HJ, Wiercioch W, Brozek J, Etxeandia-Ikobaltzeta I, Mustafa RA, Manja V, et al. GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol. 2017;81:101-10. [DOI:10.1016/j.jclinepi.2016.09.009]
37. Salarvand S, Hemati S, Adibi P, Taleghani F, Saleki M. An Innovative Approach to Clinical Practice Guideline Adaptation in the Nursing Profession in a Developing Country. Cancer Manag Res. 2020;12:2255-64. [DOI:10.2147/CMAR.S233542]
38. Ghanbari A, Jafaraghaee F, Mehrdad M, Khalili M, Rahmatpour P. DESGIN AND VALIDATION OF EVIDENCE BASED ON NURSING CARE GUIDELINE AMONG THE PATIENTS WITH DIABETIC FOOT ULCER. Nurs Midwifery J 2016;14(8):702-13.
39. Khanjari S, Talebi R, Haghdoost Oskouie SF. Development of Clinical Guideline of Blood Transfusion Process in Children with Thalassemia. Journal of Hayat. 2015;21(1):37-55.
40. Dabbagh A, Mirmiran B, Erfani N, Bikdeli B, Kermani S, Beyhaghi H, et al The Appropriate Approach for Adoption of Clinical Practice Guidelines in the National Health System, According to the Experienced Project in Iran National Health System. Hakim 2010; 13 (1) :49-57. [Persian]
41. Sadeghi A, Navabakhsh B, Shafiee G, Aalaa M, Larijani M B, Firooz A, et al . Hirsutism: A clinical practice guideline of diagnosis and treatment in Iran. jdc 2013; 4 (4) :167-187.
42. Mollarahimi-Maleki F, Nojomi M, Biglari M, Ezoji Kh. Adaptation of preventive guideline of cardiovascular disease. Razi Journal of Medical Sciences. 2017; 23(152): 46-53.
43. Shahali sh. Designing and evaluation of a protocol to provide health care and clinical services for female victims of sexual assault [dissertation]. Tehran: Tarbiat Modares UniversitY; 2015. [persian]
44. Johnston A, Kelly SE, Hsieh SC, Skidmore B, Wells GA. Systematic reviews of clinical practice guidelines: a methodological guide. J Clin Epidemiol. 2019;108:64-76. [DOI:10.1016/j.jclinepi.2018.11.030]
45. Madihi A, Nakhi Z. Familiarity with the Law on Family and Youth Protection. Behvarz Quarterly, 1401; 33(112): 12-13. [Persian]
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