Vaginal brachytherapy (VBT) is an essential component of curative intent treatment for many patients with endometrial cancer. The prevalence of trauma history in this population is unknown and important to understand considering VBT requires patients to have an instrument vaginally inserted while in the vulnerable lithotomy position. We aim to identify patients treated with intracavitary VBT and collect survey data to assess trauma endpoints. We retrospectively identified patients with endometrial cancer who underwent intracavitary VBT at our institution between 01/2017 and 08/2022. Patients were mailed and/or electronically mailed a survey that included demographics, psychosocial background, and validated trauma surveys to be filled out as they relate to their trauma experiences prior to VBT and again considering any trauma symptomatology related to VBT. Electronic medical record review was performed. Descriptive statistics as well as multivariate analysis were performed. 206 patients met inclusion criteria, 66 (32.1%) of whom returned the survey and were included for analysis. Thirty-two percent of patients self-reported a personal history of any prior mental health diagnosis. Eighty-eight percent of patients screened positive for a history of trauma exposure, 23% endorsed symptoms of PTSD related to their VBT experience, and 5% screened positive for a likely PTSD diagnosis from VBT. A majority of included patients had a history of trauma exposure prior to VBT. In a subset of patients, VBT re-induced trauma and was considered to be an independent traumatic event. This study highlights the importance of practicing trauma informed care, particularly in this patient population.

中文翻译：

---

接受阴道近距离放射治疗作为子宫内膜癌治疗一部分的患者中外伤史和症状的患病率

阴道近距离放射治疗 (VBT) 是许多子宫内膜癌患者治愈性治疗的重要组成部分。该人群中外伤史的患病率尚不清楚，但考虑到 VBT 要求患者在处于易受伤害的截石位置时将器械插入阴道，了解这一点很重要。我们的目标是识别接受腔内 VBT 治疗的患者并收集调查数据以评估创伤终点。我们回顾性地确定了 2017 年 1 月至 2022 年 8 月期间在我们机构接受腔内 VBT 的子宫内膜癌患者。向患者邮寄和/或通过电子邮件发送一份调查，其中包括人口统计、心理社会背景和经过验证的创伤调查，这些调查与他们在 VBT 之前的创伤经历相关，并再次考虑与 VBT 相关的任何创伤症状。进行了电子病历审查。进行了描述性统计以及多变量分析。206 名患者符合纳入标准，其中 66 名（32.1%）返回调查并纳入分析。百分之三十二的患者自我报告了任何先前的心理健康诊断的个人史。88% 的患者的创伤暴露史筛查呈阳性，23% 的患者认可与其 VBT 经历相关的 PTSD 症状，5% 的 VBT 筛查出可能的 PTSD 诊断呈阳性。大多数纳入的患者在 VBT 之前都有外伤暴露史。在一部分患者中，VBT 重新诱发创伤，并被认为是独立的创伤事件。这项研究强调了实行创伤知情护理的重要性，特别是在这一患者群体中。