An environmental scan of sexual health services for cancer survivors among Canadian institutions
Bibliographic record
Abstract
An environmental scan of sexual health services for cancer survivors among Canadian institutions NEED FOR SEXUAL HEALTH SERVICES Following treatment, cancer survivors face many lasting side effects that can negatively impact their quality of life.Sexual dysfunction, in particular, is cited as one of the most common and challenging side effects in gynecological and urological malignancies.Among Canadian men, prostate cancer is the most common malignancy.The side effects of treating prostate cancer pose significant obstacles, including sexual dysfunction (i.e., erectile dysfunction, loss of libido), urinary incontinence, complex pain, and fatigue.Erectile dysfunction is reported to be as high as 60-70% in patients treated with nerve-sparing radical prostatectomy and between 20-50% in patients treated with radiation therapy.Upwards of 60% of men report "moderate" to "big" bother with their sexual symptoms two years post-surgery, further underscoring the deleterious and lasting effects on their quality of life.Systemic therapies, such as androgen deprivation therapy, are associated with detrimental effects on sexual function, including five-to six-fold increased risk of reduced libido, impaired penile contractility, and reduced response to phosphodiesterase type 5 inhibitors.Adjustment after cancer treatment requires individualized, patient-centered approaches to navigate changes in sexual function.There is increasing evidence supporting a biopsychosocial approach to holistically address the medical, psychological, and interpersonal aspects of sexual health (SH).In Canada, there is ongoing work to adapt this framework in establishing cancer survivorship resources and clinics to address the sexual dysfunction among survivors and their partners. DEVELOPMENT OF THE CANADIAN ONCOLOGY SEXUAL HEALTH INITIATIVEDespite the demand, SH needs in the oncology patient population are currently underaddressed and underfunded.Multidisciplinary SH clinics in oncology settings are uniquely positioned to address the complexities of cancer-related SH concerns.The Canadian Oncology Sexual Health Initiative (COSHI) was conceived to facilitate and improve the delivery of SH resources across Canadian cancer care settings.COSHI proposes a national, multidisciplinary coalition of SH experts working towards the following objectives: 1) develop SH virtual resources for cancer centers; 2) develop standardized treatment protocols for SH; 3) develop cancer-type-specific guidelines for SH treatment; 4) leverage a nationwide team approach to research SH in oncology settings, and develop novel treatment strategies and resources.COSHI will begin with a focus on prostate cancer and then expand to include other cancer subtypes across biological sex and gender.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.004 | 0.009 |
| Science and technology studies | 0.006 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".