Postoperative complications and symptoms of anxiety and depression in patients with gastric and esophageal cancer: a retrospective cohort study

被引:0
作者
Fournier, Valentyn [1 ]
Fontesse, Sullivan [1 ]
Christophe, Veronique [2 ,3 ]
Ramdane, Nassima [4 ]
Anota, Amelie [2 ,5 ]
Gauchet, Alice [6 ]
Lelorain, Sophie [7 ]
Baudry, Anne-Sophie [1 ,8 ]
Duprez, Christelle [1 ]
Devaux, Stephanie [9 ]
Bergeat, Damien [10 ]
D'Journo, Xavier Benoit [11 ]
Glehen, Olivier [12 ]
Piessen, Guillaume [9 ,13 ]
Grynberg, Delphine [1 ,14 ]
机构
[1] Univ Lille, CNRS, UMR 9193, SCALab Sci Cognit & Sci Affect, Lille, France
[2] Ctr Leon Berard, Lyon, France
[3] Inserm UMR 1052 CNRS 5286, UCBL CLB, UMR INSERM 1052, Ctr Rech Cancerol Lyon,CNRS 5286, Lyon, France
[4] CHU Lille, Dept Biostat, Lille, France
[5] Ctr Leon Berard, Lyon, France
[6] Ctr Hosp Univ Montreal, Ctr Rech, Montreal, PQ, Canada
[7] Univ Lausanne, Inst Psychol, Lab Psychol Sante Sport & Vieillissement, Lausanne, Switzerland
[8] Ctr Hospitalier Valenciennes, Lab Parasitol Mycol, Valenciennes, France
[9] CHU Lille, Dept Digest & Oncol Surg, Lille, France
[10] CHU Rennes, Dept Digest Surg, Rennes, France
[11] Aix Marseille Univ, Marseille, France
[12] Ctr Hosp Lyon Sud, Hosp Civils Lyon, Dept Surg Oncol, Lyon, France
[13] Univ Lille, CHU Lille, CANTHER Canc Heterogene Plast & Resistance Therapi, CNRS,INSERM,UMR9020 U1277, Lille, France
[14] Inst Univ France, Paris, France
关键词
Gastroesophageal cancer; anxiety; depression; postoperative complications; morbimortality; QUALITY-OF-LIFE; HOSPITAL ANXIETY; PSYCHOLOGICAL DISTRESS; RISK-FACTORS; SURGERY; HEALTH; MORTALITY; MORBIDITY; RESECTION; SURVIVAL;
D O I
10.1080/13548506.2024.2417113
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Context. Gastric and oesophageal cancers are common. They are also expected to increase in incidence in the next few years and are characterized by poor prognosis. Surprisingly, whereas the incidence of severe anxiety and depression is high in patients with gastric and oesophageal cancers, the influence of symptoms of depression and anxiety on postoperative complications has barely been explored. Methods. In a retrospective study based on a prospectively collected database, 629 cancer patients were enrolled. Symptoms of depression and anxiety (Hospital Anxiety and Depression Scale scores) and sociodemographic and medical information were collected immediately after diagnosis and before any treatment. The surgical approach (i.e. gastrectomy or oesophagectomy) and postoperative complications according to the Clavien-Dindo classification were collected after surgery. Results. After controlling for known medical predictors (i.e. surgical strategy, alcohol and tobacco consumption, American Society of Anaesthesiologists classification physical status score) of postoperative complications, no effect of symptoms of depression or anxiety was detected. Discussion. The observed results are surprising given the literature. However, several potential arguments can be put forwards regarding methods and measures, controlling variables, and conceptual distinctions. Despite the absence of significant results, this topic should be more deeply investigated by applying methodological and conceptual adjustments.
引用
收藏
页码:282 / 296
页数:15
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