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

Autor:	Fournier V; University of Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France., Fontesse S; University of Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France., Christophe V; Human and Social Sciences Department, Centre Léon Bérard, Lyon, France.; Université Claude Bernard Lyon 1, Centre de Recherche en Cancérologie de Lyon - UMR Inserm 1052 - CNRS 5286 - UCBL - CLB, Lyon, France., Ramdane N; Department of Biostatistics, CHU Lille, Lille, France., Anota A; Human and Social Sciences Department, Centre Léon Bérard, Lyon, France.; Direction of Clinical Research and Innovation, Centre Léon Bérard, Lyon, France., Gauchet A; Centre de recherche, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada., Lelorain S; Laboratoire de Psychologie de la santé, du sport et du vieillissement, Université de Lausanne, Institut de Psychologie, Lausanne, Suisse., Baudry AS; University of Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France.; Pôle cancérologie et spécialités médicales, Centre Hospitalier de Valenciennes, Valenciennes, France., Duprez C; University of Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France., Devaux S; Department of Digestive and Oncological Surgery, CHU Lille, Lille, France., Bergeat D; Department of Digestive Surgery, CHU Rennes, Rennes, France., D'Journo XB; Department of Thoracic Surgery, North Hospital, Aix-Marseille University, Marseille, France., Glehen O; Department of Surgical Oncology, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Lyon, France., Piessen G; Department of Digestive and Oncological Surgery, CHU Lille, Lille, France.; University of Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France., Grynberg D; University of Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France.; Institut Universitaire de France, Paris, France.
Jazyk:	angličtina
Zdroj:	Psychology, health & medicine [Psychol Health Med] 2024 Oct 25, pp. 1-15. Date of Electronic Publication: 2024 Oct 25.
DOI:	10.1080/13548506.2024.2417113
Abstrakt:	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.
Databáze:	MEDLINE
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