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The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients

Received: 5 January 2020    Accepted: 20 January 2020    Published: 4 February 2020
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Abstract

Surgery is one of the main treatments component against cancer. Although the basic principle of surgical treatment of cancer is curability, safety, and functionality, early recovery after surgery is also important. While some previous studies focus on physical recovery, there are few studies regarding the perioperative period of cancer patients and their impact on postoperative recovery. This study is aim to clarify psychosocial factors that affect postoperative recovery in cancer patients. The study design is a secondary data analysis of a prospective observational cohort study whose primary purpose was to investigate whether preoperative anxiety predicted onset of postoperative delirium in cancer patients at the National Cancer Center Hospital in Japan. The primary outcome of this study was the length of postoperative hospital stay, and the secondary outcome was postoperative complications. We conducted multivariable regression analysis to determine psychosocial predictors of primary and secondary outcomes. The final analysis included 109 patients. The mean length of postoperative hospital stay was 23.4 (SD = 12.4) days and the incidence rate of postoperative complications was 32.1%. In multivariable regression, preoperative anxiety was positively associated with the length of postoperative hospital stay, while sex (female) and alcohol dependence showed a negative association. Cognitive function was marginally associated with postoperative complications. In conclusion, Appropriate management of preoperative anxiety contributes to early discharge after surgery in cancer patients.

Published in Journal of Surgery (Volume 8, Issue 1)
DOI 10.11648/j.js.20200801.13
Page(s) 9-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Oncology, Surgery, Recovery, Anxiety

References
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Cite This Article
  • APA Style

    Saho Wada, Ryoichi Sadahiro, Yutaka Matsuoka, Yosuke Uchitomi, Ken Shimizu. (2020). The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients. Journal of Surgery, 8(1), 9-15. https://doi.org/10.11648/j.js.20200801.13

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    ACS Style

    Saho Wada; Ryoichi Sadahiro; Yutaka Matsuoka; Yosuke Uchitomi; Ken Shimizu. The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients. J. Surg. 2020, 8(1), 9-15. doi: 10.11648/j.js.20200801.13

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    AMA Style

    Saho Wada, Ryoichi Sadahiro, Yutaka Matsuoka, Yosuke Uchitomi, Ken Shimizu. The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients. J Surg. 2020;8(1):9-15. doi: 10.11648/j.js.20200801.13

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  • @article{10.11648/j.js.20200801.13,
      author = {Saho Wada and Ryoichi Sadahiro and Yutaka Matsuoka and Yosuke Uchitomi and Ken Shimizu},
      title = {The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients},
      journal = {Journal of Surgery},
      volume = {8},
      number = {1},
      pages = {9-15},
      doi = {10.11648/j.js.20200801.13},
      url = {https://doi.org/10.11648/j.js.20200801.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200801.13},
      abstract = {Surgery is one of the main treatments component against cancer. Although the basic principle of surgical treatment of cancer is curability, safety, and functionality, early recovery after surgery is also important. While some previous studies focus on physical recovery, there are few studies regarding the perioperative period of cancer patients and their impact on postoperative recovery. This study is aim to clarify psychosocial factors that affect postoperative recovery in cancer patients. The study design is a secondary data analysis of a prospective observational cohort study whose primary purpose was to investigate whether preoperative anxiety predicted onset of postoperative delirium in cancer patients at the National Cancer Center Hospital in Japan. The primary outcome of this study was the length of postoperative hospital stay, and the secondary outcome was postoperative complications. We conducted multivariable regression analysis to determine psychosocial predictors of primary and secondary outcomes. The final analysis included 109 patients. The mean length of postoperative hospital stay was 23.4 (SD = 12.4) days and the incidence rate of postoperative complications was 32.1%. In multivariable regression, preoperative anxiety was positively associated with the length of postoperative hospital stay, while sex (female) and alcohol dependence showed a negative association. Cognitive function was marginally associated with postoperative complications. In conclusion, Appropriate management of preoperative anxiety contributes to early discharge after surgery in cancer patients.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Association Between Postoperative Recovery and Psychosocial Factors in Cancer Patients
    AU  - Saho Wada
    AU  - Ryoichi Sadahiro
    AU  - Yutaka Matsuoka
    AU  - Yosuke Uchitomi
    AU  - Ken Shimizu
    Y1  - 2020/02/04
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200801.13
    DO  - 10.11648/j.js.20200801.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    EP  - 15
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200801.13
    AB  - Surgery is one of the main treatments component against cancer. Although the basic principle of surgical treatment of cancer is curability, safety, and functionality, early recovery after surgery is also important. While some previous studies focus on physical recovery, there are few studies regarding the perioperative period of cancer patients and their impact on postoperative recovery. This study is aim to clarify psychosocial factors that affect postoperative recovery in cancer patients. The study design is a secondary data analysis of a prospective observational cohort study whose primary purpose was to investigate whether preoperative anxiety predicted onset of postoperative delirium in cancer patients at the National Cancer Center Hospital in Japan. The primary outcome of this study was the length of postoperative hospital stay, and the secondary outcome was postoperative complications. We conducted multivariable regression analysis to determine psychosocial predictors of primary and secondary outcomes. The final analysis included 109 patients. The mean length of postoperative hospital stay was 23.4 (SD = 12.4) days and the incidence rate of postoperative complications was 32.1%. In multivariable regression, preoperative anxiety was positively associated with the length of postoperative hospital stay, while sex (female) and alcohol dependence showed a negative association. Cognitive function was marginally associated with postoperative complications. In conclusion, Appropriate management of preoperative anxiety contributes to early discharge after surgery in cancer patients.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Psycho-Oncology, National Cancer Center Hospital. Tokyo, Japan; Division of Health Care Research, Behavioral Sciences and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, Japan

  • Department of Psycho-Oncology, National Cancer Center Hospital. Tokyo, Japan; Division of Health Care Research, Behavioral Sciences and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, Japan

  • Department of Psycho-Oncology, National Cancer Center Hospital. Tokyo, Japan; Division of Health Care Research, Behavioral Sciences and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, Japan; Innovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Tokyo, Japan

  • Department of Psycho-Oncology, National Cancer Center Hospital. Tokyo, Japan; Innovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Tokyo, Japan; Behavioral Sciences and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, Japan

  • Department of Psycho-Oncology, National Cancer Center Hospital. Tokyo, Japan; Division of Health Care Research, Behavioral Sciences and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, Japan; Innovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Tokyo, Japan

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