Depression Is Associated with Prolonged and Complicated Recovery Following Colorectal Surgery

Balentine, Courtney J.; Hermosillo-Rodriguez, Jesus; Robinson, Christina M.; Berger, David H.; Naik, Aanand D.

doi:10.1007/s11605-011-1640-5

Cited by 39 publications

(14 citation statements)

References 39 publications

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“…16,23 Depression is more common in pancreatic cancer patients than in those with other malignancies, with a prevalence ranging from 33% to 71%. 18,20,22,24 Symptoms of depression, such as pain, fatigue, sleep and memory disturbances, anorexia, and weight loss may overlap with those of cancer, making the diagnosis of depression unclear or delayed.…”

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confidence: 99%

The effect of depression on stage at diagnosis, treatment, and survival in pancreatic adenocarcinoma

Boyd

Benarroch‐Gampel

Sheffield

et al. 2012

Surgery

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Background Depression has been associated with delayed presentation, inadequate treatment, and poor survival in patients with cancer. Methods Using Surveillance, Epidemiology and End Results and Medicare linked data (1992–2005), we identified patients with pancreatic adenocarcinoma (N = 23,745). International Classification of Diseases, 9th edition, Clinical Modification codes were used to evaluate depression during the 3 to 27 months before the diagnosis of cancer. The effect of depression on receipt of therapy and survival was evaluated in univariate and multivariate models. Results Of patients with pancreatic cancer in our study, 7.9% had a diagnosis of depression (N = 1,868). Depression was associated with increased age, female sex, white race, single or widowed status, and advanced stage disease (P < .0001). In an adjusted model, patients with locoregional disease and depression had 37% lower odds of undergoing surgical resection (odds ratio, 0.63; 95% confidence interval, 0.52–0.76). In patients with locoregional disease, depression was associated with lower 2-year survival (hazard ratio, 1.20; 95% confidence interval, 1.09–1.32). After adjusting for surgical resection, this association was attenuated (hazard ratio, 1.14; 95% confidence interval, 1.04–1.26). In patients who underwent surgical resection, depression was a significant predictor of survival (hazard ratio, 1.34; 95% confidence interval, 1.04–1.73). Patients with distant disease and depression had 21% lower odds of receiving chemotherapy (odds ratio, 0.79; 95% confidence interval, 0.70–0.90). After adjusting for chemotherapy for distant disease, depression was no longer a significant predictor of survival (hazard ratio, 1.03; 95% confidence interval, 0.97–1.09). Conclusion The decreased survival associated with depression appears to be mediated by a lower likelihood of appropriate treatment in depressed patients. Accurate recognition and treatment of pancreatic cancer patients with depression may improve treatment rates and survival.

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confidence: 99%

The effect of depression on stage at diagnosis, treatment, and survival in pancreatic adenocarcinoma

Boyd

Benarroch‐Gampel

Sheffield

et al. 2012

Surgery

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“…BAI and BDI scales were also used by Ear Nose and Throat and Orthopedic specialists after treatments for hearing loss and trauma (4,25,26). An increased length of hospital stay was noted in patients with higher depression and anxiety scores after colorectal surgery compared patients with lower scores (27). To the best of our knowledge, there has been no study comparing depression, anxiety and long-term quality of health using the BDI, BAI and SF-36, scales after different surgical treatment procedures for pilonidal disease.…”

Section: Discussionmentioning

confidence: 99%

Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus

Duman¹,

Özdemi̇r²,

Yücel³

et al. 2014

Clinics

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OBJECTİVE:Pilonidal sinus is characterized by high operative morbidity mainly due to wound problems. We aimed to compare the quality of health, comfort and psychological status in patients who underwent surgery for pilonidal sinus.METHODS:A total of 205 pilonidal sinus patients operated on with either primary closure or Limberg flap reconstruction were compared in terms of depression, anxiety, and long-term quality of health by using Short Form 36, Beck Depression Inventory, and Beck Anxiety Inventory scales.RESULTS:There were 107 patients in the primary closure group with a mean follow-up of 29.6±7.7 months and 98 patients in the Limberg flap group with a mean follow-up of 34.1±7.3 months. In the SF-36 analysis, the mental health and bodily pain scores (59±6 and 56±11 in the primary closure group and 62±8 and 61±10 in the Limberg flap group) were significantly higher in the Limberg flap group (p = 0.014 and p = 0.002, respectively). The mean Beck Depression Inventory (19±6.13 vs. 16±4.90 p<0.001) and Beck Anxiety Inventory (19±6.27 vs. 16±4.90 p<0.001) scores were lower in the Limberg flap group.CONCLUSION:Limberg flap reconstruction produced better quality of health scores according to the SF 36, especially in terms of mental health and bodily pain. There was a higher tendency towards anxiety and depression in the primary closure group.

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“…[23] In another study of over 290,000 colorectal surgery patients, those with depression had a 0.75-day longer length of stay than those without. [24] 2.3 Alcohol 2.3.1 Admissions and charges For individuals of ages 65 and up, alcohol-related hospitalizations are about as common as hospitalizations for myocardial infarctions. [25] In one inner-city hospital, patients' drinking was responsible for over 20% of intensive care unit admissions, and such patients were more likely uninsured.…”

Section: Surgical Outcomesmentioning

confidence: 99%

The business case for hospital-based Behavioral Screening and Intervention

Brown¹

2015

JHA

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Under the Affordable Care Act, hospitals are challenged to avoid growing penalties for adverse outcomes, including readmissions, and to adapt to value-based purchasing, where parent organizations will ultimately regard hospital revenues as costs. Hospitals are responding by implementing quality improvement programs, strengthening coordination of care around and after discharge, and enhancing chronic disease management, but many hospitals continue to suffer penalties. An additional response could be to systematically conduct screening and intervention for "upstream" behavioral risks and disorders -smoking, unhealthy drinking and depression -which are associated with admissions, inferior medical and surgical outcomes, readmissions, and ample costs. By increasing smoking quit rates, reducing binge drinking and enhancing depression outcomes, Behavioral Screening and Intervention (BSI) could improve outcomes for various chronic diseases, prevent acute disease and injury, decrease hospital admissions and readmissions, avert surgical complications, and improve hospitals' bottom lines. This article discusses how hospitals could implement BSI and potential benefits, barriers and limitations.

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Depression Is Associated with Prolonged and Complicated Recovery Following Colorectal Surgery

Cited by 39 publications

References 39 publications

The effect of depression on stage at diagnosis, treatment, and survival in pancreatic adenocarcinoma

The effect of depression on stage at diagnosis, treatment, and survival in pancreatic adenocarcinoma

Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus

The business case for hospital-based Behavioral Screening and Intervention

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