Living with Amputation: Anxiety and Depression Correlates

Bhutani, Sukriti; Bhutani, Jaikrit; Chhabra, A; Uppal, Rajesh

doi:10.7860/jcdr/2016/20316.8417

Cited by 22 publications

(23 citation statements)

References 35 publications

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“…In relation to those who had undergone an amputation, in this study there was a 2.66 times greater risk of developing depression. This result is in agreement with other studies, which have observed anxiety among these patients, caused by worries about incapacity to perform daily tasks and functional dependence, 32 or post-amputation depression in patients who did not have adequate social support. 40 Another curious finding was that day-to-day loneliness, such as living alone or not having a partner, did not negatively affect patients' emotional status, in contrast with what has been described in the literature.…”

Section: Discussionsupporting

confidence: 93%

“…17,20,21 Emphasizing the importance of our study even further, the literature suggests that there is a robust relationship between depression and PAD, 26,35,40 and also reports that perceptions of intermittent claudication and critical ischemia are factors that can predispose to depression. 26,32,33 Despite this, no significant association with chronic pain was identified in this group, even after adjustment in the logistic regression. Furthermore, while there is a vast body of literature discussing the association between these disorders and DM, this study did not detect any type of association with increased risk of developing DM due to changes to the body primarily provoked by depression, such as increased cortisol and, consequently, visceral adipose tissue, or with presence of endothelial dysfunction.…”

Section: Discussionmentioning

confidence: 69%

“…Elderly women were diagnosed with GAD and with depressive disorder more frequently, as has been detected in some previous studies. 5,14,30,31 However, Bhutani et al 32 conducted a study investigating the risk of these disorders among patients amputated because of external causes and found that elderly patients had less anxiety and depression than younger patients, since they had lower expectations and a lower probability of developing emotional disorders.…”

Section: Discussionmentioning

confidence: 99%

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Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

et al. 2019

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Resumo Contexto Ansiedade e depressão são afecções neuropsiquiátricas altamente prevalentes e estão associadas a doenças crônicas, dor, perda de autonomia, dependência para realização de atividades rotineiras e solidão. A depressão, muitas vezes, possui relação de causa-consequência com outras doenças, como infarto agudo do miocárdio, hipertensão arterial sistêmica (HAS), diabetes mellitus e doença arterial periférica (DAP). Objetivos Estimar a frequência de ansiedade e depressão em pacientes de ambos os sexos com DAP, internados em hospital terciário. Métodos Trata-se de um estudo descritivo, transversal, com uma amostra não aleatória selecionada de forma consecutiva. Para avaliar a ansiedade e a depressão, foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS) e, para a DAP, foi utilizado o índice tornozelo-braquial (ITB). Resultados A prevalência de ansiedade nesses pacientes foi de 24,4%, havendo associação entre ansiedade e renda familiar mensal, tabagismo e HAS. Já a prevalência de depressão foi de 27,6%, sendo verificadas associações entre depressão e sexo feminino, em união estável ou casada, que sobrevive com até um salário mínimo, não etilista e hipertensa. Conclusões É possível perceber que há uma alta prevalência de transtornos de ansiedade e depressão nos pacientes com DAP. Esses transtornos são subdiagnosticados e, consequentemente, não são devidamente tratados.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

et al. 2019

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“…However, our findings are similar to those reported in prior literature. Amputation is often associated with an increase in depression and anxiety scores that could worsen the quality of life and increase reliance on pain medications 21,22 . This could significantly complicate postoperative courses and patients may be less motivated to adhere to appropriate long‐term treatment plans, leading to reduced overall survival.…”

Section: Discussionmentioning

confidence: 99%

Malignant fibrous histiocytoma of bone: A survival analysis from the National Cancer Database

Malik

Baek

Alexander

et al. 2020

Journal of Surgical Oncology

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Background and Objectives: Malignant fibrous histiocytoma (MFH) of bone, now known as undifferentiated pleomorphic sarcoma of bone, is a rare neoplasm that accounts for less than 2% of all primary malignant bone tumors. The objective of the current study was to evaluate prognosis and survival for MFH of bone. Methods: The 2004 to 2016 National Cancer Database was queried to identify patients with a primary MFH of bone. Kaplan-Meier survival and Cox regression analyses were used to analyze overall survival and risk factors associated with overall mortality. Results: The overall 5-year and 10-year survival rates were 38.3% and 30.5%, respectively. Increasing stage and metastatic disease at presentation were associated with poor overall survival (P < .001). Patients aged 18 to 50 years (hazard ratio [HR], 0.51), 51 to 75 years (HR, 0.61), and those undergoing surgery (HR, 0.39) had improved survival. Having Medicare insurance (HR, 1.48), residing in a low educated area (HR, 2.56), and positive surgical margins (HR, 1.80) were associated with poor survival. Conclusions: The overall prognosis of MFH of bone is poor with a reported 5-year survival rate of 38.3%. Undergoing surgery and younger age were associated with a better prognosis. Older age, having Medicare insurance, and positive surgical margins were predictors of mortality. K E Y W O R D S bone sarcoma, malignant fibrous histiocytoma, MFH, NCDB, survival, undifferentiated pleomorphic sarcoma, UPS 2.1 | Database and patient selection

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“…The positive role of spirituality has been recently highlighted for the female gender in particular [25]. Levels of anxiety and depression have been extensively studied, being significantly higher than in the general population and also influencing quality of life [26,27].…”

Section: Resultsmentioning

confidence: 99%

Distortion of Body Image Following Lower Limb Amputation: Implications for Comprehensive Rehabilitation

Peroni¹,

Cornaggia²,

Cerri³

et al. 2017

CANN

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Living with Amputation: Anxiety and Depression Correlates

Cited by 22 publications

References 35 publications

Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

Malignant fibrous histiocytoma of bone: A survival analysis from the National Cancer Database

Distortion of Body Image Following Lower Limb Amputation: Implications for Comprehensive Rehabilitation

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