Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer
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(2020) 18:326
RESEARCH
Open Access
Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer Yu Ohkura1,2,3* , Junichi Shindoh2,3, Kanako Ichikura4, Harushi Udagawa2,3, Masaki Ueno2,3 and Eisuke Matsushima1
Abstract Background: Esophageal cancer patients often feel depressed and are fearful of metastasis and death. The objective of this study was to clarify the characteristics of patients with psychological distress at all 5 time points compared with patients with no psychological distress especially from standpoints of personal coping styles and QOL. Methods: In total, 102 of 152 consecutive patients who attended the outpatient clinic at Toranomon Hospital between April 2017 and April 2019 met eligibility criteria for inclusion in this study. Questionnaires designed to identify psychological distress (HADS-scores) and assess QOL (EORTC QLQ C-30/OES18) were administered at 5 time points from the time of the first outpatient consultation to 3 months after esophagectomy. The questionnaire of coping strategies (MAC-scales) was administered at only time 1 point. Results: Based on the trends of HADS-scores, we defined two groups: “persistent high-HAD scores” and “persistent low-HADS scores.” There are strong relationships between psychological distress and coping strategy, and psychological distress and QOL. The possibility that there are relationships between stress coping strategies and some QOL status depending on some point of treatment. Conclusions: The psychological distress during the treatment course of esophageal cancer is significantly associated with the coping strategies and QOL influenced by esophagectomy. This study can provide baseline information for identifying patients in need of psychological management and paves the way for larger clinical studies in the future. Keywords: Predictive factors, Psychological distress, Coping, Health-related quality of life, Esophageal cancer
Introduction Esophagectomy is the mainstay of curative treatment for esophageal cancer. However, it is a highly invasive surgery with serious postoperative complications and is one * Correspondence: [email protected] 1 Section Division of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan 2 Department of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan Full list of author information is available at the end of the article
of the most complex interventions in gastrointestinal surgery. Recent advances in surgical techniques and perioperative intensive care have reduced the mortality and complications associated with esophagectomy [1], but it continues to be a challenging procedure with a reported mortality rate of 2.9–3.0% and a postoperative complication rate of 42.8–50.0% [2–4]. To meet the increasing demands of healthcare, environmental safety, and food quality, various methods and techniques have been reported as reviewers’ comments
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