BackgroundThe rectum cancer is associated with high rates of complications and morbidities with great impact on the lives of affected individuals.AimTo evaluate quality of life, pain, anxiety and depression in patients treated for medium and lower rectum cancer, submitted to surgical intervention.MethodsA descriptive cross-sectional study. Eighty-eight records of patients with medium and lower rectum cancer, submitted to surgical intervention were selected, and enrolled. Forty-seven patients died within the study period, and the other 41 were studied. Question forms EORTC QLQ-C30 and EORTC QLQ-CR38 were used to assess quality of life. Pain evaluation was carried out using the Visual Analogical Scale, depression and anxiety were assessed through Depression Inventories and Beck's Anxiety, respectively. The correlation between pain intensity, depression and anxiety was carried out, and between these and the EORTC QLQ-C30 General Scale for Health Status and overall quality of life, as well as the EORTC QLQ-CR38 functional and symptom scales.ResultsOf the 41 patients of the study, 52% presented pain, depression in 47%, and anxiety in 39%. There was a marking positive correlation between pain intensity and depression. There was a moderate negative correlation between depression and general health status, and overall quality of life as well as pain intensity with the latter. There was a statistically significant negative correlation between future depression perspective and sexual function, and also a strong positive correlation between depression and sexual impairments. A positive correlation between anxiety and gastro-intestinal problems, both statistically significant, was observed.ConclusionEvaluation scales showed detriment on quality life evaluation, besides an elevated incidence of pain, depression, and anxiety; a correlation among these, and factors which influence on the quality of life of post-surgical medium and lower rectum cancer patients was observed.
Quando um nódulo de tireóide é descoberto, exames de imagem isolados geralmente não são suficientes para caracterizar este nódulo como benigno ou maligno. A punção aspirativa com agulha fina (PAAF) da glândula tireóide tem se tornado uma modalidade dominante utilizada para avaliar a necessidade de ressecção de nódulos tireoidianos. Existem várias razões para amostras não serem diagnosticadas, incluindo material inadequado, colocação incorreta da agulha, patologistas inexperientes e diferentes critérios entre laboratórios. O objetivo do presente estudo é analisar a punção aspirativa por agulha fina da glândula tireóide em pacientes submetidos à ressecção cirúrgica. No período de janeiro de 1998 a dezembro de 2000, 61 punções aspirativas com agulha fina foram realizadas. Cada registro citológico foi revisto com o material cirúrgico quando a ressecção foi realizada. Havia 56 pacientes do sexo feminino (91,8%) e 5 do sexo masculino (8,2%) com idade variando de 15 a 68 anos (média de 37,6 anos). Trinta aspirações foram categorizadas como benignas, dezoito como proliferação folicular, sete como malignas e em seis a citologia não foi diagnóstica. Os resultados mostraram uma sensibilidade de 81,2%, especificidade de 69,2% e acurácia de 72,7%. A punção aspirativa com agulha fina apresentou alta sensibilidade para neoplasia maligna e estes pacientes devem ser submetidos a ressecção cirúrgica.
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