Exploratory analysis on the association of mental health disorders with <scp>in‐hospital postoperative</scp> complications and mortality in head and neck cancer surgery

Gao, Jeff; Tseng, Christopher C.; Barinsky, Gregory L.; Povolotskiy, Roman; Grube, Jordon G.; Baredes, Soly; Park, Richard Chan Woo

doi:10.1002/hed.26791

Cited by 4 publications

(3 citation statements)

References 34 publications

(70 reference statements)

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“…29 For head and neck cancer surgery, patients with MHD had higher risk of overall complications (OR 1.28, 95% CI 1.12-1.46, P < .001). 27 For non-emergent patients with psychiatric illness undergoing laparoscopic cholecystectomies, complications were increased post-operatively (OR 8.6; 95% CI 1.7-39.1, P = .01). 28…”

Section: Resultsmentioning

confidence: 95%

Impact of Mental Health on General Surgery Patients and Strategies to Improve Outcomes

Josephs

Shaffer

Kucera

2022

The American Surgeon™

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Mental Health Disorders (MHD) are a growing concern nationwide. The significant impact MHD have on surgical outcomes has only recently started to be understood. This literature review investigated how mental health impacts the outcomes of general surgery patients and what can be done to make improvements. Patients with schizophrenia had the poorest surgical outcomes. Mental health disorders increased post-surgical pain, hospital length of stay, complications, readmissions, and mortality. Mental health disorders decreased wound healing and quality of care. Optimizing outcomes will be best accomplished through integrating more effective perioperative screening tools and interventions. Screenings tools can incorporate artificial intelligence, MHD data, resilience and its biomarkers, and patient mental health questionnaires. Interventions include cognitive behavioral therapy, virtual reality, spirituality, pharmacology, and resilience training.

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Section: Resultsmentioning

confidence: 95%

Impact of Mental Health on General Surgery Patients and Strategies to Improve Outcomes

Josephs

Shaffer

Kucera

2022

The American Surgeon™

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“…recognised the preoperative period as a timepoint within the surgical journey where supportive treatment could potentially improve a person's surgical outcomes 67 . Studies have demonstrated the benefits of meditation and mindfulness coaching alongside mental health consultations during the treatment pathways for surgical cancer populations, including breast, prostate, head and neck, and lung cancer 68–71 . Continued psychological support, including the integration of mindfulness‐based interventions post‐operatively, may also be of benefit for this patient cohort.…”

Section: Discussionmentioning

confidence: 99%

Prescribing pre‐ and post‐operative physical activity interventions for people undergoing breast cancer surgery: A qualitative systematic review

Howe,

Husband,

Robinson‐Barella

2024

Cancer Medicine

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IntroductionUndertaking physical activity, pre‐ and post‐operatively, can benefit recovery time and improve post‐surgical outcomes. One cohort of patients that have reported these benefits are those undergoing surgery for breast cancer. Yet, what remains unclear is the level to which physical activity interventions are implemented into standard surgical care for patients with breast cancer.AimsThis systematic review aimed to examine existing qualitative evidence focusing on pre‐ and post‐operative physical activity interventions to better understand the benefits and shortcomings of physical activity within the surgical journey.MethodsA systematic literature search was undertaken in November 2022, across five databases: MEDLINE, PsycINFO, Embase, CINAHL, and Scopus. Qualitative studies involving people with breast cancer who had undertaken a physical activity intervention, either pre‐ and/or post‐operatively, were included for analysis. The review was registered on PROSPERO: CRD42022372466 and performed according to PRISMA guidelines. The Critical Appraisal Skills Programme qualitative study checklist was used to assess study quality.ResultsFourteen studies were included, comprising the perspectives of 418 people receiving surgery for breast cancer. One study implemented preoperative physical activity interventions; the remaining studies focused on post‐operative interventions. A narrative systematic review was undertaken due to heterogeneity in reported results. Four themes were developed by thematic analysis, centring on: (1) factors promoting engagement with physical activity interventions; (2) factors preventing engagement with physical activity interventions; (3) the impact of pre‐ and post‐operative interventions on physical and psychological health; and (4) participant recommendations for pre‐ and post‐operative interventions.ConclusionPre‐ and post‐operative physical activity interventions were well‐accepted. Patients recognised factors which promoted or prevented engagement with interventions, as well as pre‐ and post‐operative physical and psychological benefits that arose as a result. Evidence based co‐design studies may further inform successful implementation of prescribed physical activity into standard care for surgical breast cancer patients.

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“…A recent cross-sectional analysis of United States hospital discharge data from the National (Nationwide) Inpatient Sample (NIS) database including 85,440 patients from 2008 to 2013 showed an in-hospital mortality rate of 4.2% [ 7 ]. The NIS was also used to analyze the association of mental health disorders with in-hospital and mortality in head and neck cancer surgery [ 8 ]. In the NIS data, mental health disorders were not associated to higher risk of early mortality in patients who underwent surgery from 2003 to 2014 for HNC.…”

Section: Introductionmentioning

confidence: 99%

Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018

Hermanns

Kouka

Guntinas‐Lichius

2022

Journal of Oncology

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Background. Data on in-hospital MR (IHMR) of head and neck cancer (HNC) are sparse. Methods. IHMR was determined in Germany between 2005 and 2018 using nationwide population-based diagnosis-related group (DRG) data of 1,090,596 HNC. Results. The overall average IHMR was 0.04 ± 0.02 . IHMR increased with older age to 0.04 ± 0.01 for patients of 65-79 years of age (relative risk [RR] in relation to patients of 35-49 years of age = 1.767 ; 95 % confidence interval CI = 1.040 to3.001) to a maximum of 0.07 ± 0.01 for patients of 80 years and older ( RR = 2.826 ; CI = 1.663 to 4.803). IHMR was the highest when no HNC-specific treatment, i.e., best supportive and palliative care, was applied ( 0.11 ± 0.01 ; RR in relation to tumor biopsy surgery = 7.241 ; CI = 3.447 to 5.211). IHMR was not different between surgery, radiotherapy, or chemotherapy/biologicals. Conclusions. IHMR did not change over time. Efforts are needed to decrease the IHMR for HNC.

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Exploratory analysis on the association of mental health disorders with in‐hospital postoperative complications and mortality in head and neck cancer surgery

Cited by 4 publications

References 34 publications

Impact of Mental Health on General Surgery Patients and Strategies to Improve Outcomes

Impact of Mental Health on General Surgery Patients and Strategies to Improve Outcomes

Prescribing pre‐ and post‐operative physical activity interventions for people undergoing breast cancer surgery: A qualitative systematic review

Mortality during In-Hospital Treatment for Head and Neck Cancer in Germany: A Diagnosis-Related Group-Based Nationwide Analysis, 2005–2018

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