2018
DOI: 10.1097/psn.0000000000000223
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Perceived Stress and Surgical Wound Cytokine Patterns

Abstract: This was a pilot study to examine pre- and postoperative stress experienced by women who were undergoing autologous breast reconstruction and how stress might impact wound healing, specifically examining cytokines and other chemical mediators in the wound environment. A nonexperimental descriptive design over time was utilized. Participants were women who were undergoing autologous abdominal breast reconstruction for breast cancer (N = 20). Data were collected preoperatively and at 24, 48, 72, and 96 hr postsu… Show more

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Cited by 6 publications
(5 citation statements)
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“…Vacuum, drainage, or other external devices were used in 124 of the 280 (44%) studies and thus were the most frequently used methods of sample collection 22–27,29–146 ; the vast majority of sample collections using this method (75%, 103/138), were from surgical wounds (Figure 2B). Three other frequently used methods were extraction from absorbent material (31%, 86/280),…”
Section: Resultsmentioning
confidence: 99%
“…Vacuum, drainage, or other external devices were used in 124 of the 280 (44%) studies and thus were the most frequently used methods of sample collection 22–27,29–146 ; the vast majority of sample collections using this method (75%, 103/138), were from surgical wounds (Figure 2B). Three other frequently used methods were extraction from absorbent material (31%, 86/280),…”
Section: Resultsmentioning
confidence: 99%
“…In women with breast cancer who underwent surgical organ reconstruction after mastectomy, the cytokine profile assessed on the day of surgery and two days later was diverse, i.e., the levels of some immunosuppressive cytokines were higher at the beginning, and subsequently decreased significantly. It should be emphasized that in case of some cytokines evaluated in the WF, their concentration was significantly influenced by the level of stress of the examined patients [242]. Increased stress levels reduce the number of macrophages (CD68 + ), leukocytes (CD45 + ) and Langerhans cells (CD1a + ) and significantly limit the activity of immune cells in the skin by regulating the expression of HLA antigens, which is associated with impaired wound healing.…”
Section: Wound Healingmentioning
confidence: 99%
“…There is evidence pointing to a close relationship between stress, behavior, the immune system, and cancer development and progression; this stress response to specific stimuli may initiate a chain of events leading up to a variety of adverse health effects. 5 , 6 , 7…”
Section: Introductionmentioning
confidence: 99%
“…4 There is evidence pointing to a close relationship between stress, behavior, the immune system, and cancer development and progression; this stress response to specific stimuli may initiate a chain of events leading up to a variety of adverse health effects. [5][6][7] Serum cortisol is a biochemical marker of acute and chronic stress and has been used as such, either alone or together with specific questionnaires in clinical and epidemiological studies. 8 The experience of cancer by some individuals causes dysregulation of the HPA axis, leading to changes in cortisol circadian rhythm, which may accelerate tumor progression and reduce the quality of life (QOL).…”
mentioning
confidence: 99%