The combined use of senometry and ultrasonography for breast cancer surgical planning

Voiculescu, S; Scăunașu, Răzvan V.; Moroșanu, Matei; Greșanu, Andreea; Popescu, Bogdan A.; Burcoş, T

doi:10.25083/2559.5555.22.8893

Cited by 1 publication

(1 citation statement)

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“…Studies suggest that preoperative depression is correlated with increased postoperative pain and increased use of analgesics (11). Also, postoperative pain might be a trigger for depression by altering dopamine and serotonin signals which is amplified by a vicious circle (12,13).…”

Section: Discussionmentioning

confidence: 99%

Depression and breast cancer; postoperative shortterm implications

Scăunașu¹,

Voiculescu²,

Popescu³

et al. 2018

JMMS

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Introduction. Pre and postoperative psychological status is an important aspect in patients diagnosed with breast cancer, having a great impact on their quality of life. Considering the high incidence, mortality rate, and the added effect on self-image, breast cancer is considered a major stressor for women worldwide, almost 50% of these experiencing psychological distress. Methods. Our study retrospectively analysed the relationship between preoperative diagnosed depression and the number of medical care days, on patients diagnosed with breast cancer and admitted for surgical treatment in Colțea Clinical Hospital between 2017 and 2018. Results. We had 62 patients scheduled for breast cancer surgery, who had been preoperatively evaluated using psychological tests. Of those patients, 18 had scores indicating significant symptoms of depression (moderate or severe symptoms, HDSR >17). Patients with high HDSR scores needed an 18.4% longer hospitalization than patients without symptoms of depression. They also had 35.4% more ambulatory visits in the month following discharge, and a higher incidence of postoperative complications. Conclusions. There seem to be both physiological and somatic determinants responsible for the need of prolonged medical care, but the mechanisms responsible for these effects remain unclear. Identifying high-risk patients could not only lower the postoperative morbidity, but also increase the therapeutic outcomes.

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Section: Discussionmentioning

confidence: 99%