Back to Search
Start Over
Examining the relationship between severe persistent mental illness and surgical outcomes in women undergoing mastectomy for breast cancer.
- Source :
-
American journal of surgery [Am J Surg] 2023 Jul; Vol. 226 (1), pp. 4-10. Date of Electronic Publication: 2022 Dec 28. - Publication Year :
- 2023
-
Abstract
- Background: Severe persistent mental illness (SPMI) is associated with worse outcomes in cancer patients. Less is known about the relationship between SPMI and surgical outcomes after mastectomy for breast cancer.<br />Methods: We selected patients with breast cancer and SPMI from the National Inpatient Sample (2016-2018) and used propensity score matching. We then used multivariate analysis, Kruskal-Wallis tests, and conditional logistic regression to compare demographics and outcomes.<br />Results: The study sample consisted of 670 patients: 536 without SPMI and 134 with SPMI. SPMI was associated with bilateral mastectomy (bilateral: 53% vs. unilateral: 42.7%, p = 0.033) and decreased frequency of breast reconstruction (p < 0.001). SPMI was associated with more extended hospitalization (4 days vs. 2 days, p < 0.001) and increased risk of developing post-procedural infection and sepsis (OR 2.909).<br />Conclusions: SPMI is associated with bilateral mastectomy, more extended hospitalization, and increased risk for post-procedural infection and sepsis - suggesting the need for increased use of standardized screening tools to identify SPMI in patients and inform perioperative management correctly.<br />Competing Interests: Declaration of competing interest All authors declare that they have no conflicts of interest.<br /> (Published by Elsevier Inc.)
Details
- Language :
- English
- ISSN :
- 1879-1883
- Volume :
- 226
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- American journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 36588017
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2022.12.019