Mental Health Disorders and Surgical Outcomes in Patients With Bone and Soft Tissue Sarcoma.

IF 1.1 4区医学 Q3 ORTHOPEDICS Orthopedics Pub Date : 2024-08-19 DOI:10.3928/01477447-20240809-04

MaKenzie M Chambers, Caroline T Gutowski, Pietro Gentile, Krystal Hunter, Tae Won B Kim, Christina J Gutowski

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Abstract

Background: We conducted a study to investigate the relationship between a mental health diagnosis (MHD) and postoperative outcomes in orthopedic patients with bone and soft tissue sarcoma. We hypothesized that patients with sarcoma with a preoperative MHD would have worse outcomes and more postoperative complications.

Materials and methods: A retrospective review was performed of 356 patients who underwent surgical treatment for bone or soft tissue sarcoma. Patients were divided into two groups: those with a diagnosis of depression, anxiety, bipolar disorder, and/or schizophrenia and those with no previous MHD. Statistical analysis was performed using independent t, Mann-Whitney U, and chi-square tests.

Results: Statistical analysis demonstrated significant differences between the MHD group and the control group in three outcomes: length of stay, 90-day readmission rate, and incidence of surgical site infections. Subgroup analysis of the MHD group yielded significantly higher 90-day readmission rates for patients who were diagnosed during sarcoma treatment.

Conclusion: Patients with sarcoma and an MHD had a longer postoperative hospital stay, an increased 90-day readmission rate, and a greater risk of surgical site infection. Given the rising prevalence of mental health disorders nationwide, orthopedic surgeons should be aware of differences in postoperative outcomes between patients with sarcoma with and without mental illness. [Orthopedics. 20XX;4X(X):XXX-XXX.].

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骨与软组织肉瘤患者的心理健康障碍与手术效果。

背景：我们开展了一项研究，旨在调查心理健康诊断（MHD）与骨和软组织肉瘤骨科患者术后预后之间的关系。我们假设，术前患有精神健康诊断的肉瘤患者的预后会更差，术后并发症会更多：我们对 356 名接受手术治疗的骨或软组织肉瘤患者进行了回顾性研究。患者被分为两组：诊断患有抑郁症、焦虑症、躁郁症和/或精神分裂症的患者和既往未患过MHD的患者。统计分析采用独立 t 检验、曼-惠特尼 U 检验和卡方检验：统计分析表明，在住院时间、90 天再入院率和手术部位感染发生率这三项结果上，MHD 组与对照组存在明显差异。对MHD组进行分组分析后发现，在肉瘤治疗期间确诊的患者90天再入院率明显更高：结论：患有肉瘤且患有精神疾病的患者术后住院时间更长，90 天再入院率更高，手术部位感染的风险更大。鉴于全国范围内精神疾病的发病率不断上升，骨科医生应注意患有和未患有精神疾病的肉瘤患者在术后结果上的差异。[Orthopedics.20XX;4X(X):XXX-XXX.]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.