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| http://dx.doi.org/10.1111/anae.16225 | DOI Listing |
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Peri-operative mental health interventions for surgical oncology patients: a narrative synthesis and meta-analysis.
Anaesthesia
January 2025
Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA.
Introduction: Oncologic surgeries are common and rates of depression and anxiety are high in the peri-operative period, potentially interfering with successful recovery.
Methods: We conducted a narrative review and meta-analysis focusing on randomised controlled trials evaluating the effect of peri-operative mental health interventions on anxiety and/or depression in adult patients having oncological surgery. The review included studies published in the last 5 years, identified through EMBASE with no pre-specified criteria for the type of comparison or outcome.
Comprehensive Peri-Operative Risk Assessment and Management of Geriatric Patients.
Diagnostics (Basel)
September 2024
Second Department of Surgery, Aretaieion General Hospital, National and Kapodistrian University of Athens, 76 Vasilissis Sofias Ave., 11528 Athens, Greece.
Article Synopsis
- - As the population ages, older adults (65+) are undergoing more surgeries, which leads to increased risks due to health issues like comorbidities, polypharmacy, and frailty.
- - Traditional risk assessment tools often fail to predict post-operative outcomes for the elderly, but Comprehensive Geriatric Assessment (CGA) effectively identifies patients at risk for complications such as delirium and infections.
- - CGA not only predicts risks but also aids in tailoring personalized perioperative care, improving surgical outcomes and preventing functional decline among older patients.
Experiences and perspectives of adults on using opioids for pain management in the postoperative period: A scoping review.
Eur J Anaesthesiol
July 2024
From the Pain and opioids after Surgery (PANDOS) European Society of Anaesthesiology and Intensive Care (ESAIC) Research Group (DMA, PF), Epidemiology Group, Institute of Applied Health Sciences, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, UK (PF), Department of Anesthesia Technology (DMA), Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia (NA), Department of Nursing, University of the Highlands and Islands, Inverness, UK (DD), School of Applied Sciences, Edinburgh Napier University, Edinburgh, Scotland (DD), Health Psychology Group (DD), Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen (DMA, RA) and Department of Anaesthesia, Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, Aberdeenshire, UK (PF).
Background: Opioids play an important role in peri-operative pain management. However, opioid use is challenging for healthcare practitioners and patients because of concerns related to opioid crises, addiction and side effects.
Objective: This review aimed to identify and synthesise the existing evidence related to adults' experiences of opioid use in postoperative pain management.
Preoperative veterans RAND-12 mental composite score of < 35 is associated with increased length of stay and high rates of discharge to rehab after primary total joint arthroplasty.
Eur J Orthop Surg Traumatol
July 2024
Department of Orthopaedic Surgery, Lenox Hill Hospital, 130 E 77th St., 11th Floor, New York, NY, 10075, USA.
Purpose: The association between preoperative mental health and immediate postoperative ambulation in primary Total Joint Arthroplasty (TJA) has sparsely been studied. Thus, this study's objective was to investigate the association between mental health (measured by the Mental Component Score (MCS) from the Veterans RAND 12 (VR-12)) and peri-operative metrics.
Methods: We conducted a retrospective study of patients who underwent primary TJA and completed a VR-12 questionnaire between January 2018 and June 2023 at a single academic hospital.
Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study.
Eur Urol Open Sci
April 2024
Centre for Clinical Research, Clinical School, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Background And Objective: Prostate cancer, the most common cancer among men worldwide, has significant impact on quality of life. Supportive care needs for those affected by prostate cancer are not well understood. This study aims to describe patient-reported unmet needs and explore supportive care priorities of men treated for prostate cancer.
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