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J Surg Oncol. 2017 Dec;116(7):803-810. doi: 10.1002/jso.24755. Epub 2017 Jul 25.

Prevalence of psychiatric comorbidities among women undergoing free tissue autologous breast reconstruction.

Author information

1
Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
2
Division of Plastic, Reconstructive and Hand Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.
3
Division of Plastic, Reconstructive and Hand Surgery, Enschede, The Netherlands.
4
Division of Surgical Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Abstract

BACKGROUND AND OBJECTIVES:

Autologous breast reconstruction (BR) can be a stressful life event. Therefore, women undergoing mastectomy and autologous BR are required to have sufficient coping mechanisms. Although mental health problems are widespread, information regarding the prevalence of psychiatric diagnosis among these patients is scarce.

METHODS:

Retrospective analysis was performed using data from a large tertiary teaching hospital and the Nationwide Inpatient Sample (NIS) database. Patients undergoing autologous BR after mastectomy were included and evaluated for psychiatric disorders. Prevalence of each disorder, timing of diagnosis (preoperative or postoperative), and data per age group were reviewed.

RESULTS:

Between 2004 and 2014, 817 patients were included from the institutional database and 26ā€‰399 from the NIS database. Preoperatively, 15.3% of the patients were diagnosed with a psychiatric disorder within our institution and 17.6% nationwide (Pā€‰<ā€‰0.001). Postoperatively, 20.5% of the institutional patients were diagnosed with a psychiatric disorder. No major differences in prevalence were seen between age groups.

CONCLUSIONS:

Approximately, one in six patients were diagnosed with a psychiatric comorbidity preoperatively. Postoperatively, an additional 20.5% developed a psychiatric disorder. There was no difference in prevalence and timing of diagnosis between age groups.

KEYWORDS:

anxiety disorder; breast cancer; depressive disorder; mental health; plastic surgery

PMID:
28743179
DOI:
10.1002/jso.24755
[Indexed for MEDLINE]

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