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Acute outcomes with robotic versus laparoscopic and open hysterectomy for endometrial cancer: a retrospective cohort study from Alberta, Canada.

Authors: Luu H, Martins KJB, Sabourin J, Jago CA, Lester ELW, Nguyen PU, Williamson T, Klarenbach SW
Journal: Canadian journal of surgery. Journal canadien de chirurgie
mental health psychology open access

Abstract

Psychiatric conditions, specifically anxiety and depression, are common among patients with end-stage lung disease []. These conditions are often exacerbated by the physical burden of the disease, including chronic dyspnoea, persistent fatigue and impaired sleep quality [,]. Psychiatric problems are also common among solid organ transplant candidates []; however, research specifically focusing on lung transplantation (LT) candidates remains limited. Although a few studies have examined the association between depression and mortality [], evidence regarding the impact of other mental health problems on long-term mortality remains inconclusive []. A prolonged waiting period and critical condition [,] can profoundly influence the mental health of patients []. Recognizing the importance of psychological well-being for transplant outcomes, the International Society for Heart and Lung Transplantation (ISHLT) recommends a comprehensive pre-listing assessment. This assessment evaluates an individual’s psychological health, social support network and ability to follow complex medical regimens []. Patient and surgical factors influence the risk of postoperative delirium. Older age, multiple comorbidities, physical frailty and pre-existing psychiatric conditions could be significant contributors to postoperative delirium []. Additionally, the duration and complexity of surgery further affect delirium risk [].