Classification Into Different Patient Groups-A Step Toward Tailoring Care After Major Oncological Surgery?
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View abstract on PubMed
Summary
This summary is machine-generated.Patient groups based on subjective health experience shift post-surgery. Lower acceptance and perceived control correlate with poorer physical functioning and mental health outcomes in cancer patients.
Area Of Science
- Oncology
- Psychology
- Rehabilitation
Background
- Subjective health experience influences patient outcomes after oncological surgery.
- Understanding patient group dynamics is crucial for tailored care.
Purpose Of The Study
- To analyze changes in patient groups based on subjective health experience over time.
- To compare physical functioning and mental health across these patient groups post-oncological surgery.
Main Methods
- Observational cohort study of 98 patients undergoing gastrointestinal or bladder oncological surgery.
- Patients were classified into groups based on acceptance and perceived control preoperatively and at 1 and 3 months post-discharge.
- Physical functioning, anxiety, and depression levels were assessed.
Main Results
- The proportion of patients with low acceptance and perceived control increased from 31% preoperatively to 47% at 1 month and 45% at 3 months post-discharge.
- These patients exhibited significantly lower physical functioning and higher levels of anxiety and depression compared to those with high acceptance and perceived control.
- Statistical significance was observed across all time points for physical functioning (P=.030 to P=.006) and mental health (P<.001 to P=.009).
Conclusions
- Patient classification by subjective health experience offers insights into physical and mental health status.
- Dynamic shifts in patient groups necessitate frequent evaluation to manage post-surgical recovery effectively.
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