长期抑郁症的发病率在直肠癌患者或没有口腔:一个基于人口的队列研究
Hyun Jung Kim1,2, Hyeong Sik Ahn1,2, Woong Bae Ji3
1Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Annals of surgical treatment and research
|June 20, 2023
概括
在直肠癌手术后,抑郁症的每年发病率随着时间的推移而减少. 虽然整体抑郁症的发病率是相似的,不管口腔的状态如何,永久口腔可能会增加抑郁症的风险在手术后的第一年内.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结直肠癌手术已经进步,改善了关节节约率和瘤结果.
- 结直肠癌手术后的生活质量是令人担忧的,但因口腔静脉瘤状况而导致的长期抑郁症发病率仍未得到充分研究.
研究的目的:
- 为了确定直肠癌手术后抑郁症的长期年均发病率.
- 调查影响抑郁症的因素,特别是根据静脉的存在和持续时间来比较患病率.
主要方法:
- 利用韩国国家健康保险服务数据库对接受直肠癌手术的患者 (2002-2019) 进行了分析.
- 分析了抑郁症发病率和风险因素,按静脉口腔状态分层.
主要成果:
- 整体而言,每年抑郁症发病率在手术后的15年里有所下降.
- 在抑郁症发病率上没有观察到显著的差异,这取决于口腔静脉的状态.
- 在患有永久性口腔闭塞的患者中,在1年内出现了抑郁症诊断的统计学上显著增加.
结论:
- 在直肠癌患者中,整体抑郁率并没有因口腔的状态而显著不同.
- 永久性口腔可能会在手术后的第一年增加抑郁症的风险.
- 针对性教育和对抑郁症的评估对于永久性口腔静脉瘤患者在第一年内至关重要,特别是对年轻女性来说.
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