Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.

Anxiety and depression are common in patients with cancer. The aim of this study is to determine the prevalence of anxiety and depression symptoms in colorectal cancer (CRC) patients awaiting elective surgery and whether there is an association with their preoperative nutritional status and postoper...

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Autores: Soria-Utrilla, Virginia, Sánchez-Torralvo, Francisco José, González-Poveda, Iván, Mera-Velasco, Santiago, Porras, Nuria, Toval-Mata, José Antonio, García-Olivares, María, Ruiz-López, Manuel, Gonzalo-Marín, Montserrat, Carrasco-Campos, Joaquín, Tapia, María José, Santoyo-Santoyo, Julio, Olveira, Gabriel
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/18841
Acceso en línea:http://hdl.handle.net/20.500.12105/18841
Access Level:acceso abierto
Palabra clave:HADS
anxiety
cancer
colorectal
depression
malnutrition
oncology
Humans
Nutritional Status
Prevalence
Depression
Prospective Studies
Anxiety
Malnutrition
Colorectal Neoplasms
Nutrition Assessment
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spelling Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.Soria-Utrilla, VirginiaSánchez-Torralvo, Francisco JoséGonzález-Poveda, IvánMera-Velasco, SantiagoPorras, NuriaToval-Mata, José AntonioGarcía-Olivares, MaríaRuiz-López, ManuelGonzalo-Marín, MontserratCarrasco-Campos, JoaquínTapia, María JoséSantoyo-Santoyo, JulioOlveira, GabrielHADSanxietycancercolorectaldepressionmalnutritiononcologyHumansNutritional StatusPrevalenceDepressionProspective StudiesAnxietyMalnutritionColorectal NeoplasmsNutrition AssessmentAnxiety and depression are common in patients with cancer. The aim of this study is to determine the prevalence of anxiety and depression symptoms in colorectal cancer (CRC) patients awaiting elective surgery and whether there is an association with their preoperative nutritional status and postoperative mortality. A prospective study was conducted on 215 patients with CRC proposed for surgery. Data about nutritional status were collected using the Global Leadership Initiative on Malnutrition (GLIM) criteria, while anxiety and depression symptoms data were collected using Hospital Anxiety and Depression Scale (HADS). HADS detected possible anxiety in 41.9% of patients, probable anxiety in 25.6%, possible depression in 21.9%, and probable depression in 7.9%. GLIM criteria found 116 (53.9%) patients with malnutrition. The HADS score for depression subscale was significantly higher in malnourished patients than in well-nourished (5.61 ± 3.65 vs. 3.95 ± 2.68; p = 0.001). After controlling for potential confounders, malnourished patients were 10.19 times more likely to present probable depression (95% CI 1.13-92.24; p = 0.039). Mortality was 1.9%, 4,2%, and 5.6% during admission and after 6 and 12 months, respectively. Compared to patients without depressive symptomatology, in patients with probable depression, mortality risk was 14.67 times greater (95% CI 1.54-140.21; p = 0.02) during admission and 6.62 times greater (95% CI 1.34-32.61; p = 0.02) after 6 months. The presence of anxiety and depression symptoms in CRC patients awaiting elective surgery is high. There is an association between depression symptoms, preoperative nutritional status, and postoperative mortality.20242024-02-2720222022-10-1920222022-10-19research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/18841reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/188412026-06-12T12:43:37Z
dc.title.none.fl_str_mv Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
title Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
spellingShingle Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
Soria-Utrilla, Virginia
HADS
anxiety
cancer
colorectal
depression
malnutrition
oncology
Humans
Nutritional Status
Prevalence
Depression
Prospective Studies
Anxiety
Malnutrition
Colorectal Neoplasms
Nutrition Assessment
title_short Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
title_full Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
title_fullStr Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
title_full_unstemmed Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
title_sort Prevalence of Anxiety and Depression Symptoms and Their Relationship with Nutritional Status and Mortality in Patients with Colorectal Cancer.
dc.creator.none.fl_str_mv Soria-Utrilla, Virginia
Sánchez-Torralvo, Francisco José
González-Poveda, Iván
Mera-Velasco, Santiago
Porras, Nuria
Toval-Mata, José Antonio
García-Olivares, María
Ruiz-López, Manuel
Gonzalo-Marín, Montserrat
Carrasco-Campos, Joaquín
Tapia, María José
Santoyo-Santoyo, Julio
Olveira, Gabriel
author Soria-Utrilla, Virginia
author_facet Soria-Utrilla, Virginia
Sánchez-Torralvo, Francisco José
González-Poveda, Iván
Mera-Velasco, Santiago
Porras, Nuria
Toval-Mata, José Antonio
García-Olivares, María
Ruiz-López, Manuel
Gonzalo-Marín, Montserrat
Carrasco-Campos, Joaquín
Tapia, María José
Santoyo-Santoyo, Julio
Olveira, Gabriel
author_role author
author2 Sánchez-Torralvo, Francisco José
González-Poveda, Iván
Mera-Velasco, Santiago
Porras, Nuria
Toval-Mata, José Antonio
García-Olivares, María
Ruiz-López, Manuel
Gonzalo-Marín, Montserrat
Carrasco-Campos, Joaquín
Tapia, María José
Santoyo-Santoyo, Julio
Olveira, Gabriel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv HADS
anxiety
cancer
colorectal
depression
malnutrition
oncology
Humans
Nutritional Status
Prevalence
Depression
Prospective Studies
Anxiety
Malnutrition
Colorectal Neoplasms
Nutrition Assessment
topic HADS
anxiety
cancer
colorectal
depression
malnutrition
oncology
Humans
Nutritional Status
Prevalence
Depression
Prospective Studies
Anxiety
Malnutrition
Colorectal Neoplasms
Nutrition Assessment
description Anxiety and depression are common in patients with cancer. The aim of this study is to determine the prevalence of anxiety and depression symptoms in colorectal cancer (CRC) patients awaiting elective surgery and whether there is an association with their preoperative nutritional status and postoperative mortality. A prospective study was conducted on 215 patients with CRC proposed for surgery. Data about nutritional status were collected using the Global Leadership Initiative on Malnutrition (GLIM) criteria, while anxiety and depression symptoms data were collected using Hospital Anxiety and Depression Scale (HADS). HADS detected possible anxiety in 41.9% of patients, probable anxiety in 25.6%, possible depression in 21.9%, and probable depression in 7.9%. GLIM criteria found 116 (53.9%) patients with malnutrition. The HADS score for depression subscale was significantly higher in malnourished patients than in well-nourished (5.61 ± 3.65 vs. 3.95 ± 2.68; p = 0.001). After controlling for potential confounders, malnourished patients were 10.19 times more likely to present probable depression (95% CI 1.13-92.24; p = 0.039). Mortality was 1.9%, 4,2%, and 5.6% during admission and after 6 and 12 months, respectively. Compared to patients without depressive symptomatology, in patients with probable depression, mortality risk was 14.67 times greater (95% CI 1.54-140.21; p = 0.02) during admission and 6.62 times greater (95% CI 1.34-32.61; p = 0.02) after 6 months. The presence of anxiety and depression symptoms in CRC patients awaiting elective surgery is high. There is an association between depression symptoms, preoperative nutritional status, and postoperative mortality.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-10-19
2022
2022-10-19
2024
2024-02-27
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/18841
url http://hdl.handle.net/20.500.12105/18841
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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