Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 138] The Impact of Distress at Diagnosis in Patients with Pancreatic Cancer Undergoing Pancreatectomy
So Jeong YOON 1, Soo Yeun LIM 1, HyeJeong JEONG 1, Hochang CHAE 1, Hyeong Seok KIM 1, Hongbeom KIM 1, Sang Hyun SHIN 1, Jin Seok HEO 1, In Woong HAN 1
1 Division of Hepatobiliary-pancreatic Surgery, Department of Surgery, Samsung Medical Center, REPUBLIC OF KOREA
Background : Cancer-related distress is associated with low quality of life and oncologic outcomes of cancer patients. There are only limited data regarding clinical implications of distress in patients with pancreatic cancer undergoing surgery. In the present study, we aimed to investigate the association between distress at diagnosis and surgical outcomes of patients with curative-intent surgery.
Methods : Since 2014, distress thermometer (DT) has been distributed to all patients with presumed cancer in outpatient clinic of Samsung Medical Center. We retrospectively reviewed clinicopathological data of patients who underwent curative-intent surgery for pancreatic cancer between 2014 and 2021. Survival of the patients according to DT score was analyzed using Kaplan-Meier graph and z-test. Risk factor analysis was performed to identify the impact of distress on postoperative complications.
Results : Among 1,050 patients with pancreatectomy, 130 patients responded to a DT survey. Thirty-three (25.4%), 67 (51.5%), and 30 (23.1%) patients presented with mild, moderate, and severe distress, respectively. In stage II group, patients with moderate distress showed better survival comparing to those with mild or severe distress. Higher body mass index (p = 0.043) and severe distress at diagnosis (p = 0.034) were independent risk factors for major postoperative complications.
Conclusions : More than 70% of the patients had moderate to severe distress at diagnosis. Distress was associated with the increased risk of major complications after pancreatectomy. Further study is necessary to explore potential effect of distress on outcomes of patients with pancreatic cancer.
Methods : Since 2014, distress thermometer (DT) has been distributed to all patients with presumed cancer in outpatient clinic of Samsung Medical Center. We retrospectively reviewed clinicopathological data of patients who underwent curative-intent surgery for pancreatic cancer between 2014 and 2021. Survival of the patients according to DT score was analyzed using Kaplan-Meier graph and z-test. Risk factor analysis was performed to identify the impact of distress on postoperative complications.
Results : Among 1,050 patients with pancreatectomy, 130 patients responded to a DT survey. Thirty-three (25.4%), 67 (51.5%), and 30 (23.1%) patients presented with mild, moderate, and severe distress, respectively. In stage II group, patients with moderate distress showed better survival comparing to those with mild or severe distress. Higher body mass index (p = 0.043) and severe distress at diagnosis (p = 0.034) were independent risk factors for major postoperative complications.
Conclusions : More than 70% of the patients had moderate to severe distress at diagnosis. Distress was associated with the increased risk of major complications after pancreatectomy. Further study is necessary to explore potential effect of distress on outcomes of patients with pancreatic cancer.
SESSION
E-poster
E-Session 03/21 ALL DAY