Prevalence of Psychiatric Comorbidities among Women Undergoing Autologous Breast Reconstruction

Becherer, B. (Babette) (2016) Prevalence of Psychiatric Comorbidities among Women Undergoing Autologous Breast Reconstruction. thesis, Medicine.

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Abstract

Background. Patients undergoing mastectomy and autologous breast reconstruction (BR) are required to have sufficient and long-lasting coping mechanisms. Although mental health problems are a widespread problem in the United States, information regarding the prevalence of psychiatric diagnosis among this patient group is lacking. Methods. Retrospective analysis was performed using data from a large tertiary teaching hospital. Additionally, this was compared to nationwide data provided by the Nationwide Inpatient Sample (NIS) database. Patients undergoing autologous BR were included and divided into different psychiatric diagnosis groups. Prevalence of each disorder, the moment of diagnosis, and data per age group were reviewed. Results. In total, 26,804 patients (2008 – 2012) were included in the comparison of institutional data and nationwide data. Pre-operative, 15.3% of the patients were diagnosed with a psychiatric disorder within the institutional database, and 17.6% in the NIS database. There was no significant difference in prevalence between the two databases. For the analysis of moment of diagnosis and different age groups, institutional data from 817 patients (2004 – 2014) was utilized. Post-operative, an additional 20.5% of the patients were diagnosed with one or more psychiatric disorder. No major differences in prevalence preoperative were seen between the age groups. Women ≤ 39 year old showed the highest increase of prevalence post-operative. Conclusions. Approximately one in six patients were diagnosed with a psychiatric comorbidity before autologous breast reconstruction. Post-operative, an additional 20.5% developed a psychiatric disorder. There was no difference in prevalence and moment of diagnosis between the age groups.

Item Type:	Thesis (Thesis)
Supervisor name:	Supervisor GIPS-M (NL) and Kallenberg, Prof. C.G.M. and Afd. Reumatologie en and Klinische Immunologie and UMCG
Supervisor name:	Supervisor Boston (USA) and Lin, Samuel J MD and Beth Israel Deaconess Medical Center
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:39
Last Modified:	25 Jun 2020 10:39
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/103

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