Resumo (PT):
Abstract (EN):
<jats:sec id="S0924933822005600_sec02889" sec-type="intro">
<jats:title>Introduction</jats:title>
<jats:p>Uterine cancer is the most common gynecologic malignant neoplasm in developed countries. While depression is up to 3-5 times more common in patients with cancer than in the general population, literature is still limited regarding the relation between Endometrial Cancer and depression.</jats:p>
</jats:sec>
<jats:sec id="S0924933822005600_sec02890">
<jats:title>Objectives</jats:title>
<jats:p>To analyze Depression among Endometrial Cancer hospitalizations in mainland Portuguese public hospitals (2008-2015).</jats:p>
</jats:sec>
<jats:sec id="S0924933822005600_sec02891" sec-type="methods">
<jats:title>Methods</jats:title>
<jats:p>A retrospective observational study was conducted using administrative data from all hospitalizations in Portuguese mainland public hospitals between 2008-2015. All women¿s hospitalizations(¿18 years) with a primary diagnosis of Endometrial Cancer (ICD-9-CM 182.x) were selected. Secondary diagnosis of depression was identified with ICD-9-CM 296.2x, 296.3x and 311x codes. Surgical procedures codes 68.4x, 65.6x, 40.3x, 40.5x, 68.6x, 68.9x and 68.8x were used to divide the hospitalizations into surgical vs non-surgical. Groups were compared with Pearson Chi-square test and crude odds ratio(OR) was used to estimate the association between surgery and depression.</jats:p>
</jats:sec>
<jats:sec id="S0924933822005600_sec02892" sec-type="results">
<jats:title>Results</jats:title>
<jats:p>From 10227 hospitalizations with a primary diagnosis of Endometrial Cancer, 533 had a registry of depression(5.2%). Annual depression frequency rose from 2.0% (2008) to 8.3% (2015). Among patients with a record of depression, 73.2% had surgery. Women who had surgery were significantly more likely to have registered depression (p<0.001). The OR for depression in surgical vs non-surgical patients was 1.73 (95%IC:1.42-2.10).</jats:p>
</jats:sec>
<jats:sec id="S0924933822005600_sec02893" sec-type="conclusions">
<jats:title>Conclusions</jats:title>
<jats:p>Patients hospitalized due to Endometrial Cancer and submitted to surgery had almost two-fold more risk of having a registry of depression. This trend reinforces the importance of early depression screening of these patients, enabling the implementation of timely therapeutic strategies before and after surgery.</jats:p>
</jats:sec>
<jats:sec id="S0924933822005600_sec02894">
<jats:title>Disclosure</jats:title>
<jats:p>No significant relationships.</jats:p>
</jats:sec>
Language:
English
Type (Professor's evaluation):
Scientific
No. of pages:
1