ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2011
Depression is associated with prolonged and complicated recovery following colorectal surgery.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Thyroid storm during the recovery phase after non-thyroid surgery in a hyperthyroid patient: a case report and literature review.Frontiers in surgery · 2025Article
- Unmet mental health needs in patients with advanced B-cell lymphomas.Palliative & supportive care · 2022Article
- Preinjury Functional Independence is not Associated with Discharge Location in Older Trauma Patients.The Journal of surgical research · 2021Article
- Diagnostic Performance of the 4-Item Geriatric Depression Scale for Depression Screening in Older Patients with Cancer: The ELCAPA Cohort Study.The oncologist · 2021Article
- What Does a Diagnosis of Depression Mean for Patients Undergoing Colorectal Surgery?The Journal of surgical research · 2021Article
- Adapting psychosocial interventions for older adults with cancer: A case example of Managing Anxiety from Cancer (MAC).Journal of geriatric oncology · 2020Article
- Clinical Research Using the National Inpatient Sample: A Brief Review of Colorectal Studies Utilizing the NIS Database.Clinics in colon and rectal surgery · 2019Review
- A Practical Guide to Geriatric Syndromes in Older Adults With Cancer: A Focus on Falls, Cognition, Polypharmacy, and Depression.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2019Review
- Improving implementation of psychological interventions to older adult patients with cancer: Convening older adults, caregivers, providers, researchers.Journal of geriatric oncology · 2018Article
- Facing the faceless patients - the emerging challenges of identity fraud in general surgery: A case series.International journal of surgery case reports · 2018Article
- Towards a new conceptualization of depression in older adult cancer patients: a review of the literature.Aging & mental health · 2016Review
- Preoperative assessment of the older surgical patient: honing in on geriatric syndromes.Clinical interventions in aging · 2015Review
- Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus.Clinics (Sao Paulo, Brazil) · 2014Article
- Do psychiatric comorbidities influence inpatient death, adverse events, and discharge after lower extremity fractures?Clinical orthopaedics and related research · 2013Article
- The effect of depression on stage at diagnosis, treatment, and survival in pancreatic adenocarcinoma.Surgery · 2012Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere are little data regarding the impact of depression on outcomes after gastrointestinal surgery. We hypothesize that depression would be associated with prolonged hospital stay and changes in discharge disposition for patients undergoing colon and rectal surgery.
methodsWe identified 292,191 patients undergoing colon and rectal surgery using the 2008 Nationwide Inpatient Sample. We used multivariate regression to evaluate the effect of depression on length of stay and discharge disposition.
resultsA preoperative diagnosis of depression was present in 20,039 (6.9%) patients. Mean length of stay for those with depression (10.4 days, 95% confidence interval (CI) 10.04-10.76) was significantly longer than for patients without depression (9.64 days, 95% CI 9.48-9.81). After adjusting for cofounders, depression still predicted an increase in length of stay. Additionally, depressed patients were less likely to resume normal function at discharge, as 40% required either home health or time in a skilled facility following discharge from the acute care hospital.
conclusionsAmong patients undergoing colorectal surgery, depression is associated with a significantly prolonged hospital stay and higher likelihood of requiring skilled nursing assistance after discharge. Further research into the mechanism underlying these differences and potential treatment strategies among depressed patients is warranted.
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