Evidence map›Paper›PMID 34065006›Full record

ArticleHealthcare (Basel, Switzerland)2021

Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors.

Masato Ise, Eiji Nakata, Yoshimi Katayama, Masanori Hamada, Toshiyuki Kunisada, Tomohiro Fujiwara, Ryuichi Nakahara, Shouta Takihira, Kohei Sato, Yoshiteru Akezaki and 2 more

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Addressing and supporting the unmet needs of sarcoma survivors: a qualitative study.International journal of qualitative studies on health and well-being · 2025
    Article
  4. Article
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  6. Review
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  11. Clinicopathological correlations and prognostic insights in osteosarcoma: a retrospective analysis.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Masato IseDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.ORCID 0000-0001-8275-8103
Eiji NakataDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Yoshimi KatayamaDepartment of Rehabilitation Medicine, Okayama University Hospital, Okayama 700-8558, Japan.
Masanori HamadaDepartment of Rehabilitation Medicine, Okayama University Hospital, Okayama 700-8558, Japan.
Toshiyuki KunisadaDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.ORCID 0000-0002-1775-850X
Tomohiro FujiwaraDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Ryuichi NakaharaDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Shouta TakihiraDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Kohei SatoDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Yoshiteru AkezakiDivision of Physical Therapy, Kochi Professional University of Rehabilitation, Kochi 781-1102, Japan.ORCID 0000-0002-9613-9781
Masuo SendaDepartment of Rehabilitation Medicine, Okayama University Hospital, Okayama 700-8558, Japan.
Toshifumi OzakiDepartment of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Okayama University Hospital · JPKochi Rehabilitation Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient's distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D ≥ 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain.

Indexed as

bone and soft tissue tumordistress and impact thermometerpsychological distresssurgery

Identifiers

PMID34065006
PMCPMC8151264
OpenAlexW3161796045

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.