ArticleWorld journal of urology2025
Predictors of pre-operative anxiety in urological surgery: a prospective single-center study.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo assess preoperative anxiety levels in patients undergoing urological surgery and identify predictors of increased anxiety. PATIENTS AND
methodsA prospective, single-center study enrolled 200 patients from May 2022 to December 2024, who completed the Hospital Anxiety and Depression Scale (HADS) questionnaire after consulting a urologist. Multivariable logistic regression was used to analyze associations with anxiety levels.
resultsParticipants had a median age of 55 years (males) and 52 years (females); 70% were male. Most were married (67%) and had > 12 years of education (89%). Anxiety or depression history was reported in 16.5%, and 65.5% had prior surgeries. Urological malignancies accounted for 29.5% of procedures. Median HADS scores were 8 for males and 7 for females (p = 0.1). Male anxiety levels were 48% normal, 12% borderline and 40% abnormal, while female levels were 55% low, 15% borderline and 30% abnormal. Pre-existing anxiety was the strongest predictor of mild-to-severe anxiety (OR 11.378, 95% CI 2.434-53.195, p = 0.002). Fewer previous surgeries were inversely associated with anxiety (OR 0.762, 95% CI 0.610-0.951, p = 0.01). Other factors, including age, gender, BMI, marital status, Charlson score, and oncological procedures, were not significantly associated. Education level > 12 years showed a trend toward reduced anxiety, though not statistically significant.
conclusionsPre-existing anxiety strongly predicts preoperative anxiety. Tailored interventions should focus on addressing psychological health, particularly in patients with no prior surgical experience.
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