ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Association of surgery delay duration with suicidal ideation in cancer patients: a 3-year prospective cohort study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundThe COVID-19 pandemic caused substantial delays in cancer surgeries. This study investigated the impact of surgery delay duration on the risk of suicidal ideation (SI) in cancer patients.
methodsIn this prospective cohort study, we enrolled cancer patients from three medical centers in China (January-August 2020) whose surgeries were delayed by > 1 month. Patients were followed at 3, 6, 9, 12, 18, 24, and 36 months. SI was assessed at each visit using the Beck Scale for Suicidal Ideation (BSSI). Primary outcomes were the 3-year cumulative incidence of SI, time to SI onset, and SI severity. Intention-to-treat (ITT) and per-protocol analyses were employed for incidence and persistence outcomes, respectively. Findings Among 1864 patients in the ITT analysis, the 3-year cumulative SI incidence was 37.24%. Longer surgery delay was independently associated with a higher risk and earlier onset of SI. Compared to a 1-month delay, the adjusted hazard ratios were 1.89 (95% CI, 1.51-2.37) for a 2-month delay and 3.61 (95% CI, 2.97-4.38) for a 3-month delay. A history of psychiatric disorders or suicide attempts also significantly increased SI risk. Analyses of the per-protocol cohort (n = 1110) further showed that patients with earlier SI onset had more severe symptoms and higher rates of SI persistence (all P < 0.001). Sensitivity analyses confirmed the robustness of these findings.
conclusionsThe duration of surgery delay is a strong, independent predictor of subsequent suicidal ideation in cancer patients. These findings underscore the critical need to integrate mental health screening and early intervention into the surgical care pathway for cancer patients, particularly when treatment delays occur.
Indexed as
Identifiers
41266858What OpenQuestion holds
Registered trials
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.