Daly Caroline M, Scott Jeffrey F, Bibee Kristin P
School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Department of Dermatology, Johns Hopkins University, Baltimore, Maryland.
Dermatol Surg. 2023 Apr 1;49(4):352-354. doi: 10.1097/DSS.0000000000003716. Epub 2023 Jan 31.
Patients undergoing dermatologic surgery report higher anxiety levels than those undergoing nonsurgical treatments. However, little is known about the association between patient-perceived delays in skin cancer surgery and patient-reported anxiety.
To examine the relationship between patient-perceived delays in surgery and patient-reported anxiety.
Patients undergoing wide local excision or Mohs micrographic surgery were recruited to complete a survey to assess perception of surgical delay and anxiety related to skin cancer surgery using the validated Psychosocial Screen for Cancer-Revised. Demographic and surgical characteristics were collected through chart review. Chi-square and Student t -tests were used to compare demographic and surgical information between patients who did and did not perceive a surgical delay. Differences in anxiety and depression scores for patients who did and did not report a delay were assessed using univariate and multivariate regressions.
Twenty-seven percent ( N = 33) of patients perceived a surgical delay. Perception of surgical delay was associated with increased time between biopsy and surgery ( p = .0001) and increased self-reported anxiety scores after controlling for various demographic and surgical factors ( p = .038).
Patient-perceived delays in dermatologic surgery are associated with increased time to surgery and patient-reported anxiety.
接受皮肤科手术的患者报告的焦虑水平高于接受非手术治疗的患者。然而，对于患者感知到的皮肤癌手术延迟与患者报告的焦虑之间的关联知之甚少。
研究患者感知到的手术延迟与患者报告的焦虑之间的关系。
招募接受广泛局部切除或莫氏显微外科手术的患者，以完成一项调查，使用经过验证的修订版癌症心理社会筛查量表来评估对手术延迟的感知以及与皮肤癌手术相关的焦虑。通过病历审查收集人口统计学和手术特征。使用卡方检验和学生t检验比较感知到手术延迟和未感知到手术延迟的患者之间的人口统计学和手术信息。使用单变量和多变量回归评估报告有延迟和无延迟的患者在焦虑和抑郁评分上的差异。
27%（N = 33）的患者感知到手术延迟。在控制了各种人口统计学和手术因素后，对手术延迟的感知与活检和手术之间时间的增加相关（p = .0001），并且与自我报告的焦虑评分增加相关（p = .038）。
患者感知到的皮肤科手术延迟与手术时间延长和患者报告的焦虑相关。
