Factors connected with anxiety and other neuropsychiatric symptoms in advanced gastric cancer

Pawel Bryniarski,Maciej Jezioro,Iwona Filipczak-Bryniarska,Daniel Andrysiak,Magdalena Bryniarska

doi:10.1017/neu.2021.27

Pawel Bryniarski, Maciej Jezioro + Show 3 more

Open Access

https://doi.org/10.1017/neu.2021.27

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Journal: Acta Neuropsychiatrica	Publication Date: Sep 8, 2021
Citations: 5	License type: CC BY 4.0

Affiliation: Jagiellonian University

Abstract

The aim of study was to determine factors connected with neuropsychiatric symptoms and anxiety in patients with terminal stomach cancer. We analysed retrospectively 134 terminal stomach cancer patients admitted to Palliative Care Unit. Patients with anxiety had a greater chance for emergency admission, higher Numerical Rating Scale result, occurrence of cachexia and neuropsychiatric symptoms, longer duration of treatment, higher albumin concentration and lower glucose concentration.Patients with neuropsychiatric symptoms had greater chance for emergency admission, higher Performance Status scale note, occurrence of dyselectrolytemia, lower albumin concentration. Patients with those symptoms had more than 7 times greater chance for death. It is important to know factors connected with neuropsychiatric symptoms and anxiety because thanks to that we could avoid those dangerous clinical symptoms.

Highlights

Anxiety and neuropsychiatric symptoms are the serious and frequent problems of patients suffering from stomach cancer
In case multivariate logistic regression analysis factors connected with anxiety at admission is emergency admission to Palliative Care Unit (OR = 5.129)
During multivariate logistic regression analysis, we found factors connected with neuropsychiatric symptoms at admission such as emergency admission Palliative Care Unit (24.18 times; p = 0.002; OR = 24.182; CI95% = 3.363–173.867) and higher Performance Status (PS) scale note (4.1 times; p = 0.016; OR = 4.11; CI95% = 1.295–13.047)

Summary

Introduction

Anxiety and neuropsychiatric symptoms are the serious and frequent problems of patients suffering from stomach cancer. These symptoms worsen the quality of life and decrease patient’s prognosis. According to the data provided by World Health Organization, stomach cancer is the third (behind cancers of the lung and colorectum) most common cause of death from cancer globally. It is the 6th most common cancer worldwide with an estimated 1.03 million new cases per year in 2018 (Stewart et al, 2014)

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