2026-06-07T16:53:50Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1036942025-09-12T17:56:01Zcom_20.500.14352_14col_20.500.14352_15

Detection and evaluation of preoperative psychological care needs in cancer and noncancer patients referred to thoracic surgery Cruzado Rodríguez, Juan Antonio Martínez García, Vanesa Pacheco González, Irene Salas Gutiérrez, Verónica Jarabo Sarceda, José Ramón Calatayud Gastardi, Joaquín Valle Teresa, Laura del Fernández Martín, Elena Gómez Martínez, Ana María Hernando Trancho, Florentino Objectives: (a) to evaluate and compare the psychological treatment needs of patients with cancer and non-cancer, who are going to undergo scheduled thoracic surgery, and (b) evaluate and compare the diagnostic accuracy of the screening tests of psychological treatment needs for cancer and non-cancer patients. Method: The need for psychological treatment was evaluated in a total of 169 patients prior to thoracic surgery, through a clinical interview. The screening tests used were: the physician’s judgment (yes/no), the Hospital Anxiety and Depression Scale (HADS) and, the single-item interview to assess depression ‘‘Do you feel depressed?’’ (DEPQ). Results: The number of patients who needed psychological treatment in the total sample was 47 (27.81%), in non-cancer-patients: 22 (30.99%) and in cancer patients: 25 (25.51%). The participants with treatment needs were more often young women with primary education levels, with more fears and concerns regarding their disease. With respect to the screening tests, the HADS-T (cut-off point =13) obtained a sensitivity (SE) of 0.75 and Specificity (SP) of 0.81 in the total sample. In patients with cancer, the HADS total score (cut-off point 10) obtained an SE = 0.84 and SP = 0.80, and, in non-cancer patients, the HADS total score (cut-off point=13) showed an SE = 0.59 and SP = 0.84. The DEPQ and the physician’s judgment did not achieve adequate levels of precision. Conclusions: A high percentage of patients have psychological treatment needs before performing thoracic surgery, which are similar for cancer and non-cancer patients. Preoperative detection of patients who need psychological intervention is feasible with a simple screening test: HADS, which achieves greater precision in cancer patients. 2024-04-30T11:26:05Z 2024-04-30T11:26:05Z 2024-04-30T11:26:05Z 2022 journal article https://hdl.handle.net/20.500.14352/103694 0009-739X 10.1016/j.cireng.2022.06.014 eng Cruzado, J. A., Martínez-García, V., González, I. P., Gutiérrez, V. S., Jarabo-Sarceda, J. R., Calatayud-Gastardi, J., Teresa, L. D. V., Fernández-Martín, E., Gómez-Martínez, A. M., & Hernando-Trancho, F. (2022). Preoperative detection and evaluation of the need for psychological intervention in cancer and non-cancer patients referred to thoracic surgery. Cirugia espanola, 100(6), 359–366. https://doi.org/10.1016/j.cireng.2022.06.014 http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 International Elsevier