2024 World Conference on Lung Cancer (WCLC) - Posters-P2.17A.03 Preoperative Anxiety in Patients Undergoing Video-Assisted Thoracoscopic Surgery: Predictive Factors and Specific Concerns and Fears

P2.17A.03 Preoperative Anxiety in Patients Undergoing Video-Assisted Thoracoscopic Surgery: Predictive Factors and Specific Concerns and Fears

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The document delves into preoperative anxiety in patients undergoing video-assisted thoracoscopic surgery (VATS), highlighting the prevalence, predictive factors, and specific patient concerns and fears. A study involving 540 patients found that 22.4% experienced preoperative anxiety. Predictive factors for this anxiety included being over 60 years of age, having a body mass index (BMI) over 25, lung nodule diameter of at least 1 cm, observation periods of more than one month, preexisting comorbidities, and marital status.<br /><br />A predictive model, presented as a nomogram, demonstrated good discrimination in identifying at-risk patients, suggesting that it could be a valuable tool for targeting support strategies. This model’s effectiveness calls for further validation in future multicenter studies. Additionally, there is an emphasis on the need for future research to consider patients’ psychological characteristics.<br /><br />Patients’ primary concerns included the potential for long-term prognosis issues, postoperative complications, and general discomfort. There were noted variations in these concerns based on patients’ anxiety levels, gender, and age.<br /><br />The study emphasizes the significance of addressing these individual concerns via tailored interventions, aiming to alleviate preoperative anxiety. Demographic, clinical, and surgical data were collected through interview-based questionnaires, notably employing the Hospital Anxiety and Depression Scale (HADS).<br /><br />Concerns ranged from long-term prognosis and reduced physiological function to cosmetic effects of surgical scars, though these varied distinctly between the anxiety and non-anxiety groups. This study underscores preoperative anxiety as a common yet complex issue in thoracic surgery, urging further exploration and validation to improve preoperative care and patient outcomes in VATS.

Asset Subtitle

Yizhou Huang

Meta Tag

Speaker Yizhou Huang

Topic Global Health, Health Services & Health Economics

Keywords

preoperative anxiety

video-assisted thoracoscopic surgery

VATS

predictive factors

nomogram

patient concerns

Hospital Anxiety and Depression Scale

HADS

tailored interventions

thoracic surgery