Imperial College London
Alternate

Mr Alex Almoudaris BSc.(Hons.) MBBS DIC PhD FRCS(Eng.)

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

+44 (0)20 3312 7651a.almoudaris

 
 
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Location

 

1089Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pinto:2016:10.1136/bmjopen-2014-007224,
author = {Pinto, A and faiz, O and davis, R and almoudaris, A and vincent, C},
doi = {10.1136/bmjopen-2014-007224},
journal = {BMJ Open},
title = {Surgical complications and their impact on patients’ psychosocial wellbeing: A systematic review and meta-analysis},
url = {http://dx.doi.org/10.1136/bmjopen-2014-007224},
volume = {6},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability. Psychological distress could further delay patients’ recovery as stress delays wound healing and compromises immunity. This review investigates whether surgical complications adversely affect patients’ postoperative well-being and the duration of this impact.Methods The primary data sources were ‘PsychINFO’, ‘EMBASE’ and ‘MEDLINE’ through OvidSP (year 2000 to May 2012). The reference lists of eligible articles were also reviewed. Studies were eligible if they measured the association of complications after major surgery from 4 surgical specialties (ie, cardiac, thoracic, gastrointestinal and vascular) with adult patients’ postoperative psychosocial outcomes using validated tools or psychological assessment. 13605 articles were identified. 2 researchers independently extracted information from the included articles on study aims, participants’ characteristics, study design, surgical procedures, surgical complications, psychosocial outcomes and findings. The studies were synthesised narratively (ie, using text). Supplementary meta-analyses of the impact of surgical complications on psychosocial outcomes were also conducted.Results 50 studies were included in the narrative synthesis. Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes, clinical and demographic factors. Half of the studies with significant findings reported significant adverse effects of complications on patient psychosocial outcomes at 12months (or more) postsurgery. 3 supplementary meta-analyses were completed, 1 on anxiety (including 2 studies) and 2 on physical and mental quality of life (including 3 studies). The latter indicated statistically signi
AU  - Pinto,A
AU  - faiz,O
AU  - davis,R
AU  - almoudaris,A
AU  - vincent,C
DO  - 10.1136/bmjopen-2014-007224
PY  - 2016///
SN  - 2044-6055
TI  - Surgical complications and their impact on patients’ psychosocial wellbeing: A systematic review and meta-analysis
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2014-007224
UR  - http://hdl.handle.net/10044/1/28111
VL  - 6
ER  -
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