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Evaluation of psychological symptoms in patients before and after simultaneous pancreas-kidney transplantation: a single-center cross-sectional study
Romano, Thais Malta; Linhares, Marcelo Moura; Posegger, Karin Romano; Rangel, Érika Bevilaqua; Gonzalez, Adriano Miziara; Salzedas-Netto, Alcides Augusto; Mucci, Samantha; Silva-Junior, Hélio Tedesco; Lopes Filho, Gaspar de Jesus; Medina-Pestana, José Osmar.
  • Romano, Thais Malta; Universidade Federal de São Paulo. Postgraduate Program in Interdisciplinary Surgical Science. Department of Gastroenterology. Sao Paulo. BR
  • Linhares, Marcelo Moura; Universidade Federal de São Paulo. Department of Gastroenterology. Sao Paulo. BR
  • Posegger, Karin Romano; Universidade Federal de São Paulo. Postgraduate Program in Interdisciplinary Surgical Science. Department of Gastroenterology. Sao Paulo. BR
  • Rangel, Érika Bevilaqua; Universidade Federal de São Paulo. Department of Medicine. Sao Paulo. BR
  • Gonzalez, Adriano Miziara; Universidade Federal de São Paulo. Department of Gastroenterology. Sao Paulo. BR
  • Salzedas-Netto, Alcides Augusto; Universidade Federal de São Paulo. Department of Gastroenterology. Sao Paulo. BR
  • Mucci, Samantha; Universidade Federal de São Paulo. Department of Psychiatry. Sao Paulo. BR
  • Silva-Junior, Hélio Tedesco; Universidade Federal de São Paulo. Department of Nephrology. Sao Paulo. BR
  • Lopes Filho, Gaspar de Jesus; Universidade Federal de São Paulo. Department of Gastroenterology. Sao Paulo. BR
  • Medina-Pestana, José Osmar; Universidade Federal de São Paulo. Department of Nephrology. Sao Paulo. BR
Acta cir. bras ; 37(2): e370202, 2022. tab
Article in English | LILACS, VETINDEX | ID: biblio-1374070
ABSTRACT

Purpose:

Simultaneous pancreas-kidney transplantation (SPKT) brings several benefits for insulin-dependent type-1 diabetic patients associated with end-stage renal disease (ESRD). However, data on psychological outcomes for the waiting list and the transplanted patients are still lacking.

Methods:

Using the psychological Beck inventories of anxiety (BAI) and depression (BDI), 39 patients on the waiting list were compared to 88 post-transplanted patients who had undergone SPKT.

Results:

Significant differences were found regarding depression (p = 0.003) but not anxiety (p = 0.161), being the pretransplant patients more vulnerable to psychological disorders. Remarkable differences were observed relative to the feeling of punishment (p < 0.001) and suicidal thoughts (p = 0.008) between the groups. It was observed that patients who waited a longer period for the transplant showed more post-transplant anxiety symptoms due to the long treatment burden (p = 0.002).

Conclusions:

These results demonstrated the positive impact of SPKT on psychological aspects related to depression when comparing the groups. The high number of stressors in the pretransplant stage impacts more severely the psychosocial condition of the patient.

Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Anxiety / Postoperative Care / Preoperative Care / Kidney Transplantation / Pancreas Transplantation / Depression Type of study: Diagnostic study / Observational study / Prevalence study / Risk factors Limits: Humans Language: English Journal: Acta cir. bras Year: 2022 Type: Article Institution/Affiliation country: Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Anxiety / Postoperative Care / Preoperative Care / Kidney Transplantation / Pancreas Transplantation / Depression Type of study: Diagnostic study / Observational study / Prevalence study / Risk factors Limits: Humans Language: English Journal: Acta cir. bras Year: 2022 Type: Article Institution/Affiliation country: Universidade Federal de São Paulo/BR