Observational Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Obstet Gynecol. Nov 5, 2019; 8(1): 1-7
Published online Nov 5, 2019. doi: 10.5317/wjog.v8.i1.1
Assessing quality of life using the brief cancer-related worry inventory for gynecological surgery
Ami Kikuchi, Ryo Koide, Masahiro Iwasaki, Mizue Teramoto, Seiro Satohisa, Masato Tamate, Masami Horiguchi, Nozomi Niwa, Tsuyoshi Saito, Toru Mizuguchi
Ami Kikuchi, Ryo Koide, Masami Horiguchi, Toru Mizuguchi, Department of Nursing and Surgical Science, Sapporo Medical University Postgraduate School of Health Science, Sapporo 0608556, Japan
Masahiro Iwasaki, Mizue Teramoto, Seiro Satohisa, Masato Tamate, Nozomi Niwa, Tsuyoshi Saito, Department of Obstetrics and Gynecology, Sapporo Medical University Postgraduate School of Medicine, Sapporo 0608556, Japan
Author contributions: Kikuchi A and Mizuguchi T designed the study; Iwasaki M, Teramoto M, Satohisa S, Tamate M, and Saito T performed the operations and were responsible for patient management; Koide R and Niwa N helped with the patient care; Horiguchi M, Sawada I, and Shudo E contributed to the clinical protocol and data management; and Kikuchi A and Mizuguchi T wrote the paper.
Supported by Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science, and Technology, Japan, No. 17K10672 (to Mizuguchi T); Astellas Pharma, Inc., Tokyo, Japan, No. RS2018A000763; Daiichi Sankyo Company, Tokyo, Japan, No. 1800461; Shionogi &Co., Osaka, Japan, No. RS2018A000439931; Merck Serono, Tokyo, Japan, No. MSJS20180613001; Sapporo Doto Hospital, Sapporo, Japan, No. 30037656; Noguchi Hospital, Otaru, Japan, No. 30047663; Doki-kai Tomakomai Hospital, Tomakomai, Japan, No. 30047674; Tsuchida Hospital, Sapporo, Japan, No. 30057704; and Ikuta Hospital, Shiraoi, Japan, No. 30057704.
Institutional review board statement: The study protocol has been reviewed and approved by the institutional review board of Sapporo Medical University Hospital, No. 302-56.
Informed consent statement: All study participants provided informed written consent prior to enrolment.
Conflict-of-interest statement: None of the authors have any conflicts of interest related to this manuscript.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Toru Mizuguchi, MD, PhD, Professor, Department of Nursing and Surgical Science, Sapporo Medical University Postgraduate School of Health Science, S-1, W-16, Chuo-Ku, Sapporo, Hokkaido 060-8556, Japan. tmizu@sapmed.ac.jp
Telephone: +81-11-6112111-29460 Fax: +81-11-6125525
Received: March 28, 2019
Peer-review started: April 2, 2019
First decision: June 19, 2019
Revised: August 24, 2019
Accepted: October 9, 2019
Article in press: October 9, 2019
Published online: November 5, 2019
Research background

The mental status of gynecological patients who received surgery has not fully understood. The brief cancer-related worry inventory (BCWI) has been validated in breast and lung cancer patients. However, the clinical values of BCWI for gynecological patients had never been investigated.

Research motivation

To identify the risk factors for perioperative anxiety could prepare for us supporting the patient’s mental status. It might improve a quality service of the medical management itself.

Research objectives

The main objectives, the objectives that were realized, and the significance of realizing these objectives for future research in this field should be described in detail.

Research methods

Between July 2018 and December 2018, 19 consecutive gynecological cancer patients who were scheduled to undergo hysterectomy or oophorectomy were prospectively recruited for this study after providing informed consent. The BCWI is a 15-item self-reported questionnaire that assesses cancer-related worries on a numeric scale (0–100).

Research results

The high BCWI group was significantly younger than the low BCWI group. The absence of a spouse and children was significantly more common in the high BCWI group than in the low BCWI group. The operation time was longer in the worsening BCWI group than in the stable BCWI group.

Research conclusions

We found that being young, having no family, and a long operation time were found to be risk factors for increased anxiety. Therefore, specific perioperative mental care should be considered for high-risk gynecological cancer patients, who can be identified using the BCWI, in the future.