TY - JOUR
T1 - Awareness of the association between obesity and peri-operative risk among newly diagnosed patients with complex atypical hyperplasia and endometrial cancer
AU - Kuroki, Lindsay M.
AU - Benn, Teri E.
AU - Dukes, Jonathan L.
AU - Hagemann, Andrea R.
AU - Thaker, Premal H.
AU - Powell, Matthew A.
AU - Mutch, David G.
AU - Stewart Massad, L.
AU - Zighelboim, Israel
N1 - Funding Information:
The authors have no significant financial disclosures. The Siteman Cancer Center is supported by NCI Cancer Center Support Grant P30 CA91842 . This publication was supported by the Washington University Institute of Clinical and Translational Sciences (ICTS) grant UL1 TR000448 from the National Center for Advancing Translational Sciences. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health. Dr. Bradley Evanoff is the PI for the Clinical and Translational Science Award that supports all Washington University ITCS and Clinical Research Training Center activities.
Publisher Copyright:
© 2015 The Authors. Published by Elsevier Inc.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Objectives: The aim of this study is to evaluate knowledge of obesity-related peri-operative risks in women newly diagnosed with complex atypical hyperplasia and endometrial cancer. Methods: We conducted a cross sectional study of patients newly diagnosed with complex a typical hyperplasia or endometrial cancer who underwent preoperative counseling between 2011 and 2014, using a 17-item questionnaire. Obesity was defined as body mass index (BMI) of 30 kg/m2 or greater. Bivariate analysis was conducted using Pearson's Chi-Square or Fisher's Exact tests where appropriate and Mann-Whitney U for continuous variables. Results: Of 98 patients recruited, mean age was 58 years, 87% were obese, 83% white, and 51% had grade 1 endometrioid adenocarcinomas. Sixty-four percent of obese women reported that their physicians had discussed surgical risks related to obesity. However, 17% of obese and 42% of non-obese patients responded that they were unsure of the peri-operative risks associated with obesity. There was a substantial lack of understanding among obese patients regarding their increased risks of respiratory problems (29%), thromboembolism (29%), heart attack (35%), or longer operating time (35%) and hospital stay (47%). However, obese patients were more aware of wound infection risks associated with obesity compared to their non-obese counterparts (72% vs. 31%, p = 0.004). Conclusions: Pre-operative counseling for obese women with newly diagnosed endometrial cancer should incorporate more focused education about obesity-related risks. They report being knowledgeable about the risks associated with their surgery; however, more than a quarter are unaware of the impact obesity has on respiratory problems, thromboembolism, wound infection, heart attack or longer operating time and hospital stay.
AB - Objectives: The aim of this study is to evaluate knowledge of obesity-related peri-operative risks in women newly diagnosed with complex atypical hyperplasia and endometrial cancer. Methods: We conducted a cross sectional study of patients newly diagnosed with complex a typical hyperplasia or endometrial cancer who underwent preoperative counseling between 2011 and 2014, using a 17-item questionnaire. Obesity was defined as body mass index (BMI) of 30 kg/m2 or greater. Bivariate analysis was conducted using Pearson's Chi-Square or Fisher's Exact tests where appropriate and Mann-Whitney U for continuous variables. Results: Of 98 patients recruited, mean age was 58 years, 87% were obese, 83% white, and 51% had grade 1 endometrioid adenocarcinomas. Sixty-four percent of obese women reported that their physicians had discussed surgical risks related to obesity. However, 17% of obese and 42% of non-obese patients responded that they were unsure of the peri-operative risks associated with obesity. There was a substantial lack of understanding among obese patients regarding their increased risks of respiratory problems (29%), thromboembolism (29%), heart attack (35%), or longer operating time (35%) and hospital stay (47%). However, obese patients were more aware of wound infection risks associated with obesity compared to their non-obese counterparts (72% vs. 31%, p = 0.004). Conclusions: Pre-operative counseling for obese women with newly diagnosed endometrial cancer should incorporate more focused education about obesity-related risks. They report being knowledgeable about the risks associated with their surgery; however, more than a quarter are unaware of the impact obesity has on respiratory problems, thromboembolism, wound infection, heart attack or longer operating time and hospital stay.
KW - Knowledge of obesity-related surgical risks
UR - http://www.scopus.com/inward/record.url?scp=84964874501&partnerID=8YFLogxK
U2 - 10.1016/j.gore.2015.02.006
DO - 10.1016/j.gore.2015.02.006
M3 - Article
C2 - 25995994
AN - SCOPUS:84964874501
SN - 2352-5789
VL - 12
SP - 41
EP - 44
JO - Gynecologic Oncology Reports
JF - Gynecologic Oncology Reports
ER -