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Table 1 Demographic and clinical characteristics of patient sample (N = 4918) and comparison of patients with malignant neoplasms (A), benign neoplasms (B), and without neoplasms (C); n (%), mean [SD]

From: Sense of coherence, mental well-being and perceived preoperative hospital and surgery related stress in surgical patients with malignant, benign, and no neoplasms

 

A. Malignant neoplasms n = 945

B. Benign neoplasms n = 333

C. Without neoplasms n = 3640

p

Age (Years)

55.49 [14.08]

44.53 [12.30]

44.57 [15.64]

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C = 0.952

Men

553 (58.50)

86 (25.80)

1905 (52.30)

A-B-C < 0.001; A-B < 0.001; A-C = 0.001; B-C < 0.001

Sense of Coherence (BASOC) b

12.31 [2.59]

12.02 [2.62]

12.18 [2.57]

A-B-C = 0.176; A-B = 0.084; A-C = 0.170; B-C = 0.283

Mental wellbeing (WHO-5) a

59.26 [24.05]

56.89 [22.67]

57.31 [22.87]

A-B-C = 0.058; A-B = 0.117; A-C = 0.026; B-C = 0.746

Clinically significant depression a

307 (32.50)

120 (36.00)

1266 (34.80)

A-B-C = 0.340; A-B = 0.238; A-C = 0.186; B-C = 0.645

Perceived hospital and surgery related stress c

4.99 [2.93]

5.02 [3.03]

4.19 [2.86]

A-B-C < 0.001; A-B = 0.873; A-C < 0.001; B-C < 0.001

Elevated perceived hospital and surgery related stress c

517 (54.7)

183 (55.0)

1529 (42.0)

A-B-C < 0.001; A-B = 0.938; A-C < 0.001; B-C < 0.001

Length of hospital stay (days)

6.99 [8.63]

3.91 [3.65]

4.10 [5.77]

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C = 0.559

Physical health (ASA Classification) d

 ASA I, II

733 (77.60)

302 (90.7)

3206 (88.10)

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C = 0.156

 ASA III, IV

212 (22.40)

31 (9.3)

434 (11.90)

Surgical field

 Neuro-, head and neck surgery

126 (13.30)

92 (27.60)

1155 (31.70)

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C < 0.001

 Abdomino-thoracic surgery

726 (76.80)

194 (58.30)

935 (25.70)

 Peripheral surgery

93 (9.80)

47 (14.10)

1550 (42.60)

Site of tumor

 Head and neck

85 (9.00)

61 (18.30)

 

A-B < 0.001

 Breast

87 (9.20)

9 (2.70)

 

 Female genital organs

171 (18.10)

152 (45.80)

 

 Skin

80 (8.50)

32 (9.60)

 

 Lung

7 (0.70)

0 (0)

–

 Prostate

234 (24.80)

0 (0)

 

 Urinary system

97 (10.30)

13 (3.90)

 

 Bowel

28 (3.00)

1 (0.30)

 

 Nervous system

24 (2.50)

18 (5.40)

 

 Pancreas

12 (1.30)

1 (0.30)

 

 Hepatobiliary system

22 (2.30)

2 (0.60)

 

 Stomach / esophagus

18 (1.90)

1 (0.30)

 

 Lymphatic system

14 (1.50)

0 (0)

 

 Other

66 (7.00)

43 (12.90)

 

Medical comorbidity (CCI) e

 0 ‘None’

93 (9.8)

277 (83.2)

2952 (81.1)

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C = 0.763

 1 ‘Low’

384 (40.60)

44 (13.20)

548 (15.10)

 2 ‘Moderate’

216 (22.90)

8 (2.40)

103 (2.80)

 3 ‘High’

252 (26.70)

4 (1.20)

37 (1.00)

Extent of surgical procedure (POSSUM operative severity) f

 1 ‘Minor’

256 (27.10)

131 (39.3)

1467 (40.30)

A-B-C < 0.001; A-B < 0.001; A-C < 0.001; B-C = 0.001

 2 ‘Moderate’

413 (43.70)

86 (25.80)

1112 (30.50)

 4 ‘Major’

145 (15.30)

106 (31.80)

845 (23.20)

 8 ‘Major +’

131 (13.90)

10 (3.00)

216 (5.90)

  1. aWHO-5 (World Health Organization 5-item Well-Being Index) with lower scores indicating lower wellbeing (range: 0–100); clinically significant depression according to WHO-5 sum score cut-off ≤50
  2. bBASOC (Brief Assessment of Sense of Coherence) with higher scores indicating higher sense of coherence (range 3–15)
  3. cPerceived hospital and surgery related stress distress with higher scores indicating higher stress (range 0–10); scores ≥5 indicate elevated stress
  4. dASA classification (American Society of Anesthesiologists). ASA I, II: Healthy patients (ASA I), and patients with mild systemic disease, no functional limitations (ASA II); ASA III, IV: Patients with severe systemic disease with definite functional limitation (ASA III) and patients with severe systemic disease that is a constant threat to life (ASA IV)
  5. eCCI (Charlson Comorbidity Index)
  6. fPOSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity)