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Volume 5
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Article

Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine

by
Nadi Nina Kaonga
1,2,*,
Yanghee Courbron
3,
Emmy Holmgren
3,
Eliot Konzal
4,
Whitney Williams
3,
Mary Brandes
3 and
Caroline Foust-Wright
2,3
1
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA 30322, USA
2
Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME 04102, USA
3
Female Pelvic Medicine and Reconstructive Surgery, Maine Medical Partners, Portland, ME 04102, USA
4
Maine Medical Partners, Portland, ME 04102, USA
*
Author to whom correspondence should be addressed.
Reprod. Med. 2024, 5(1), 23-31; https://doi.org/10.3390/reprodmed5010003
Submission received: 27 November 2023 / Revised: 9 February 2024 / Accepted: 4 March 2024 / Published: 7 March 2024
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Abstract

Background: Higher levels of pre-operative anxiety are associated with adverse outcomes according to the cardiothoracic and orthopedic literature on emergent surgeries. There are limited data on pre-operative anxiety levels in the gynecologic setting. This study sought to identify predictive variables for high pre-operative anxiety levels in patients undergoing major urogynecologic surgery. Methods: Pre- and post-operative surveys that included demographic data, a modification of the Amsterdam Pre-Operative Anxiety and Information Scale, and open-ended questions regarding anxiety were administered. Descriptive, univariate and multivariate analyses were used to analyze the quantitative elements of the survey data. The qualitative components of the survey data were coded and analyzed using thematic analyses. Results: A total of 54 participants completed the pre-operative survey. The median age was 62 years old, and the majority were employed (n = 34, 60.7%). Roughly 1/3 had been diagnosed with a mental health condition (n = 19, 33.9%) and nearly all had other health conditions (n = 51, 91%). The baseline APAIS score ranged from 9 to 40, with higher scores reflecting higher levels of pre-operative anxiety. The median APAIS score was 24, with a score equal to or greater than 30 being in the highest tertile. Conclusion: No associations were made between the variables and pre-operative anxiety levels. However, useful insights into our patient population were made.
Keywords: anxiety; pre-operative anxiety; urogynecology; gynecology; surgery anxiety; pre-operative anxiety; urogynecology; gynecology; surgery

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MDPI and ACS Style

Kaonga, N.N.; Courbron, Y.; Holmgren, E.; Konzal, E.; Williams, W.; Brandes, M.; Foust-Wright, C. Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine. Reprod. Med. 2024, 5, 23-31. https://doi.org/10.3390/reprodmed5010003

AMA Style

Kaonga NN, Courbron Y, Holmgren E, Konzal E, Williams W, Brandes M, Foust-Wright C. Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine. Reproductive Medicine. 2024; 5(1):23-31. https://doi.org/10.3390/reprodmed5010003

Chicago/Turabian Style

Kaonga, Nadi Nina, Yanghee Courbron, Emmy Holmgren, Eliot Konzal, Whitney Williams, Mary Brandes, and Caroline Foust-Wright. 2024. "Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine" Reproductive Medicine 5, no. 1: 23-31. https://doi.org/10.3390/reprodmed5010003

APA Style

Kaonga, N. N., Courbron, Y., Holmgren, E., Konzal, E., Williams, W., Brandes, M., & Foust-Wright, C. (2024). Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine. Reproductive Medicine, 5(1), 23-31. https://doi.org/10.3390/reprodmed5010003

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