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Patient Regret After Gastrointestinal Surgery for Cancer: A Narrative Review.

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Τίτλος: Patient Regret After Gastrointestinal Surgery for Cancer: A Narrative Review.
Συγγραφείς: Fitzgerald JE; Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA., Austin P; College of Arts and Science, University of Alabama, Tuscaloosa, Alabama, USA., Monton O; Department of Surgery, McMaster University, Hamilton, Ontario, Canada., Bechthold AC; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA., Kopecky KE; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Πηγή: Journal of surgical oncology [J Surg Oncol] 2025 Nov; Vol. 132 (6), pp. 1003-1010. Date of Electronic Publication: 2025 Aug 19.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 0222643 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-9098 (Electronic) Linking ISSN: 00224790 NLM ISO Abbreviation: J Surg Oncol Subsets: MEDLINE
Imprint Name(s): Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York, Plenum.
Ιατρικοί όροι (MeSH): Gastrointestinal Neoplasms*/surgery , Gastrointestinal Neoplasms*/psychology , Digestive System Surgical Procedures*/psychology , Digestive System Surgical Procedures*/adverse effects , Postoperative Complications*/psychology , Emotions*, Humans ; Quality of Life ; Decision Making ; Patient Satisfaction
Περίληψη: Background: Understanding what factors contribute to postoperative regret is crucial for improving clinical decision-making, enhancing patient communication, and increasing patient satisfaction. This narrative review evaluates the limited but growing body of literature focused on patient experiences of regret following gastrointestinal (GI) cancer surgery in the adult patient population.
Methods: A narrative review was conducted using the following keywords: "gastrointestinal", "cancer", "surgery", and "regret". PubMed was searched from inception to July 1, 2024, for articles written in English. Included studies assessed and reported decisional or postoperative regret in adult patients who had undergone curative-intent surgical resection of any GI cancer. Study variables were extracted from the included studies, and a narrative synthesis was conducted.
Results: Of 174 studies screened for eligibility, 5 met the inclusion criteria and were included in the analysis. Postoperative complications and psychosocial comorbidities were consistently associated with regret, while associations between regret and overall physical health, postoperative symptom burden, quality of life, and perceived choice were inconsistent across studies. Preference-concordant decision-making and trust in the surgeon emerged as potentially modifiable factors linked to regret.
Conclusion: Postoperative regret is influenced by postoperative complications, psychosocial risk factors, shared decision-making, and patient trust in their surgeon. Future research should explore longitudinal changes in postoperative regret over time and incorporate both patient and caregiver perspectives to obtain a holistic understanding of postoperative regret. This understanding will help develop evidence-based strategies to mitigate postoperative regret in GI cancer care.
(© 2025 Wiley Periodicals LLC.)
References: Gastrointestinal Cancers: An Interdisciplinary Approach, vol. 4, (Springer Nature, 2023).
L. Wyld, R. A. Audisio, and G. J. Poston, “The Evolution of Cancer Surgery and Future Perspectives,” Nature Reviews Clinical Oncology 12 (2015): 115–124.
R. L. Siegel, K. D. Miller, and A. Jemal, “Cancer Statistics, 2019,” CA: A Cancer Journal for Clinicians 69 (2019): 7–34.
K. Hiromitsu, T. Nishigori, T. Nakabe, et al., “Factors Associated With Postoperative Decisional Regret in Patients Undergoing Gastrointestinal Cancer Surgery: A Prospective Cohort Study,” American Journal of Surgery 89, no. 12 (2023): 6070–6077.
T. Connolly and J. Reb, “Regret in Cancer‐Related Decisions,” Health Psychology 24 (2005): S29–S34.
J. C. Brehaut, A. M. O'Connor, T. J. Wood, et al., “Validation of a Decision Regret Scale,” Medical Decision Making 23 (2003): 281–292.
J. Bleicher, A. Place, A. H. S. Harris, C. L. Scaife, and L. C. Huang, “Patient Perceptions of Decision‐Making and Quality‐Of‐Life Following Surgical Resection of Pancreatic Adenocarcinoma: A Mixed‐Methods Study,” Annals of Surgery Open 3 (2022): e214.
A. Wilson, S. M. Ronnekleiv‐Kelly, and T. M. Pawlik, “Regret in Surgical Decision Making: A Systematic Review of Patient and Physician Perspectives,” World Journal of Surgery 41 (2017): 1454–1465.
A. Graves, J. Sadjadi, M. Kosich, et al., “Decision Regret in Patients With Appendiceal Cancer Undergoing Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy,” Annals of Surgical Oncology 31 (2024): 7978–7986, https://doi.org/10.1245/s10434-024-16013-1.
A. K. Szproch and R. Maguire, “A Systematic Review of the Factors Associated With Regret Post‐Cancer Treatment,” Journal of Psychosocial Oncology 40 (2022): 1–25.
L. A. Janes, A. D. Lussiez, M. Anderson, M. C. Bamdad, and P. A. Suwanabol, “Decisional Regret Among Patients Undergoing Colectomy,” Diseases of the Colon & Rectum 65 (2022): 1542–1549.
K. Bartosiak, M. R. Janik, P. Kowalewski, M. Walędziak, and A. Kwiatkowski, “Decision Regret After Laparoscopic Sleeve Gastrectomy−5 Years' Perspective,” Obesity Surgery 31 (2021): 3686–3691.
A. N. Heirman, C. R. Arends, D. V. Clarence de Jel, et al., “Decisional Conflict and Decision Regret in Head and Neck Oncology: A Systematic Review and Meta‐Analysis,” JAMA Otolaryngology—Head & Neck Surgery no. 5 (2024): 393–404, https://doi.org/10.1001/jamaoto.2024.0214.
D. Feldman‐Stewart, C. Tong, R. Siemens, et al., “The Impact of Explicit Values Clarification Exercises in a Patient Decision Aid Emerges After the Decision Is Actually Made: Evidence From a Randomized Controlled Trial,” Medical Decision Making 32 (2012): 616–626.
J. Nicolai, A. Buchholz, N. Seefried, et al., “When Do Cancer Patients Regret Their Treatment Decision? A Path Analysis of the Influence of Clinicians' Communication Styles and the Match of Decision‐Making Styles on Decision Regret,” Patient Education and Counseling 99 (2016): 739–746.
A. Wilson, M. Winner, A. Yahanda, N. Andreatos, S. Ronnekleiv‐Kelly, and T. M. Pawlik, “Factors Associated With Decisional Regret Among Patients Undergoing Major Thoracic and Abdominal Operations,” Surgery 161 (2017): 1058–1066.
J. Trobaugh, W. Fuqua, K. Folkert, S. Khalil, S. Shebrain, and G. Munene, “Shared Decision‐Making in Pancreatic Surgery,” Annals of Surgery Open 3 (2022): e196.
C. H. Shah and J. D. Brown, “Reliability and Validity of the Short‐Form 12 Item Version 2 (SF‐12v2) Health‐Related Quality of Life Survey and Disutilities Associated With Relevant Conditions in the U.S. Older Adult Population,” Journal of Clinical Medicine 9 (2020): 661.
P. S. Brucker, K. Yost, J. Cashy, K. Webster, and D. Cella, “General Population and Cancer Patient Norms for the Functional Assessment of Cancer Therapy‐General (FACT‐G),” Evaluation & the Health Professions 28 (2005): 192–211.
D. Dindo, N. Demartines, and P.‐A. Clavien, “Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey,” Annals of Surgery 240 (2004): 205–213.
S. Soh, R. Morello, D. Ayton, et al., “Measurement Properties of the 12‑Item Short Form Health Survey Version 2 in Australians With Lung Cancer: A Rasch analysis,” Health and Quality of Life Outcomes 19, no. 1 (2021): 157.
L. Di Cristofaro, C. Ruffolo, E. Pinto, et al., “Complications After Surgery for Colorectal Cancer Affect Quality of Life and Surgeon–Patient Relationship,” Colorectal Disease 16 (2014): O407–O419.
R. M. Speck, M. D. Neuman, K. S. Resnick, B. A. Mellers, and L. A. Fleisher, “Anticipated Regret in Shared Decision‐Making: A Randomized Experimental Study,” Perioperative Medicine 5 (2016): 5.
N. Galouzis, M. Khawam, E. V. Alexander, et al., “Decision Regret and Satisfaction With Shared Decision‐Making in Pancreatic Surgery,” Journal of Gastrointestinal Surgery 29 (2025): 101870.
T. Whelan, M. Levine, A. Willan, et al., “Effect of a Decision Aid on Knowledge and Treatment Decision Making for Breast Cancer Surgery: A Randomized Trial,” Journal of the American Medical Association 292 (2004): 435–441.
R. S. Cassidy, D. B. Bennett, D. E. Beverland, and S. O'Brien, “Decision Regret After Primary Hip and Knee Replacement Surgery,” Journal of Orthopaedic Science 28 (2023): 167–172.
R. T. Aarhus and E. Huang, “Study Structure May Compromise Understanding of Longitudinal Decision Regret Stability: A Systematic Review,” Patient Education and Counseling 103 (2020): 1507–1517.
F.‐H. Wen, C. H. Hsieh, P. J. Su, et al., “Factors Associated With Family Surrogate Decisional‐Regret Trajectories,” Journal of Pain and Symptom Management 67 (2024): 223–232.e2.
W. Boag, H. Suresh, L. A. Celi, P. Szolovits, and M. Ghassemi, “Racial Disparities and Mistrust in End‐of‐Life Care.” in Proceedings of the 3rd Machine Learning for Healthcare Conference (PMLR, 2018), 587–602.
S. P. C. van Oosterhout, D. J. M. Ermers, F. K. Ploos van Amstel, et al., “Experiences of Bereaved Family Caregivers With Shared Decision Making in Palliative Cancer Treatment: A Qualitative Interview Study,” BMC Palliative care 20 (2021): 137.
Contributed Indexing: Keywords: decision‐making; gastrointestinal cancer; patient satisfaction; postoperative outcomes; preoperative counseling; regret; surgery
Entry Date(s): Date Created: 20250819 Date Completed: 20251011 Latest Revision: 20251011
Update Code: 20260130
DOI: 10.1002/jso.70066
PMID: 40827348
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1096-9098
DOI:10.1002/jso.70066