The association between personality trait and the development of postoperative complications in enterostomized patients. Systematic review of literature
Massimo Fiorinelli 1Enrico Fiori 2Sara Dionisi 3Emanuele Simone 3Noemi Giannetta 3Marco Muzio 4Emanuela Taraborelli 5Erika Margarella 6Antonello Cocchieri 7Lucia Zaino 7Angelo Cianciulli 8Maria Figura 8
1 University Hospital Foundation “Agostino Gemelli” IRCCS, Catholic University of Sacred Heart, Rome, Italy
2 Department of Surgery Pietro Valdoni, “Sapienza” University of Rome, Italy
3 Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Italy
4 Department of Clinical and Molecular Medicine, “Sapienza” University of Rome, Italy
5 National Cancer Institute “Regina Elena” IRCCS, Rome, Italy
6 Pediatric hospital “Bambino Gesù” IRCCS, Rome, Italy
7 University Hospital Foundation “Agostino Gemelli” IRCCS, Rome, Italy - Catholic University of Sacred Heart, Rome, Italy
8 Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Italy
Ann. Ital. Chir., 2020, 91(1), 100671;
Published: 1 Jan 2020
Copyright © 2020 Annali Italiani di Chirurgia
Abstract
AIM: To investigate the presence of association between the personality trait and the onset of postoperative complications in patients undergoing enterostomy packaging. MATERIALS AND METHODS: Systematic review of the literature. RESULTS: Type D personality traits and those with a low tendency to optimism and temperament (ex. anxiety-depressive syndrome) would seem to be associated with an increased risk of developing postoperative psychiatric morbidity and reduced levels of health-related quality of life (HRQoL) in enterostomized patients for colorectal cancer (CRC). Also, type-D personality, has been associated with greater risk of multiple comorbidities including an increased risk of heart failure unrelated to other sociodemographic causes 32-34-35. Personality with little tendency to optimism may represent a predictive factor on the development of psychological suffering one year after the diagnosis of CRC 3. Patients with personality traits associated with reduced levels of life satisfaction and / or reduced coping capacity require longer hospitalization time 26. DISCUSSION: Several studies highlight the presence of association between personality traits oriented to performance, persistence and extroversion and outcomes in various areas of surgery 14,2,-27,30. However, in almost all cases, the outcomes measured do not correspond to the early post-operative complications defined in the inclusion criteria but to mediumlong term psychological and rehabilitative outcomes. CONCLUSIONS: From the review study, no sources were found concerning the association between the personality trait and the onset of early postoperative complications in enterostomised patients, highlighting, furthermore, a lack of data on the subject involving the entire field of abdominal surgery.
