Kaydu A. et al., 2019: Frequency of anxiety and depression in patients of urtolithiasis undergoing Extracorporeal Shock Wave Lithotripsy in Diyarbakir, Turkey
Kaydu A, Gokcek E.
Department of Anesthesiology, Diyarbakir State Hospital, Diyarbakir, Turkey.
Extracorporeal shock wave lithotripsy (ESWL) can cause depression and anxiety for patients with urolithiasis. We evaluated the frequency of anxiety and depression in patients of urolithiasis undergoing ESWL. Thirty patients scheduled for ESWL were enrolled in Diyarbakir State Hospital, Turkey. VAS-A, APAIS, BDS and BAS scores were recorded. The patients comprised 23 males and 7 females (M/F: 3.3/1 with a mean age of 31.03 and 10.84 years. The mean VAS-A were 5.46 and 1.71. The pre-procedural anxiety were 100% (VAS-A>0) and depression of 56.6% of patients. The statistically significant difference was observed in total APAIS scores between male and females. (p=0.41) There was no significant difference between the groups in terms of gender and marital status (p< 0.05), Positive and statistically significant correlation was found between anxiety level (APAISa) and requirement of knowledge (APAISk) (p< 0.05). We found that depression and anxiety rates were high in patients with ESWL procedure.
J Pak Med Assoc. 2019 Mar;69(3):426-431
The first sentence is another typical confusion of causal and casual relations: “Extracorporeal shock wave lithotripsy (ESWL) can cause depression and anxiety for patients with urolithiasis” Of course not! This is not what the authors have shown.
Otherwise, it is a nice real life study: The authors are anesthetists and - according to the text - understand little of ESWL. They used a “face-to-face interview method to measure preoperative anxiety level before the patients were taken to the operating room.” Without proper informed consent and/or premedication, only few patients will be positively curious to look forward to whatever treatment will happen within the next minutes.
The authors give the proper conclusion in the discussion: “In our study, it was shown that there was a positive correlation between preprocedural anxiety level and information need. In addition, no significant difference was found between anaesthetic procedure anxiety and surgical procedure anxiety. The reason for this is that our procedures were ambulatory procedures. We think that anxiety level can be reduced by sufficient evaluation and pre-procedural education.”