Clinical trial · Observational
Impact of Preoperative Sleep Quality and Anxiety on Postoperative Outcomes in Abdominal Gynecologic Cancer Surgery
Impact of Preoperative Sleep Quality and Anxiety on Postoperative Outcomes in Abdominal Gynecologic Cancer Surgery: A Prospective Observational Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This prospective observational study aims to evaluate the effects of preoperative sleep quality and anxiety levels on postoperative outcomes in patients undergoing abdominal gynecologic cancer surgery. A total of 72 patients were included and assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Beck Anxiety Inventory (BAI) prior to surgery. Postoperative outcomes including pain scores (measured by the Numeric Rating Scale), complication rates, additional analgesic use, and length of hospital stay were recorded. The findings suggest that poor sleep quality and high anxiety levels prior to surgery are significantly associated with higher postoperative pain, increased complication rates, and prolonged hospital stay. These results emphasize the importance of preoperative psychological evaluation and supportive interventions to improve perioperative care in gynecologic oncology.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Gynecologic Neoplasms | Female Reproductive System Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (0)
Data not yet available
Design
Arms and outcomes
Arms (1)
- label
- Surgical Cohort
- description
- Patients undergoing abdominal gynecologic cancer surgery were prospectively observed for postoperative outcomes including pain, complications, analgesic requirement, and hospital stay. Preoperative sleep quality and anxiety levels were measured and analyzed in relation to clinical outcomes.
Primary outcomes (1)
- measure
- Postoperative Pain Score (Numeric Rating Scale)
- timeFrame
- Postoperative Day 1 (within 24 hours after surgery)
- description
- Postoperative pain will be assessed using the Numeric Rating Scale (NRS) at 0, 4, 8, 12, and 24 hours after surgery. Higher scores indicate greater pain intensity.
Secondary outcomes (3)
- measure
- Postoperative Complication Rate
- timeFrame
- Up to 30 days after surgery
- description
- Incidence of postoperative complications including surgical site infection, ileus, nausea-vomiting, and atelectasis recorded within 30 days after surgery.
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Female patients aged ≥18 years * Diagnosed with gynecologic malignancy * Scheduled for elective abdominal surgery (laparotomy) * Able to provide informed consent * Completed preoperative sleep and anxiety assessments Exclusion Criteria: * History of psychiatric or cognitive disorders interfering with questionnaire participation * Emergency surgical procedures * Incomplete follow-up data within 30 days postoperatively * Patients admitted for inpatient observation prior to surgery * Major previous pelvic surgery
References
Publications (1)
- DERIVEDAkdemir C, Turan SA, Balci MF, Ozen S, Seker N, Bayramoglu D, Bayramoglu Z, Sanci M. Preoperative sleep quality and anxiety as predictors of postoperative pain and recovery in Gynecologic oncology surgery: A prospective observational study. J Psychosom Res. 2026 Feb;201:112496. doi: 10.1016/j.jpsychores.2025.112496. Epub 2025 Dec 11. PMID 41389754