During the past 20 years, there have been significant improvements in survival following pancreatic operations for cancer, which have been attributed to improvements in systemic therapy and provision of care… Click to show full abstract
During the past 20 years, there have been significant improvements in survival following pancreatic operations for cancer, which have been attributed to improvements in systemic therapy and provision of care in the perioperative period. As we strive to improve outcomes following pancreatic surgery, we must broaden and optimize the preoperative evaluation of patients. Although the evaluation of fitness for pancreatic surgery is comprehensive, it frequently incorporates evaluation of cardiovascular, cerebrovascular, and pulmonary risk but does not routinely include an evaluation of mental health. This is despite the fact that mental health is common in the United States, including among patients and particularly in the oncologic setting.
               
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