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- Rafael Melillo Laurino Neto and HerbellaFernando A MFAMhttp://orcid.org/0000-0003-3594-5744Department of Surgery, Escola Paulista de Medicina, São Paulo, São Paulo, Brasil..
- Department of Surgery, Escola Paulista de Medicina, São Paulo, São Paulo, Brasil.
- Rev Assoc Med Bras (1992). 2019 Jun 3; 65 (5): 586-588.
AbstractSurgeons are becoming aware that surgical outcomes are not only based on technical skills. The impact of psychological problems on outcomes must be studied from both the patient's and the health care provider's viewpoint. Psychological problems may affect up to 20% of the population, with almost half of them non-treated. Surgeons have to deal with a significant number of patients with psychological problems, which affect surgical outcomes changing how symptoms, results and side effects are interpreted. Surgeons also face psychological problems at a significant rate. Although there are no studies on the effect of chronic psychological problems of the surgeon on outcomes, in simulated scenarios, acute stress usually leads to worse performance. Some initiatives can be implemented to improve outcomes based on the effect of psychological problems.
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