Surveillance-Associated Anxiety After Curative-Intent Cancer Surgery: A Systematic Review
2025

Understanding Anxiety After Cancer Surgery

Sample size: 8693 publication Evidence: moderate

Author Information

Author(s): Khatri Rakhsha BA, Quinn Patrick L. MD, Wells-Di Gregorio Sharla PhD, Pawlik Timothy M. MD, PhD, MPH

Primary Institution: The Ohio State University Wexner Medical Center

Hypothesis

What are the rates and factors associated with anxiety related to surveillance after curative-intent cancer surgery?

Conclusion

Scanxiety is common among cancer survivors but is usually temporary and not severe.

Supporting Evidence

  • Scanxiety is nearly universal across multiple cancer types and patient populations.
  • Rates of scanxiety tend to decrease as time passes after surgery.
  • Qualitative studies identified the scan-to-results waiting period as a significant source of anxiety.
  • Common risk factors for scanxiety include low coping self-efficacy and pre-existing anxiety.
  • Existing trials have not identified effective strategies to reduce scanxiety.

Takeaway

Many people who have had cancer surgery feel anxious about follow-up scans, but this feeling usually goes away after a while.

Methodology

A systematic review of literature from multiple databases was conducted to evaluate anxiety and emotional experiences associated with surveillance after cancer surgery.

Potential Biases

Some studies lacked valid outcome measures and techniques to mitigate confounding variables.

Limitations

The studies included varied in quality and design, making it difficult to summarize findings and draw firm conclusions.

Participant Demographics

The majority of participants were women, with a mean age of 61.9 years.

Digital Object Identifier (DOI)

10.1245/s10434-024-16287-5

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