Patient-reported outcome and cognitive measures to be used in vascular and brain tumor surgery: proposal for a minimum set

Schiavolin, Silvia; Mariniello, Arianna; Broggi, Morgan; Abete-Fornara, Giorgia; Bollani, Alessandra; G, Giulio Palmas; Bottini, Gabriella; Querzola, Matteo; Scarpa, Pina; Casarotti, Alessandra; Michèle, Sara De; Isella, Valeria; Mauri, Ilaria; Maietti, Alessandra; Miramonti, Valentina; Orru, Maria Immacolata; Pertichetti, Marta; Pini, Elisa; Regazzoni, Rossana; Subacchi, Sara; Ferroli, Paolo; Leonardi, Matilde

doi:10.1007/s10072-022-06162-0

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…To proceed, however, it is essential to identify a minimum set of neuropsychological and psychological tests, specifically designed for patients undergoing INR procedures, as recently implemented for the neurosurgical setting. 79 This identification would make the data shareable and comparable even independent of pathologies and treatments, overcoming the many limitations that we have encountered when reviewing the specific literature (Online Supplemental Data Table S3).…”

Section: Discussionmentioning

confidence: 99%

Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

Riccietti,

Schiavolin,

Caldiera

et al. 2023

AJNR Am J Neuroradiol

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BACKGROUND: Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited. PURPOSE: Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians' awareness of their mental status.DATA SOURCES: Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as "interventional neuroradiology," "psychology," and "cognition" according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.STUDY SELECTION: Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.DATA ANALYSIS: Regarding psychological aspects, it appears that early psychological consultations and "nonpharmacologic" strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.DATA SYNTHESIS: Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective. LIMITATIONS:The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis. CONCLUSIONS:Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.ABBREVIATIONS: CAS ¼ carotid artery stent placement; DAVF ¼ dural arteriovenous fistula; EC ¼ endovascular coiling; INR ¼ interventional neuroradiology; QoL ¼ quality of life; RCT ¼ randomized control trial; RIA ¼ ruptured intracranial aneurysm; SC ¼ surgical clipping; UIA ¼ unruptured intracranial aneurysm

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Section: Discussionmentioning

confidence: 99%

Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

Riccietti,

Schiavolin,

Caldiera

et al. 2023

AJNR Am J Neuroradiol

Self Cite

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“…Another limitation concerns the sole use of intellective scales as cognitive outcome measure: although less comprehensive than the specific neuropsychological functioning [10,13,14], intellectual scales are the most widely used, being validated in several languages and in several clinical and research contexts, and their use should be mandatory in observational research to guide the definition of clinical trial protocols. Moreover, we did not collect data about environmental variables from a bio-psychosocial perspective [2,48], such as familial and socioeconomic status, school support, rehabilitation treatment and everyday activity. On the other hand, we have provided results about emotional and behavioral sequelae that are often neglected in studies about psychological functioning with CNS tumors in childhood [13,20,38,49].…”

Section: Discussionmentioning

confidence: 99%

Cognitive and Behavioral Outcome of Pediatric Low-Grade Central Nervous System Tumors Treated Only with Surgery: A Single Center Experience

et al. 2023

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Background: The present mono-institutional report aimed to describe the cognitive and behavioral outcomes of low-grade central nervous system (CNS) tumors in a cohort of children treated exclusively with surgical intervention. Methods: Medical records from 2000–2020 were retrospectively analyzed. We included 38 children (mean age at first evaluation 8 years and 3 months, 16 females) who had undergone presurgical cognitive–behavioral evaluation and/or at least 6 months follow-up. Exclusion criteria were a history of traumatic brain injury, stroke, cerebral palsy or cancer-predisposing syndromes. Results: The sample presented cognitive abilities and behavioral functioning in the normal range, with weaknesses in verbal working memory and processing speed. The obtained results suggest that cognitive and behavioral functioning is related to pre-treatment variables (younger age at symptoms’ onset, glioneuronal histological type, cortical location with preoperative seizures), timing of surgery and seizure control after surgery, and is stable when controlling for a preoperative cognitive and behavioral baseline. Younger age at onset is confirmed as a particular vulnerability in determining cognitive sequelae, and children at older ages or at longer postsurgical follow-up are at higher risk for developing behavioral disturbances. Conclusions: Timely treatment is an important factor influencing the global outcome and daily functioning of the patients. Preoperative and regular postsurgical cognitive and behavioral assessment, also several years after surgery, should be included in standard clinical practices.

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“…Schiavolin and collaborators proposed a possible standardization of outcome parameters to compare studies on cognitive impairment in three categories of patients: affected by HGG, meningioma or subject to cerebrovascular surgery. Identifying common outcome measures was the first step in this standardization process [128]. RT in patients with brain tumors may affect the structure of the hippocampus and cause dyscognitive side effects that may contribute to the depressive symptoms often present in these patients.…”

Section: Clinical Studiesmentioning

confidence: 99%

Advancements in Image-Based Models for High-Grade Gliomas Might Be Accelerated

Frosina

2024

Cancers

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The first half of 2022 saw the publication of several major research advances in image-based models and artificial intelligence applications to optimize treatment strategies for high-grade gliomas, the deadliest brain tumors. We review them and discuss the barriers that delay their entry into clinical practice; particularly, the small sample size and the heterogeneity of the study designs and methodologies used. We will also write about the poor and late palliation that patients suffering from high-grade glioma can count on at the end of life, as well as the current legislative instruments, with particular reference to Italy. We suggest measures to accelerate the gradual progress in image-based models and end of life care for patients with high-grade glioma.

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Patient-reported outcome and cognitive measures to be used in vascular and brain tumor surgery: proposal for a minimum set

Cited by 4 publications

References 30 publications

Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

Cognitive and Behavioral Outcome of Pediatric Low-Grade Central Nervous System Tumors Treated Only with Surgery: A Single Center Experience

Advancements in Image-Based Models for High-Grade Gliomas Might Be Accelerated

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