Quality of Life Following Vestibular Schwannoma Surgery

Alfonso, Carolina; Lassaletta, Luis; Sarriá, Josefa; Gavilán, Javiér

doi:10.1016/s2173-5735(07)70304-6

Cited by 8 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,6,13,26 Similarly, while some reports showed women to have lower scores than men, 2,14,19,20,22,31 other studies, including our own, showed no difference in SF-36 scores between male and female patients. 1,6,7 Tumor Size Several authors have reported no effect of tumor size on QOL scores. 1,6,7,23 However, others have reported a worse QOL in patients with larger tumors.…”

Section: Age and Sexmentioning

confidence: 40%

“…Analyzed similarly, the replies obtained by Myrseth et al 21 were in the same range (18%, 42%, and 39%, respectively). The corresponding results obtained by Alfonso et al 1 were 30%, 14% and 56%. In contrast to these findings, 87% of our patients reported feeling "better," and only 12% patients reported deterioration after surgery.…”

Section: Improvement In Qol After Surgerymentioning

confidence: 53%

“…This instrument, too, was generated in local languages through a forward-backward translation with preservation of content after backward translation. 1 The GBI questionnaire asks the subject to compare QOL before and after a specific event (i.e., surgery for VS).…”

Section: Evaluation Of Health Statusmentioning

confidence: 99%

“…Using the GBI, various authors have reported that only 17%-30% of patients considered their condition to be "better" after surgery for VS while up to 56% of patients felt they it was "worse." 1,21,23 Using the GBI, Nikolopoulos et al 23 categorized surgically treated VS patients' response to the GBI by the percentage of replies of "better" (17%), "unchanged" (29%), or "worse" (54%). Analyzed similarly, the replies obtained by Myrseth et al 21 were in the same range (18%, 42%, and 39%, respectively).…”

Section: Improvement In Qol After Surgerymentioning

confidence: 99%

“…Most of the QOL studies in patients undergoing surgery for VS are retrospective and include patients with small tumors. [1][2][3][4][5][6][7]14,18,21,23,27,28,31 Few studies have reported QOL following surgery for large VS, but even those have mostly been retrospective in nature. 22,25 One of the major deficiencies in QOL studies on VS patients is the lack of a planned prospective comparison between QOL values before and after treatment in large cohorts of patients.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Quality of life following surgery for large and giant vestibular schwannomas: a prospective study

Turel¹,

Thakar²,

Rajshekhar³

2015

JNS

View full text Add to dashboard Cite

A discrepAncy between surgeon-assessed and patient-perceived outcomes of vestibular schwannoma (VS) surgery has been reported. 16,19,22 Hence, there is a need for greater emphasis on quality of life (QOL) outcomes (which are patient reported) following surgery for VS. Most of the QOL studies in patients undergoing surgery for VS are retrospective and include patients with small tumors. [1][2][3][4][5][6][7]14,18,21,23,27,28,31 Few studies have reported QOL following surgery for large VS, but even those have mostly been retrospective in nature. 22,25One of the major deficiencies in QOL studies on VS patients is the lack of a planned prospective comparison between QOL values before and after treatment in large cohorts of patients. 10,11 The few published prospective studies involved patients with small VSs (< 3 cm). 20,24,26 To our knowledge there is only one prospective report of QOL in patients with larger tumors (> 3 cm), and that study involved 37 patients. 8None of the reports of QOL in patients with VS have included the proportion of patients showing a minimum clinically important difference (MCID) in the different QOL domains. Surgeons need to know whether an observed change in score represents a clinically important improvement or deterioration rather than merely an inconsequential fluctuation. Differences in scores smaller than the MCID are considered unimportant, regardless of whether statistical significance is reached. To date, such information has not been provided in any published report on QOL in VS patients.We aimed to study the factors affecting QOL in pa- OBJect Prospective studies of quality of life (QOL) are infrequently performed in patients undergoing surgery for vestibular schwannoma (VS). The authors designed this to study to investigate health-related QOL (HR-QOL) in patients with large and giant VSs before and after surgery. methOdS Between January 2009 and December 2012, HR-QOL was measured prospectively before and after surgery, using the 36-Item Short Form Health Survey (SF-36), in 100 patients who underwent surgery for unilateral large or giant VS (tumor size ≥ 3 cm). The Glasgow Benefit Inventory (GBI) was also used to evaluate the effect of surgery. reSultS A total of 100 patients were included in the study (65 men and 35 women). Their mean age (± SD) was 44.2 ± 11.5 years. The preoperative QOL was decreased in all SF-36 domains. A 1-year follow-up evaluation was conducted for all patients (mean 13.5 ± 5.3 months after surgery). The results showed an improvement in HR-QOL compared with preoperative status in all cases, with 63%-85% of patients showing a minimum clinically important difference (MCID) in various domains. A second follow-up evaluation was performed in 51 cases (mean time after surgery, 29.0 ± 8.3 months) and showed sustained improvement in SF-36 scores. In some domains there was further improvement beyond the first follow-up. On the GBI, 87% of patients reported improvement, 1% felt no change, and 12% of patients reported deterioration. cONcluSiONS Patients harboring l...

show abstract

Section: Age and Sexmentioning

confidence: 40%

Section: Improvement In Qol After Surgerymentioning

confidence: 53%

Section: Evaluation Of Health Statusmentioning

confidence: 99%

Section: Improvement In Qol After Surgerymentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Quality of life following surgery for large and giant vestibular schwannomas: a prospective study

Turel¹,

Thakar²,

Rajshekhar³

2015

JNS

View full text Add to dashboard Cite

show abstract

Quality of life in postoperative vestibular schwannoma patients

et al. 2009

View full text Add to dashboard Cite

Results indicate that patients following vestibular schwannoma surgery reported near equivalent QOL as the healthy population. Advances in surgical techniques and experiences have minimized morbidities associated with vestibular schwannoma surgery. Significant physical role limitation encountered postoperatively may relate to facial nerve dysfunction, vestibular dysfunction, tinnitus or hearing loss that may persist after surgery. Careful patient selection, as well as, appropriate preoperative counselling, multidisciplinary follow-up and rehabilitation should be offered to all surgical candidates. A measured approach should still be considered for patients with small, slow growing tumors with minimal symptoms.

show abstract