Qualité de vie chez les patients opérés d’un schwannome vestibulaire

Barre, P; Merle, Corinne; Conessa, C.; Desgeorgès, M; Poncet, J. L.

doi:10.1016/s0003-438x(04)95494-1

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…These findings are at significant variance with several retrospective studies showing poorer quality of life among postoperative microsurgical patients compared with the general population. [4][5][6][7][8][9]15,17 The median GBI total score achieved by microsurgical patients in this study was 5.6, showing that more than half of the microsurgical group reported an improvement in quality of life 6 months after tumor resection, compared with preoperatively-a result that again contradicts findings from previous studies. 2,3,15,18 Changes in Quality of Life after Conservative Management Kelleher et al 17 found that, after a median follow-up of 3.1 years, conservatively managed patients reported a quality of life similar to that of the general population their study, and 93% of conservatively managed patients did not require further active treatment.…”

Section: Discussioncontrasting

confidence: 98%

“…A large number of authors have published on this topic, and following a Medline search (1949 to 2009, search terms ''vestibular schwannoma,'' ''acoustic neuroma,'' and ''quality of life'') a comprehensive review of the literature is summarized in Tables 1-5. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Only studies that used a validated method of assessing quality of life were included in this review.…”

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confidence: 99%

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The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study

Sandooram¹,

Hornigold²,

Grunfeld³

et al. 2010

Skull Base

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With the emergence of three effective management options for vestibular schwannoma and the drastic reduction in mortality rate, the last two decades have seen increasing attention being paid to health-related quality of life. The vast majority of quality of life studies have been retrospective. We prospectively assessed quality of life of vestibular schwannoma patients before and after conservative or microsurgical management. We performed a prospective observational study conducted at a tertiary referral center between October 2001 and October 2003. Patients were divided into two groups: conservative management and microsurgery. Quality of life was assessed using the Medical Outcome Study 36-Item Short Form (SF-36) and Glasgow Benefit Inventory (GBI). The questionnaires were administered at initial assessment, 1 month, 3 months, and 6 months in both groups. Thirty-three patients completed the study, 18 in the conservative group and 15 in the microsurgical group. One month after microsurgery, SF-36 scores were significantly reduced within three of eight domains; however, 3 months after microsurgery, no significant difference existed in patients' scores on any of the SF-36 domains compared with preoperatively, and at 6 months there was a significant improvement in one domain compared with preoperatively. There was no significant difference in overall quality of life alteration (GBI total score) between microsurgery and conservative management. The improved quality of life of patients 6 months after microsurgery (relative to preoperatively, and in comparison with an age-and sex-matched population) is a new finding that has not been previously documented in the literature.

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Section: Discussioncontrasting

confidence: 98%

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confidence: 99%

The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study

Sandooram¹,

Hornigold²,

Grunfeld³

et al. 2010

Skull Base

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Quality of life after microsurgery for vestibular schwannoma via the middle cranial fossa approach

Scheich

Ginzkey

Reuter

et al. 2013

Eur Arch Otorhinolaryngol

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The aim of this study was to analyse the quality of life (QOL) of patients who had undergone microsurgery for vestibular schwannomas (VS). A questionnaire was sent to 117 consecutive patients who had been operated on using the middle cranial fossa (MCF) approach between October 2005 and June 2011. The response rate was 91/117 (78%) of which 86 were suitable for analysis. The questionnaire consisted of the Short Form-36 (SF-36) Health Survey including a self-designed, disease-specific section. Demographic data, tumour size, hearing status and facial nerve function were extracted from our VS database. Patients scored significantly lower in seven of the eight subscales of the SF-36 compared to German normative QOL data. But when compared to a normative group of patients with hearing loss, only two subscales were affected. The alteration of the subscales was correlated with objective and subjective parameters. Vertigo and postoperative hearing status could be identified as the parameters with the strongest influence on QOL.

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Prospective comparison of quality of life before and after observation, radiation, or surgery for vestibular schwannomas

Maio

Akagami²

2009

JNS

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Qualité de vie chez les patients opérés d’un schwannome vestibulaire

Cited by 4 publications

References 13 publications

The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study

The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study

Quality of life after microsurgery for vestibular schwannoma via the middle cranial fossa approach

Prospective comparison of quality of life before and after observation, radiation, or surgery for vestibular schwannomas

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