Quality of life in patients with right‐ or left‐sided brain tumours: literature review

Palese, Alvisa; Lamanna, Francesca; Monte, Carmen Di; Calligaris, Sonia; Doretto, Mara; Criveller, Michela

doi:10.1111/j.1365-2702.2007.02182.x

Cited by 14 publications

(9 citation statements)

References 62 publications

(110 reference statements)

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“…It is, however, not clear whether the location of the tumor significantly impacts patients' perception of HRQOL or functional performance. The literature reports divergences of whether patients with right-or left-hemispheric glioma to perceive worse HRQOL [5][6][7][8][9], with recent studies reporting no differences [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Hemispheric tumor location and the impact on health-related quality of life, symptomatology, and functional performance outcomes in patients with glioma: an exploratory cross-sectional study

Hansen

Pedersen

Minet

et al. 2019

Disability and Rehabilitation

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To inform high-quality rehabilitation services, this study investigates if patients with glioma located in the right-or lefthemisphere present with different health-related quality of life, symptomatology, and functional performance in the early disease state. Material and methodsBetween 2013 and 2017, 81 adult patients were assessed during the first week of chemo-radiation, following resection.Patients were stratified into two groups depending on a right-or left-hemispheric lesion. Independent t-tests analyzed potential differences regarding health-related quality of life, symptomatology, and functional performance. ResultsForty-five patients (56%) had a tumor located in the right hemisphere, whereas 36 patients (44%) had a tumor in the left hemisphere. Except for more patients with tumors in the left hemisphere having their tumor located in eloquent brain areas, the groups were well matched. No group differences were found in health-related quality of life. Group differences were found in communication deficits (∆-10.9, 95%CI -19.1; -2.3, p=0.01), which were more frequent in patients with left-sided lesions, and of headaches (∆13.9, 95%CI 1.8; 25.9, p=0.02), which were more frequent in patients with right-hemispheric lesions, who also had significantly greater difficulties with process-skills when performing everyday life tasks (∆-0.3, 95%CI-0.5;-0.1, p<0.01). Also, weak evidence suggests that patients with Glioblastoma Multiforme located in the right hemisphere are more affected by fatigue compared to their lefthemispheric comparisons (∆14.6, 95%CI 0.19; 29.0, p<0.05). ConclusionsThe hemispheric location of a glial-cell brain tumor has no consequence for health-related quality of life at the beginning of chemo-radiation treatments. However, findings of tumor-location dependent conditions of communication, headache, patients' ability to perform executive functions, and fatigue should be considered in rehabilitation situations when designing an intervention to potentially improve executive functions and relieve the symptoms.

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Section: Introductionmentioning

confidence: 99%

Hemispheric tumor location and the impact on health-related quality of life, symptomatology, and functional performance outcomes in patients with glioma: an exploratory cross-sectional study

Hansen

Pedersen

Minet

et al. 2019

Disability and Rehabilitation

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“…Recently, Lucas () documented a loss of independence, self‐esteem and relationships as the three main themes reflecting the core experience of patients with brain neoplasm. In the later stage, when the disease advances, symptoms increase and the quality of life dramatically decreases (Lovely, ; Pelletier et al, ; Palese, Lamanna et al, ). Patients also worry about the burden on their caregivers who experience additional stress (Cavers et al, ).…”

Section: Introductionmentioning

confidence: 99%

Pre‐operative Stress, Anxiety, Depression and Coping Strategies Adopted by Patients Experiencing Their First or Recurrent Brain Neoplasm: An Explorative Study

et al. 2012

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The main aims of this study were to evaluate the intensity of stress, anxiety and depression as well as the effectiveness of coping strategies adopted pre-operatively in brain neoplasm patients. A descriptive-explorative study design was undertaken. During 2008, patients admitted to a large Italian hospital neurosurgical unit with their first (n = 21) or recurrent (n = 15) brain neoplasm, on the day before their surgical procedure, were consecutively recruited into the study. The Perceived Stress Scale, the Hospital Anxiety and Depression Scale and the Jalowiec Coping Scale were administered via face-to-face interview. Patients with their first occurrence of neoplasm perceived the same stress intensity as those with recurrent neoplasm (mean ± standard deviation: 14.9 ± 6.7 versus 17.2 ± 8.8, p = 0.36). They also reported the same likelihood of anxiety at a borderline level (odds ratio (OR) 4.88, 95%CI 0.42 to 40.97, p = 0.06) and at a clinically relevant level (OR 0.32, 95%CI 0.01 to 5.37, p = 0.35) as well as the same likelihood of depression at a borderline level (OR 1.25, 95%CI 0.20 to 8.40, p = 0.78). Only one case of clinically relevant depression emerged among patients at their first diagnosis. Patients at their first occurrence, as well as those at recurrence, reported that they adopted optimistic coping strategies (mean 2.20, 95%CI 2.01 to 2.38 versus mean 1.96, 95%CI 1.71 to 2.20) and sought support (mean 1.81, 95%CI 1.58 to 2.05 versus mean 1.89, 95%CI 1.63 to 2.15). According to the findings of this exploratory study, on the pre-operative day, brain neoplasm patients at their first diagnosis and at recurrence wish to confront the situation: they adopt optimistic coping strategies, they seek support and they wish to take a constructive problem-solving approach. Knowledge of the intensity of stress, anxiety and depression as well as the coping strategies adopted by the patients is important for clinicians in their efforts to tailor care to patients' individual needs.

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“…Some studies demonstrate that the localization of the tumor is a determining factor of QOL, whereas others do not. 7 Similarly, the impact of the histologic tumor type on QOL is controversial. 3,8 The meaning of other clinical parameters, such as tumor grading and treatment regimen (chemotherapy, radiotherapy) as well as sociodemographic variables (age, sex, and marital status) with regard to QOL, also appears to be unclear so far.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Computer-Based Quality-of-Life Monitoring in Brain Tumor Outpatients in Routine Clinical Practice

Erharter

Giesinger

Kemmler

et al. 2010

Journal of Pain and Symptom Management

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Quality of life in patients with right‐ or left‐sided brain tumours: literature review

Cited by 14 publications

References 62 publications

Hemispheric tumor location and the impact on health-related quality of life, symptomatology, and functional performance outcomes in patients with glioma: an exploratory cross-sectional study

Hemispheric tumor location and the impact on health-related quality of life, symptomatology, and functional performance outcomes in patients with glioma: an exploratory cross-sectional study

Pre‐operative Stress, Anxiety, Depression and Coping Strategies Adopted by Patients Experiencing Their First or Recurrent Brain Neoplasm: An Explorative Study

Implementation of Computer-Based Quality-of-Life Monitoring in Brain Tumor Outpatients in Routine Clinical Practice

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