What drives quality of life in patients with sporadic vestibular schwannoma?

Carlson, Matthew L.; Tveiten, Øystein Vesterli; Driscoll, Colin L. W.; Goplen, Frederik Kragerud; Neff, Brian A.; Pollock, Bruce E.; Tombers, Nicole M.; Lund‐Johansen, Morten; Link, Michael J.

doi:10.1002/lary.25110

Cited by 82 publications

(91 citation statements)

References 27 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…e would like to congratulate Marston et al for their very nice contribution concerning the influence of the growth pattern of sporadic vestibular schwannoma (VS) before stereotactic radiosurgery (SRS) on the growth pattern after SRS. 5 The Mayo Clinic group under the leadership of Bruce Pollock have published 2 of the 5 comparative studies demonstrating the superiority of Gamma Knife radiosurgery (GKS) over microsurgical resection in small-to medium-sized VSs. 8,10 In particular, these 5 studies have demonstrated a much lower risk of motor facial palsy and functional hearing loss with radiosurgery.…”

mentioning

confidence: 99%

Editorial: Vestibular schwannoma radiosurgery: progression or pseudoprogression?

Régis

Delsanti

Roche

2017

Journal of Neurosurgery

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Editorial: Vestibular schwannoma radiosurgery: progression or pseudoprogression?

Régis

Delsanti

Roche

2017

Journal of Neurosurgery

View full text Add to dashboard Cite

show abstract

“…This accords with preceding findings in VS patient quality of life, including the results reported by Carlson et al, who identified dizziness, headache, and tinnitus respectively as the primary drivers in the decline in quality of life experienced by VS patients, compared with nontumor controls. 19,20 Age also appears to play a role in how patients experience and respond to VS symptoms. More specifically, older patients frequently present with dizziness as their primary symptom, whereas patients who seek medical attention for headache are significantly more likely to be in the youngest age group.…”

Section: Discussionmentioning

confidence: 99%

Main Symptom that Led to Medical Evaluation and Diagnosis of Vestibular Schwannoma and Patient-Reported Tumor Size: Cross-sectional Study in 1,304 Patients

et al. 2018

Self Cite

View full text Add to dashboard Cite

Objectives Although vestibular schwannomas (VS) are known to cause cranial nerve deficits, cerebellar symptoms, and hydrocephalus, the role of these symptoms as the key driver of presentation from the patient's perspective has not been described. Our objective was to survey a large, retrospective VS cohort to document the patient-reported principal initial symptom, and self-reported tumor size, and to study trends in VS patient presentation. Methods Patients diagnosed with VS at our tertiary referral center and belonging to the Acoustic Neuroma Association (ANA) answered a questionnaire between 2015 and 2017. Demographic data, self-reported tumor size, and symptomatology were analyzed. Results 1,304 patients completed the questionnaire. Tumors were diagnosed from 1966 to 2017 at a mean 51.8 years (range: 8–86 years); 66% were female, and 1.1% had confirmed neurofibromatosis type 2 (NF2). Tumor size was reported using a 6-point scale: 0 to 1 cm (22.9%), 1 to 2 cm (28.7%), 2 to 3 cm (20.5%), 3 to 4 cm (10%), greater than 4 cm (7.2%), and unknown (10.6%). Hearing loss was the most common symptom that led to diagnosis (51.5%), followed by dizziness (17%), tinnitus (11.2%), and incidental diagnosis (10.2%); a fraction that has increased significantly in the last decade (p = 0.022). Larger tumors and NF2 were significantly associated with young age (p < 0.001). Conclusion Our large-scale questionnaire-driven review of 1,304 patients confirms that VS presentations are stereotypical, with most individuals recalling hearing loss, dizziness, or tinnitus as their chief complaint. Many tumors were incidentally diagnosed; an expanding population, attributable to increased access to magnetic resonance imaging (MRI). Large tumors were significantly more prevalent among younger patients at diagnosis, excluding NF2 patients, suggesting a more aggressive tumor biology that remains incompletely understood.

show abstract

“…The existing literature of care that focuses on the patient with AN has mainly highlighted on delineating those symptoms most debilitating for patients, thus guiding treatment decision making and the patient. [22][23][24] However, there are far fewer reports that have analyzed how patients regard their perceived role in the decision-making process of their care and the impact on ultimate outcomes and patient satisfaction. Graham et al analyzed patients newly diagnosed with AN and found that one-fifth of patients experienced significant decisional conflict, based on a validated decisional conflict scale, when presented with initial management options including watchful waiting.…”

Section: Review Of the Literature Of Patient Decision Making In Acousmentioning

confidence: 99%

The Patient-Centered Approach: A Review of the Literature and Its Application for Acoustic Neuromas

Hong

Moliterno

2019

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

Patient-centered care is defined as “care that is consistent with and respects the values, needs, and wishes of patients” and is best achieved when clinicians involve patients and their support system in health care discussions and decisions. While this approach has been well established and supported in more general medical specialties, such as primary care, that may encompass a more holistic approach, it has rarely been described in surgical disciplines. Acoustic neuromas (ANs) can be unique among other skull base and intracranial pathologies, in that the management of these tumors can vary from patient to patient depending on various factors. Moreover, typical options, including observation, radiation, and surgery, may often have equipoise for some patients and their tumors. Therefore, a patient-centered approach, strongly guided by the expertise of experienced skull base surgeons, may likely be the most appropriate type of care for patients with ANs. Herein, we review the documented use of patient-centered care in other aspects of medicine, propose the benefits of this approach for patients with ANs, and provide ways this can be better implemented in practice.

show abstract

What drives quality of life in patients with sporadic vestibular schwannoma?

Cited by 82 publications

References 27 publications

Editorial: Vestibular schwannoma radiosurgery: progression or pseudoprogression?

Editorial: Vestibular schwannoma radiosurgery: progression or pseudoprogression?

Main Symptom that Led to Medical Evaluation and Diagnosis of Vestibular Schwannoma and Patient-Reported Tumor Size: Cross-sectional Study in 1,304 Patients

The Patient-Centered Approach: A Review of the Literature and Its Application for Acoustic Neuromas

Contact Info

Product

Resources

About