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- Title
Neurocognitive functioning and health-related quality of life in patients with radiologically suspected meningiomas.
- Authors
Nieuwenhuizen, D.; Ambachtsheer, N.; Heimans, J.; Reijneveld, J.; Peerdeman, S.; Klein, M.
- Abstract
Few data are available concerning the neurocognitive outcome and health-related quality of life (HRQOL) following neurosurgery in meningioma patients, and even less is known about neurocognitive functioning and HRQOL in untreated patients with stable lesions. The present study aims at quantifying the nature and extent of neurocognitive deficits and HRQOL in suspected WHO grade I meningioma patients who have not received surgery and/or radiotherapy and compare outcome to that of healthy controls. Neurocognitive functioning was assessed by using a standardized test battery in 21 radiologically suspected WHO grade I meningioma patients with a wait-and-scan approach. HRQOL was assessed with the MOS SF-36 questionnaire. These patients were matched for age, sex, and education with 21 healthy controls. Associations between neurocognitive functioning on the one hand and HRQOL and tumor characteristics on the other were determined. Compared to healthy controls, meningioma patients had lower psychomotor speed ( p = 0.011) and working memory capacity ( p = 0.034) and furthermore attained lower levels of self-perceived general health and vitality. Neurocognitive functioning in untreated patients was not related to tumor volume, edema or tumor lateralization. No correlations were found between psychomotor speed or working memory and HRQOL. Untreated meningioma patients with stable lesions have limitations in neurocognitive functioning and HRQOL. In deciding upon a treatment strategy these reductions in functioning should be taken into consideration and communicated with the patient.
- Subjects
COGNITION disorders; CENTRAL nervous system cancer; CANCER radiotherapy; NEUROSURGERY; CEREBRAL dominance; QUALITY of life; HEALTH outcome assessment; MEDICAL decision making
- Publication
Journal of Neuro-Oncology, 2013, Vol 113, Issue 3, p433
- ISSN
0167-594X
- Publication type
Article
- DOI
10.1007/s11060-013-1132-4