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Patients’ reported outcome measures and clinical scales in brain tumor surgery: results from a prospective cohort study

Overview of attention for article published in Acta Neurochirurgica, March 2018
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Title
Patients’ reported outcome measures and clinical scales in brain tumor surgery: results from a prospective cohort study
Published in
Acta Neurochirurgica, March 2018
DOI 10.1007/s00701-018-3505-0
Pubmed ID
Authors

Silvia Schiavolin, Alberto Raggi, Chiara Scaratti, Matilde Leonardi, Alberto Cusin, Sergio Visintini, Francesco Acerbi, Marco Schiariti, Costanza Zattra, Morgan Broggi, Paolo Ferroli

Abstract

This study aims to assess surgical outcome in brain tumor surgery using patient reported outcome measures (PROMs) and to compare their results with traditional clinical outcome measurements. Neuro-oncological patients undergoing surgical removal for the lesion were enrolled; MOCA test, PROMs (EUROHIS-QoL, PGWB-S, WHODAS-12), and the clinical scale Karnofsky Performance Status (KPS) were administered to evaluate respectively cognitive status, quality of life, well-being, disability, and functional status before surgery and at 3-month follow-up. Wilcoxon test was performed to evaluate the longitudinal change of test scores, the smallest detectable difference to classify the change of patients in PROMs, the Cohen kappa to investigate the concordance between KPS and PROMs in classifying the patients' change, and Mann-Whitney U test to compare patients with complications and no complications. A total of 101 patients were enrolled (54 woman, mean age 50.2 ± 14.1, range 20-85): psychological well-being improved at follow-up; 95 patients (94.1%) were improved/unchanged and 6 (5.9%) were worsened according to PROMs; functional status measured with KPS had a slight agreement with quality of life and disability and no agreement with psychological well-being questionnaires; patients with complications had a greater worsening in KPS. According to PROMs measuring QoL, disability, and psychological well-being, most of the patients were improved/unchanged after surgery. Since PROMs and KPS detect different aspects of the patients' health status, PROMs should be integrated in surgical outcome evaluation. Furthermore, their association with complications and with other clinical and subjective variables that could influence patient's perception of health status should be investigated.

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Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 12%
Other 5 10%
Student > Bachelor 4 8%
Student > Ph. D. Student 4 8%
Student > Postgraduate 3 6%
Other 6 12%
Unknown 22 44%
Readers by discipline Count As %
Medicine and Dentistry 14 28%
Nursing and Health Professions 6 12%
Psychology 3 6%
Agricultural and Biological Sciences 2 4%
Chemistry 1 2%
Other 0 0%
Unknown 24 48%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 March 2018.
All research outputs
#18,589,103
of 23,025,074 outputs
Outputs from Acta Neurochirurgica
#1,544
of 1,935 outputs
Outputs of similar age
#258,114
of 331,874 outputs
Outputs of similar age from Acta Neurochirurgica
#16
of 22 outputs
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