[Self-assesed quality of life in patients who underwent surgery for asymptomatic meningiomas].
The aim of our study was to assess the quality of life (QOL) of patients operated on for asymptomatic meningioma and to assess the correlation between QOL and operative complications. Of 21 surgically treated patients, 6 (28.6%) presented with persistent neurological impairments or events considered to be treatment-related. Seventeen patients participated in the QOL survey using MOS Short-Form 36-Item Health Survey (SF-36) for health-related QOL issues and the Hospital Anxiety and Depression Scale (HADS) for anxiety nd depression assessment. The mean scores for each of the 8 domains of SF-36 were comparable with these of a Japanese reference population. When we divided the patients into 2 groups according to the degree of headache, activity of daily living, or complications, the QOL of patients with persistent headache declined in the SF-36 domains related to physical function and vitality. Minor neurological impairments developed by 4 patients did not affect their QOL. In conclusion, surgery for asymptomatic meningioma has no negative impact on postoperative QOL if the surgical complications are minor. On the other hand, physical activities in some patients were hampered due to persistent headache. Besides the treatment-related morbidity and mortality rates, QOL issues should also be included in treatment indications for asymptomatic meningioma.
Yamashiro
Shigeo
S
Department of Neurosurgery, Saiseikai Kumamoto Hospital, Japan.
Nishi
Toru
T
Koga
Kazunari
K
Kaji
Masatomo
M
Goto
Tomoaki
T
Muta
Daisuke
D
Fujioka
Shodo
S
Kuratsu
Jun-ichi
J
D000203:Activities of Daily Living; D000368:Aged; D001007:Anxiety / Q000175:diagnosis; D003625:Data Collection; D003863:Depression / Q000175:diagnosis; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008579:Meningioma / Q000523:psychology / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011788:Quality of Life; D012647:Self-Assessment