title: Quality of life, disability, well-being, and coping strategies in patients undergoing neurosurgical procedures: preoperative results in an Italian sample.
abstract: BACKGROUND
  The aim of this paper is to present the preliminary results of QoL, well-being, disability, and coping strategies of patients before neurosurgical procedure.
  
  
  METHODS
  We analysed data on preoperative quality of life (EUROHIS-QoL), disability (WHODAS-II), well-being (PGWB-S), coping strategies (Brief COPE), and functional status (KPS score) of a sample of patients with brain tumours and cerebrovascular and spinal degenerative disease admitted to Neurological Institute Carlo Besta. Statistical analysis was performed to illustrate the distribution of sociodemographic and clinical data, to compare mean test scores to the respective normative samples, and to investigate the differences between diagnoses, the correlation between tests, and the predictive power of sociodemographic and clinical variables of QoL.
  
  
  RESULTS
  198 patients were included in the study. PGWB-S and EUROHIS-QoL scores were significantly lower than normative population. Patients with spinal diseases reported higher scores in WHODAS-II compared with oncological and cerebrovascular groups. Finally sociodemographic and clinical variables were significant predictors of EUROHIS-QoL, in particular PGWB-S and WHODAS-II.
  
  
  CONCLUSIONS
  Our preliminary results show that preoperatory period is critical and the evaluation of coping strategies, quality of life, disability, and well-being is useful to plan tailored intervention and for a better management of each patient.
authors.affiliation: Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Silvia
authors.identifier: 0000-0002-5391-7539
authors.initials: S
authors.lastname: Schiavolin
authors.affiliation: Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Rui
authors.initials: R
authors.lastname: Quintas
authors.affiliation: Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Pagani
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Brock
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Francesco
authors.identifier: 0000-0002-8418-7698
authors.initials: F
authors.lastname: Acerbi
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Visintini
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cusin
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Schiariti
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Morgan
authors.initials: M
authors.lastname: Broggi
authors.affiliation: Division of Neurosurgery II, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Ferroli
authors.affiliation: Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
authors.forename: Matilde
authors.initials: M
authors.lastname: Leonardi
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001932:Brain Neoplasms / Q000523:psychology* / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000523:psychology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D057234:Preoperative Period; D011788:Quality of Life; D013122:Spinal Diseases / Q000523:psychology* / Q000601:surgery