Evaluation of quality of life issues after different management policies for vestibular schwannomas: what are we measuring?

Badr Eldin Mostafa

doi:10.14748/ssm.v47i4.1429

Evaluation of quality of life issues after different management policies for vestibular schwannomas: what are we measuring?

Badr Eldin Mostafa

Abstract

PURPOSE: To compare the different quality of life measures used to report the outcomes of the different forms of management of vestibular schwannomas.
METHODS: Literature search and critical evaluation of outcome measures and comparison between different studies.
RESULTS: A total number of 6749 patients were included in 31 studies. Eighteen studies used the SF36 forms, 17 - custom questionnaires, 7 - the GBI and 8 used various other questionnaires. The most commonly reported handicaps included hearing loss, facial nerve paralysis, tinnitus, gait and balance disorders, pain and headache, psychological and cognitive problems, loss of taste and lacrimation and facial hypoesthesia.
CONCLUSIONS: When evaluating QOL issues in patients with vestibular schwannoma, the type of intervention as well as the pre-interventional status should be considered. More specific comprehensive systems of evaluation should be devised through the cooperation of multiple centers with different management policies and variable patient populations as well.

Keywords

vestibular schwannoma; quality of life measures; microsurgery; follow-up

Full Text

References

Di Maio S, Akagami R. Prospective comparison of quality of life before and after observation, radia- tion, or surgery for vestibular schwannomas. J Neu- rosurg. 2009 Oct;111(4):855-62.

Gal TJ, Shinn J, Huang B. Current epidemiology and management trends in acoustic neuroma. Oto- laryngol Head Neck Surg. 2010;142, 677-81.

Martin HC, Sethi J, Lang D, Neil-Dwyer G, Lu- tman ME, Yardley L. Patient-assessed outcomes after excision of acoustic neuroma: postopera- tive symptoms and quality of life. J Neurosurg. 2000;94:211-6.

Wu CX. Impact of surgery on health-related quali- ty of life in patients with acoustic neuroma [thesis]. [LA]: University of Southern California; Dec 2006.

Tos T, Thomasen PC, Stangerup SE, Tos M, Thom- sen J. Patients` fears, expectations and satisfaction in relation to management of vestibular schwanno- ma: a comparison of surgery and observation. Acta Otolaryngol. 2003;123:600-5.

Iyer AK, Gunn R, Sillars H. Quality of Life & Hear- ing Preservation in Acoustic Neuroma. Otolaryn- gology - Head Neck Surg. 2006;135(No 2S):P248.

Cross T, Sheard CE, Garrud P, Nikolopoulos TP, O`Donoghue GM. Impact of facial paralysis on pa- tients with acoustic neuroma. Laryngoscope. 2000 Sep;110(9):1539-42.

Magliulo G, Zardo F, Damico R, Varacalli S, Fori- no M. Acoustic neuroma: postoperative quality of life. J Otolaryngol. 2000;29(6):344-7.

Saito DM, Cheung SW. A comparison of facial nerve disability between patients with Bell`s pal- sy and vestibular schwannoma. J Clin Neurosc. 2010(17):1122-1125.

Myrseth E. Clinical studies of Vestibular schwan- nomas. [PhD dissertation]. [Bergen]: University of Bergen; 2009.

Shaffer BT, Cohen MS, Bigelow DC, Ruckenstein MG. Validation of a disease-specific quality-of-life instrument for acoustic neuroma: the Penn acous- tic neuroma quality-of-life scale. Laryngoscope. 2010;120:1646-54.

Bateman N, Nikolopoulos TP, Robinson K, O`Donoghue GM. Impairments, disabilities, and handicaps after acoustic neuroma surgery. Clin Otolaryngol. 1999:25:51-4.

Andersson G, Rask-Andersen H. Self-report- ed hearing problems after surgery for vestibular schwannoma. J Audiol Med. 2002;11(1):25-34.

Brooker J, Burney S, Fletcher J, Dally M. A qualita- tive exploration of quality of life among individuals diagnosed with an acoustic neuroma. Brit J Health Psych. 2009;14:563-78.

Lasalletta L, Alfonso C, del Rio L, Roda JM, Gavilan J. (2006) Impact of facial dysfunction on quality of life after vestibular schwannoma surgery. Ann Otol Rhinol Laryngol. 2006;115(9):694-98.

Myrseth E, Møller P, Pedersen PH, Lund-Johan- sen M. Vestibular schwannoma: surgery or gamma knife radiosurgery? A prospective, nonrandomized study. Neurosurgery. 2009 Apr;64(4):654-61.

Martin HC, Sethi J, Lang D, Neil-Dwyer G, Lut- man ME, Yardley LJ. Patient-assessed outcomes after excision of acoustic neuroma: post-opera- tive symptoms and quality of life. J Neurosurg. 2001;94(2):211-16.

Schankin CJ, Gall C, Straube A. Headache syn- dromes after acoustic neuroma surgery and their Implications for quality of life. Cephalalgia. 2009;29:760-71.

Ryzenman JM, Pensak ML, Tew JM Jr. Facial pa- ralysis and surgical rehabilitation: a quality of life analysis in a cohort of 1,595 patients after acoustic neuroma surgery. Otol Neurotol. 2005 May;26(3):516-21.

Rameh C, Magnan J. Quality of life of patients fol- lowing stages III-IV vestibular schwannoma sur- gery using the retrosigmoid and translabyrinthine approaches. Auris Nasus Larynx. 2010;37:546-552.

Pritchard C, Clapham L, Foulkes L, Lang DA, Neil- Dwyer G. Comparison of cohorts of elective and emergency neurosurgical patients: Psychosocial Outcomes of Acoustic Neuroma and Aneurysmal Sub Arachnoid Hemorrhage Patients and Carers. Surg Neurol. 2004;62:7-16.

Parietti-Winkler C, Gauchard A, Simon C, Perri- na PP. Pre-operative vestibular pattern and balance compensation after vestibular schwannoma sur- gery. Neuroscience. 2011;172:285-292.

Dugar J, Nikolopoulos TP, O`donoghue GM. Hear- ing preservation in acoustic neuroma surgery: the impact of different patient selection criteria. Laryn- goscope. 2002;112:2051-53.

Mendenhall WM, Friedman WA, Amdur RJ, An- tonelli PJ. Management of acoustic schwannoma. Am J Otolaryngol. 2004;25:38-47.

Conley G, Hirsch S, Barry E. Stereotactic radiation treatment of vestibular schwannoma: indications, limitations, and outcomes. Curr Opin Otolaryngol Head Neck Surg. 2010 Oct;18(5):351-6.

Hsu PW, Chang CN, Lee ST, Huang YC, Chen HC. Outcomes of 75 patients over 12 years treated for acoustic neuromas with linear accelerator-based ra- diosurgery. J Clin Neurosci. 2010;17:556-60.

Arthurs BJ, Lamoreaux WT, Giddings NA, Fair- banks RK, Mackay AR, Demakas JJ, Cooke BS, Lee CM. Gamma knife radiosurgery for vestibular schwannoma: case report and review of the litera- ture. World J Surg Oncol. 2009 Dec 18;7:100.

Kim, KN, Park CK, Chung HT, Paek SA, Jung HW, Kim DJ. Long-term outcomes of gamma knife Ste- reotactic radiosurgery of vestibular schwannomas. J Korean Neurosurg Soc. 2007;42:286-92.

Davidson L, Zada G, Yu C, Petrovich Z, Pagnini PG, Zee C, Giannotta SL, Zelman V, Apuzzo MLJ. Delayed toxicity from gamma knife radiosurgery to lesions in and adjacent to the brainstem. J Clin Neurosci. 2009;16:1139-47.

Sakamotoa T, Shiratob H, Takeichia N, Aoyamab H, Fukudaa S, Miyasaka K. Annual rate of hear- ing loss falls after fractionated stereotactic irradi- ation for vestibular schwannoma. Radioth Oncol. 2001;60:45-48.

Kapoor S, Batra S, Carson K, Shuck J, Kharkar S, Gandhi R, Jackson J, Wemmer J, Terezakis S, Shokek O, Kleinberg L, Rigamonti D. Long-term outcomes of vestibular schwannomas treated with fractionated stereotactic radiotherapy: an insti- tutional experience. Int J Radiat Oncol Biol Phys. 2011 Nov 1;81(3):647-53.

Mandl ES, Meijer OWM, Slotman BJ, Vandertop WP, Peerdeman SM. Stereotactic radiation thera- py for large vestibular schwannomas. Radiotherapy and Oncology. 2010;95:94-98.

Shin YJ, Fraysse B, Cognard C, Gafsi I, Charlet JP, Berges C, Deguine O, Tremoulet M. Effectiveness of conservative management of Acoustic neuromas. Am J Otol; 2000;21:857-862.

Agrawal Y, Clark JH ,Limb CJ, Niparko JK, Francis HW. Predictors of vestibular schwannoma growth and clinical implications., Otol Neurotol. 2010 Jul;31(5):807-12.

Shin YJ, Lapeyre-Mestre M, Gafsi I, Cognard C, Deguine O, Tremoulet M, Fraysse B. Neurotolog- ical complications after radiosurgery versus con- servative management in acoustic neuromas: a systematic review-based study. Acta otolaryngol. 2003;123:59-64.

van de Langenberg R, de Bondt BJ, Nelemans PJ, Dohmen AJ, Baumert BG, Stokroos RJ. Predictors of volumetric growth and auditory deterioration in vestibular schwannomas followed in a wait and scan policy. Otol Neurotol. 2011 Feb;32(2):338-44.

Fayad J, Semaan M, Lin J, Berliner K, Brack- mann D. Conservative management of vestibu- lar schwannoma: expectations based on the length of the observation period. Otol Neurotol. 2014 Aug;35(7):1258-65.

Godefroy WP, Kaptein AA, Vogel JJ, van der Mey AG. Conservative treatment of vestibular schwan- noma: a follow-up study on clinical and quality-of- life outcome. Otol Neurotol. 2009 Oct;30(7):968-74.

Timmer FCA, van Haren AEP, Mulder JJS, Hans- sens PEJ, van Overbeeke JJ, Cremers CWRJ, Graa- mans K. Quality of life after gamma knife radio- surgery treatment in patients with a vestibular schwannoma: the patient`s perspective. Eur Arch Otorhinolaryngol. 2010;267:867-73.

Sandooram D, Grunfeld EA, Mc Kinney C, Glee- son MJ. Quality of life following microsurgery, ra- diosurgery and conservative management for uni- lateral vestibular schwannoma. Clin Otolaryngol. 2004;29:621-7.

DOI: http://dx.doi.org/10.14748/ssm.v47i4.1429

Array

User Guide