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Quality of life and psychological burden after resection of intraspinal neoplasms
EANS Academy. Wagner A. 09/26/19; 276009; EP02089
Dr. Arthur Wagner
Dr. Arthur Wagner

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Abstract
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Background: Studies on QOL and psychological burden in spinal oncology patients remains scarce, we aim to contribute to the question of postoperative rehabilitation of QOL in these patients in relation to psychopathological influences.
Methods: We conducted a prospective study of patients undergoing elective surgery for intraspinal intradural lesions. Patients completed an assortment of questionnaires and interviews including the Oswestry Disability Index [ODI], EuroQol [EQ], and Short Form Health Survey [SF-36] in addition to scales of depression (Allgemeine Depressionsskala K [ADS-K]) and anxiety (State Trait Anxiety Inventory-State Anxiety and -Trait Anxiety [STAI-S and STAI-T]) preoperatively as well as at 3 and 12 months after surgery.
Results: A total of 43 patients undergoing resection of an intraspinal lesion between June 2013 and December 2017 were included with follow up available for 79.1 %. Mean age was 52 years, most common entities were neurinoma and ependymoma (31.4 % each), as well as meningioma (17.6 %), all graded WHO I. Lesions were predominantly located in the lumbar spine (37.2 %). After 12 months, mean scores of the Oswestry Disability Index tapered by 4.2 (p = 0.484). QOL scores measured by the SF-36 improved significantly by 7.42 (p = 0.009), while the EuroQol VAS slightly increased by 0.03 (p = 0.295). The proportions of patients with pathological anxiety and depression scores decreased significantly by 28.8 % (p = 0.006) and 8.1 % (p = 0.004) at 12 months of follow up. Age and preoperative STAI-T scores significantly predicted rehabilitation of QOL and function in multiple linear regression analysis. After 12 months, EQ and ODI scores were significantly inferior in patients with abnormal ADS-K scores (p = 0.023 and p = 0.046).
Conclusions: While there are predictors of functional outcome, surgery for intraspinal neoplasms generally yields favourable rehabilitation of patients' QOL and preservation of functional independence.
Background: Studies on QOL and psychological burden in spinal oncology patients remains scarce, we aim to contribute to the question of postoperative rehabilitation of QOL in these patients in relation to psychopathological influences.
Methods: We conducted a prospective study of patients undergoing elective surgery for intraspinal intradural lesions. Patients completed an assortment of questionnaires and interviews including the Oswestry Disability Index [ODI], EuroQol [EQ], and Short Form Health Survey [SF-36] in addition to scales of depression (Allgemeine Depressionsskala K [ADS-K]) and anxiety (State Trait Anxiety Inventory-State Anxiety and -Trait Anxiety [STAI-S and STAI-T]) preoperatively as well as at 3 and 12 months after surgery.
Results: A total of 43 patients undergoing resection of an intraspinal lesion between June 2013 and December 2017 were included with follow up available for 79.1 %. Mean age was 52 years, most common entities were neurinoma and ependymoma (31.4 % each), as well as meningioma (17.6 %), all graded WHO I. Lesions were predominantly located in the lumbar spine (37.2 %). After 12 months, mean scores of the Oswestry Disability Index tapered by 4.2 (p = 0.484). QOL scores measured by the SF-36 improved significantly by 7.42 (p = 0.009), while the EuroQol VAS slightly increased by 0.03 (p = 0.295). The proportions of patients with pathological anxiety and depression scores decreased significantly by 28.8 % (p = 0.006) and 8.1 % (p = 0.004) at 12 months of follow up. Age and preoperative STAI-T scores significantly predicted rehabilitation of QOL and function in multiple linear regression analysis. After 12 months, EQ and ODI scores were significantly inferior in patients with abnormal ADS-K scores (p = 0.023 and p = 0.046).
Conclusions: While there are predictors of functional outcome, surgery for intraspinal neoplasms generally yields favourable rehabilitation of patients' QOL and preservation of functional independence.
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