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03-03-2020

Socioeconomic burden and quality of life in meningioma patients

Auteurs: Hans-Georg Wirsching, Corinne Morel, Patrick Roth, Michael Weller

Gepubliceerd in: Quality of Life Research | Uitgave 7/2020

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Abstract

Purpose

Long-term impairment of quality of life (QoL) occurs in a subset of meningioma patients, even after curative surgical resection. We sought to explore socioeconomic burden of meningioma surgery and associations with post-operative QoL to identify patients at risk for inferior outcome.

Methods

All patients with histological diagnosis of an intracranial meningioma treated at a single institution 2000–2013 were screened for inclusion in this cross-sectional survey study. Surveys comprised tools to assess socioeconomic status including social deprivation, QoL and symptom burden. Multivariate binary regression models controlling for established prognostic factors were applied to explore associations of socioeconomics with QoL 1 year after surgery.

Results

Completed surveys were returned by 249 patients. The median age at diagnosis was 56 years (SD ± 12), 185 patients (74%) were female and 219 (88%) had World Health Organization grade I meningiomas. One year after surgery, there was a 20% decrease in the number of patients working (p < 0.001), 22% of full-time working patients transitioned to part-time work (p < 0.001) and more patients depended on professional care (14% versus 4%, p < 0.001). Patients reported improved QoL, including improved global health (effect: 21%, 95% confidence interval [1] 15–26%), headaches (effect: 19%, CI 13–24%) and seizures (effect: 12%, CI 8–17%). On multivariable analyses, QoL after meningioma surgery was associated with preoperative employment status (odds ratio [OR] 0.41, 95% CI 0.17–0.98) and subjective work ability (OR 0.37, 95% CI 0.15–0.92).

Conclusion

In a subset of meningioma patients, there is marked socioeconomic burden, which may be associated with inferior patient-reported outcome.
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Metagegevens
Titel
Socioeconomic burden and quality of life in meningioma patients
Auteurs
Hans-Georg Wirsching
Corinne Morel
Patrick Roth
Michael Weller
Publicatiedatum
03-03-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02461-1