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Postoperative quality of life in vestibular schwannoma patients measured by the SF36 Health Questionnaire.
Laryngoscope. 2000 Jan; 110(1):151-5.L

Abstract

OBJECTIVE

To quantify the postoperative quality of life in patients following surgical treatment for vestibular schwannoma.

STUDY DESIGN

Patient self-assessment using the short form 36 (SF36) multidimensional quality of life health questionnaire. Sex- and age-matched normalized scores were calculated using a standardized process and accepted normative data.

SETTING

Tertiary referral skull base unit.

RESULTS

An 80% response rate (90 patients) was achieved. The postoperative quality of life in vestibular schwannoma patients, as quantified by seven of the eight SF36 health scales was less than the appropriate matched healthy standard. Comparison of a variety of preoperative patients and tumor factors-different operative approaches (translabyrinthine and retrosigmoid), tumor size (group cut of points of tumor diameter 1.5 mm and 2.5 mm), patient sex, and ranking of patient age-showed no statistically significant difference in measured quality of life outcomes for each of these traditional predictors.

CONCLUSION

Reduced quality of life in patients after surgical treatment for vestibular schwannoma, coupled with the low tumor growth rates and minimal preoperative symptoms, supports a conservative approach to patient management. The advantages and disadvantages of a variety of approaches used to measure the quality of life after surgical treatment of vestibular schwannoma and their impact on clinical decision making for patients, are discussed.

Authors+Show Affiliations

Department of Otoneurosurgical and Skull Base Surgery, Addenbrooke's Hospital, Cambridge. melvilled@westgate.wh.usyd.edu.auNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10646732

Citation

da Cruz, M J., et al. "Postoperative Quality of Life in Vestibular Schwannoma Patients Measured By the SF36 Health Questionnaire." The Laryngoscope, vol. 110, no. 1, 2000, pp. 151-5.
da Cruz MJ, Moffat DA, Hardy DG. Postoperative quality of life in vestibular schwannoma patients measured by the SF36 Health Questionnaire. Laryngoscope. 2000;110(1):151-5.
da Cruz, M. J., Moffat, D. A., & Hardy, D. G. (2000). Postoperative quality of life in vestibular schwannoma patients measured by the SF36 Health Questionnaire. The Laryngoscope, 110(1), 151-5.
da Cruz MJ, Moffat DA, Hardy DG. Postoperative Quality of Life in Vestibular Schwannoma Patients Measured By the SF36 Health Questionnaire. Laryngoscope. 2000;110(1):151-5. PubMed PMID: 10646732.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative quality of life in vestibular schwannoma patients measured by the SF36 Health Questionnaire. AU - da Cruz,M J, AU - Moffat,D A, AU - Hardy,D G, PY - 2000/1/26/pubmed PY - 2000/1/26/medline PY - 2000/1/26/entrez SP - 151 EP - 5 JF - The Laryngoscope JO - Laryngoscope VL - 110 IS - 1 N2 - OBJECTIVE: To quantify the postoperative quality of life in patients following surgical treatment for vestibular schwannoma. STUDY DESIGN: Patient self-assessment using the short form 36 (SF36) multidimensional quality of life health questionnaire. Sex- and age-matched normalized scores were calculated using a standardized process and accepted normative data. SETTING: Tertiary referral skull base unit. RESULTS: An 80% response rate (90 patients) was achieved. The postoperative quality of life in vestibular schwannoma patients, as quantified by seven of the eight SF36 health scales was less than the appropriate matched healthy standard. Comparison of a variety of preoperative patients and tumor factors-different operative approaches (translabyrinthine and retrosigmoid), tumor size (group cut of points of tumor diameter 1.5 mm and 2.5 mm), patient sex, and ranking of patient age-showed no statistically significant difference in measured quality of life outcomes for each of these traditional predictors. CONCLUSION: Reduced quality of life in patients after surgical treatment for vestibular schwannoma, coupled with the low tumor growth rates and minimal preoperative symptoms, supports a conservative approach to patient management. The advantages and disadvantages of a variety of approaches used to measure the quality of life after surgical treatment of vestibular schwannoma and their impact on clinical decision making for patients, are discussed. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/10646732/Postoperative_quality_of_life_in_vestibular_schwannoma_patients_measured_by_the_SF36_Health_Questionnaire_ L2 - https://doi.org/10.1097/00005537-200001000-00027 DB - PRIME DP - Unbound Medicine ER -