Abstract
In this pilot study quality of life was assessed in fourteen adult patients who were treated for a low-grade glioma with surgery and radiotherapy at least one year previously. Apart from widely used parameters, such as the neurological and functional status, the patients' cognitive functioning and actual affective status were determined. In addition the patients were interviewed to evaluate various aspects of quality of life. Generally no serious focal neurological deficits were found, although psychological examination showed serious cognitive and affective disturbances in most cases. Self report measures concerning cognitive functioning were not in all cases in accordance with objective test results. When the results of treatment in glioma patients are evaluated assessment of quality of life, including neuropsychological functioning, should be performed, especially as new therapeutic strategies are being developed.
MeSH Terms
Activities of Daily Living/psychology
Adult
Aged
Astrocytoma/psychology,radiotherapy,surgery
Brain Damage, Chronic/diagnosis,psychology
Brain Neoplasms/psychology,radiotherapy,surgery
Cerebral Cortex/radiation effects,surgery
Combined Modality Therapy
Cranial Irradiation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neurologic Examination
Neuropsychological Tests
Oligodendroglioma/psychology,radiotherapy,surgery
Postoperative Complications/diagnosis,psychology
Quality of Life
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Taphoorn M J
Department of Neurology, Free University Hospital, Amsterdam, The Netherlands.
Heimans J J
Snoek F J
Lindeboom J
Oosterink B
Wolbers J G
Karim A B
References (16)
16 references, click to expand
-
Facial recognition in patients with focal brain lesions.
Arch Neurol. 1979 Dec;36(13):837-9
PMID: 508147
-
Therapeutic irradiation and brain injury.
Int J Radiat Oncol Biol Phys. 1980 Sep;6(9):1215-28
PMID: 7007303
-
Explicit memory and repetition priming in depression. Preliminary findings.
Arch Gen Psychiatry. 1991 Aug;48(8):707-11
PMID: 1883253
-
Low-grade gliomas: to treat or not to treat? A radiation oncologist's viewpoint.
Arch Neurol. 1990 Oct;47(10):1138-40
PMID: 2222248
-
Low-grade glioma. To treat or not to treat?
Arch Neurol. 1989 Nov;46(11):1238-9
PMID: 2818260
-
Radiation-induced dementia in patients cured of brain metastases.
Neurology. 1989 Jun;39(6):789-96
PMID: 2725874
-
Radiation therapy in the management of low-grade supratentorial astrocytomas.
J Neurosurg. 1989 Jun;70(6):853-61
PMID: 2715812
-
Neuropsychologic impairment in adults with brain tumors.
Am J Clin Oncol. 1987 Apr;10(2):156-62
PMID: 3565314
-
The quality of life of cancer patients: a review of the literature.
Soc Sci Med. 1985;20(8):809-17
PMID: 3890194
-
The long-term side effects of radiation therapy for benign brain tumors in adults.
J Neurosurg. 1990 Oct;73(4):502-12
PMID: 2204689
-
Low-grade cerebral astrocytomas. Survival and quality of life after radiation therapy.
Cancer. 1990 Jul 1;66(1):6-14
PMID: 2354409
-
Neuropsychological impairments associated with lesions caused by tumor or stroke.
Arch Neurol. 1990 Apr;47(4):397-405
PMID: 2322133
-
Proposals for evaluation of toxic effects associated with treatment of gliomas: a call for action.
J Natl Cancer Inst. 1990 Mar 21;82(6):531-2
PMID: 2313727
-
Neuropsychologic impairment in astrocytoma survivors.
Neurology. 1980 Feb;30(2):172-7
PMID: 6243762
-
Grading of oligodendrogliomas.
Cancer. 1983 Dec 1;52(11):2107-14
PMID: 6627218
-
Visuospatial judgment. A clinical test.
Arch Neurol. 1978 Jun;35(6):364-7
PMID: 655909