Abstract
Objective: This study aimed to evaluate the quality of life of patients treated for unilateral vestibular schwannoma via observation, microsurgery, or gamma knife radiosurgery. Study Design: The study design was retrospective and cross-sectional. Methods: Patients treated for vestibular schwannoma at our institute in 2012-2013 completed a standardized questionnaire (Short Form-36) via telephone to evaluate their quality of life at least 6 months after treatment. Patients were categorized according to management (microsurgery, n=47; gamma knife radiosurgery, n=27; and observation, n=34). Clinical characteristics and quality of life were compared among the groups. Results: Tumor control rates were 94.0% in the microsurgery group and 96.2% in the radiosurgery group. The most annoying symptoms were hearing loss in the microsurgery group, dizziness in the radiosurgery group, and tinnitus in the observation group. Quality-of-life scores did not differ significantly among the three groups in four of the eight domains of the questionnaire. The microsurgery group had a significantly higher score in the general health perception domain than the other groups (p=0.003). Conclusion: Quality of life is higher after microsurgery than after radiosurgery. One specific management strategy cannot always guarantee the better quality of life. The functional status and personality traits of the patient should be considered, as well as tumor size and location when choosing a management option.
| Original language | English |
|---|---|
| Pages (from-to) | 1725-1729 |
| Number of pages | 5 |
| Journal | Otology and Neurotology |
| Volume | 36 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 2015 Dec 1 |
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All Science Journal Classification (ASJC) codes
- Otorhinolaryngology
- Sensory Systems
- Clinical Neurology
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Quality of life in patients with vestibular schwannomas according to management strategy. / Kim, Hyun Ji; Jin Roh, Kyung; Oh, Hee So; Chang, Won Seok; Moon, In Seok.
In: Otology and Neurotology, Vol. 36, No. 10, 01.12.2015, p. 1725-1729.Research output: Contribution to journal › Article
TY - JOUR
T1 - Quality of life in patients with vestibular schwannomas according to management strategy
AU - Kim, Hyun Ji
AU - Jin Roh, Kyung
AU - Oh, Hee So
AU - Chang, Won Seok
AU - Moon, In Seok
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective: This study aimed to evaluate the quality of life of patients treated for unilateral vestibular schwannoma via observation, microsurgery, or gamma knife radiosurgery. Study Design: The study design was retrospective and cross-sectional. Methods: Patients treated for vestibular schwannoma at our institute in 2012-2013 completed a standardized questionnaire (Short Form-36) via telephone to evaluate their quality of life at least 6 months after treatment. Patients were categorized according to management (microsurgery, n=47; gamma knife radiosurgery, n=27; and observation, n=34). Clinical characteristics and quality of life were compared among the groups. Results: Tumor control rates were 94.0% in the microsurgery group and 96.2% in the radiosurgery group. The most annoying symptoms were hearing loss in the microsurgery group, dizziness in the radiosurgery group, and tinnitus in the observation group. Quality-of-life scores did not differ significantly among the three groups in four of the eight domains of the questionnaire. The microsurgery group had a significantly higher score in the general health perception domain than the other groups (p=0.003). Conclusion: Quality of life is higher after microsurgery than after radiosurgery. One specific management strategy cannot always guarantee the better quality of life. The functional status and personality traits of the patient should be considered, as well as tumor size and location when choosing a management option.
AB - Objective: This study aimed to evaluate the quality of life of patients treated for unilateral vestibular schwannoma via observation, microsurgery, or gamma knife radiosurgery. Study Design: The study design was retrospective and cross-sectional. Methods: Patients treated for vestibular schwannoma at our institute in 2012-2013 completed a standardized questionnaire (Short Form-36) via telephone to evaluate their quality of life at least 6 months after treatment. Patients were categorized according to management (microsurgery, n=47; gamma knife radiosurgery, n=27; and observation, n=34). Clinical characteristics and quality of life were compared among the groups. Results: Tumor control rates were 94.0% in the microsurgery group and 96.2% in the radiosurgery group. The most annoying symptoms were hearing loss in the microsurgery group, dizziness in the radiosurgery group, and tinnitus in the observation group. Quality-of-life scores did not differ significantly among the three groups in four of the eight domains of the questionnaire. The microsurgery group had a significantly higher score in the general health perception domain than the other groups (p=0.003). Conclusion: Quality of life is higher after microsurgery than after radiosurgery. One specific management strategy cannot always guarantee the better quality of life. The functional status and personality traits of the patient should be considered, as well as tumor size and location when choosing a management option.
UR - http://www.scopus.com/inward/record.url?scp=84955171248&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955171248&partnerID=8YFLogxK
U2 - 10.1097/MAO.0000000000000885
DO - 10.1097/MAO.0000000000000885
M3 - Article
C2 - 26529056
AN - SCOPUS:84955171248
VL - 36
SP - 1725
EP - 1729
JO - Otology and Neurotology
JF - Otology and Neurotology
SN - 1531-7129
IS - 10
ER -