Quality of life and brain tumors: what beyond the clinical burden?

• Type: Article in International Scientific Journal
• Date: 2014

Authors

Giovagnoli, AR (Author) Other; Meneses, RF (Author) Other; Silvani, A (Author) Other; Milanesi, I (Author) Other; Fariselli, L (Author) Other; Salmaggi, A (Author) Other; Boiardi, A (Author) Other

Journal

Title: Journal of Neurology

Vol. 261

Pages: 894-904

ISSN: 0340-5354

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 14 Citations

Scopus - 19 Citations

Other information

Authenticus ID: P-009-DDW

DOI: 10.1007/s00415-014-7273-3

Abstract (EN): This study analyzed the subjective facets of quality of life (QoL) and their relation to the type of brain tumor (BT) and phase of disease. Two hundred and ninety-one patients with pinealoblastoma, medulloblastoma, low-grade glioma, anaplastic astrocytoma, or glioblastoma were evaluated. With respect to 110 healthy controls, patients in the phases of radiotherapy/chemotherapy, stable disease, or tumor recurrence were significantly more anxious and depressed compared with patients in the early postoperative period. All patients were impaired in mental flexibility and memory, with preservation of abstract reasoning. The Functional Living Index-Cancer (FLIC), previously validated in cancer and BT patients, yielded six subjective factors (disease perception, affective well-being, role and leisure, personal base, nausea, sharing). None of the FLIC factors were predicted by tumor type, which only related to the physical and cognitive performances and mood scores. Affective well-being, role and leisure, and sharing were predicted by the phase of disease. Personal base, including self-perception and confidence, was independent on tumor progression and treatment. To conclude, QoL encompasses different subjective aspects, which vary in relation to the phase of disease and clinical burden. However, some person-related facets appear independent on tumor progression and treatment, indicating individual resources. Knowing this may guide tailored interventions supporting QoL.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 11