Brain tumor dating

While funding may be limited to pursue these primary QOL research goals, efforts should be made to incorporate QOL research as secondary end points into ongoing therapy trials. Few trials have done this to date, 94 although the potential impact of QOL on survival and prognosis makes incorporation of QOL end points especially important.

QOL in brain tumor patients is complex and multidimensional in nature, with symptoms having interrelationships with each other as well as patient, tumor, and treatment factors. Assessing QOL is challenging given the scarcity of well-validated instruments, difficulty with compliance especially in longitudinal measurements over time, and the lack of well-designed trials. Assessing QOL in brain tumor patients is additionally complicated by the relative rarity of the disease compared to other malignancies, functional limitations to self-reporting, and concurrent medications such as steroids and antiepileptics.

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Despite these limitations, some conclusions can be made regarding QOL studied to date on brain tumor patients. Specifically, the burden of symptoms that affect QOL is significant, but understudied. There are limited therapeutic options to improve QOL. The incorporation of QOL as both primary and secondary end points is crucial because QOL can have prognostic value, and improvement of QOL may in turn increase overall survival. As such, QOL should be included as a secondary outcome measure and also be tested as a primary outcome measure in intervention studies designed to improve the lives of brain tumor patients.

Clearly, more work is needed in the field of QOL in brain tumor patients. National Center for Biotechnology Information , U. Journal List Neuro Oncol v.

QOL in Brain Tumor Patients: Current Knowledge

Author information Article notes Copyright and License information Disclaimer. Address correspondence to Susan M.


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Received Jul 23; Accepted Oct This article has been cited by other articles in PMC. Abstract Quality of life is an important area of clinical neurooncology that is increasingly relevant as survivorship increases and as patients experience potential morbidities associated with new therapies.

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Current Knowledge The overall symptom burden and disability for glioma patients are significant, especially in those with high-grade or recurrent disease. Specific Symptoms Research addressing specific symptoms that affect QOL has focused on fatigue, sleep, pain, seizures, mood disturbance, and cognitive function.

Survivorship The current literature on survivorship in brain tumor patients consists of small, mostly retrospective, noncontrolled studies. A Common Etiology to Symptoms: Symptom Clusters Although symptoms have been studied separately, they are often interrelated and may in some cases have a common etiology.

Quality of life in adults with brain tumors: Current knowledge and future directions

Symptom Management Despite the significant burden of symptoms that brain tumor patients face, few QOL interventions have been tested in brain tumor patients. Open in a separate window. Patient Factors Studies focusing on brain tumor patient comorbidities and demographics and their effects on QOL are largely lacking. Tumor Factors Tumor location and laterality has been shown to be correlated to several specific symptoms in some studies but not in others. Future Directions Several exciting avenues of research remain in the vastly unexplored area of QOL in brain tumor patients.


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Conclusions QOL in brain tumor patients is complex and multidimensional in nature, with symptoms having interrelationships with each other as well as patient, tumor, and treatment factors. Advances in quality of life measurements in oncology patients. Impact of brain tumour treatment on quality of life. Effect of disease burden on health-related quality of life in patients with malignant gliomas. Neurobehavioral status and health-related quality of life in newly diagnosed high-grade glioma patients. Prospective study of quality of life in adults with newly diagnosed high-grade gliomas.

Prospective study of neuropsychologic testing and quality-of-life assessment of adults with primary malignant brain tumors. Quality of life in brain tumor patients. Facets and determinants of quality of life in patients with recurrent high grade glioma.

J Neurol Neurosurg Psychiatry. A prospective study of quality of life in adults with newly diagnosed high-grade gliomas: Cognitive functions and quality of life in patients with low-grade gliomas: The relationship between function, quality of life and coping in patients with low-grade gliomas.

Epilepsy in low-grade gliomas: Cognitive function after radio-therapy for supratentorial low-grade glioma: Effect of radiotherapy and other treatment-related factors on mid-term to long-term cognitive sequelae in low-grade gliomas: Prognostic factors for survival in adult patients with cerebral low-grade glioma.

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Survival, prognostic factors, and therapeutic efficacy in low-grade glioma: Predicting major depression in brain tumor patients. Health-related quality of life in patients with glioblastoma: Self-reported comprehensive health status of adult brain tumor patients using the Health Utilities Index. Supratentorial low-grade glioma in adults: Supratentorial low grade astrocytoma: Depression and functional outcome in patients with brain tumors: Evaluation and characterization of generalized anxiety and depression in patients with primary brain tumors.

Quality of life in brain tumor patients: Gender difference in relation to depression and quality of life among patients with a primary brain tumor. Depression in relation to survival among neurosurgical patients with a primary brain tumor: Decreased quality of life and depression as predictors for shorter survival among patients with low-grade gliomas: Eur Arch Psychiatry Clin Neurosci. Mechanisms of peritumoural brain dysfunction: Expression of serotonin receptors in human fetal astrocytes and glioma cell lines: Taphoorn MJ, Klein M.

Cognitive deficits in adult patients with brain tumours. Cognitive deficits before treatment among patients with brain tumors. Multifaceted end points in brain tumor clinical trials: The prognostic value of cognitive functioning in the survival of patients with high-grade glioma. Detrimental effects of tumor progression on cognitive function of patients with high-grade glioma.

Clinical prognostic factors affecting survival in patients with newly diagnosed glioblastoma multiforme GBM [abstract] J Clin Oncol. Importance of baseline Mini-Mental State Examination as a prognostic factor for patients with low-grade glioma. The use of the Mini-Mental State Examination to assess cognitive functioning in cancer trials: Cognitive functioning in long-term survivors of high-grade glioma.

Effects of treatment on long-term survivors with malignant astrocytomas. Neuropsychologic impairment in adults with brain tumors. Am J Clin Oncol. Quality of life in patients with stable disease after surgery, radiotherapy, and chemotherapy for malignant brain tumour. Psychometric- and quality-of-life assessment in long-term glioblastoma survivors. Survival and quality of life after interstitial implantation of removable high-activity iodine sources for the treatment of patients with recurrent malignant gliomas. Which glioblastoma multiforme patient will become a long-term survivor?

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Long-term survival in adult hemispheric glioma: Clin Oncol R Coll Radiol ; 2: Surviving glioblastoma for more than 5 years: Giovagnoli AR, Boiardi A. Cognitive impairment and quality of life in long-term survivors of malignant brain tumors. Ital J Neurol Sci. Symptom clusters in cancer patients and their relation to EGFR ligand modulation of the circadian axis. Symptom clusters in oncology patients and implications for symptom research in people with primary brain tumors.

Symptom clusters in patients with high-grade glioma. Effects of radiation and chemotherapy on cognitive function in patients with high-grade glioma. Relationship between fatigue and quality of life in patients with glioblastoma multiformae. Phase II study of done-pezil in irradiated brain tumor patients: Methylphenidate therapy improves cognition, mood, and function of brain tumor patients. A phase III, double-blind, placebo-controlled prospective randomized clinical trial of d-threomethylphenidate HCl in brain tumor patients receiving radiation therapy.

Pilot study of modafinil for treatment of neurobehavioral dysfunction and fatigue in adult patients with brain tumors. Using the theory of planned behavior to understand the determinants of exercise intention in patients diagnosed with primary brain cancer. Complementary therapy use and quality of life in persons with high-grade gliomas.

Complementary and alternative medicine use and quality of life in patients with primary brain tumors. J Pain Symptom Manage.