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Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery

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Standard

Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery. / Tos, Tina; Caye-Thomasen, Per; Stangerup, Sven-Eric; Tos, Mirko; Thomsen, Jens.

I: Journal of Laryngology and Otology, Bind 117, Nr. 12, 01.12.2003, s. 955-64.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Tos, T, Caye-Thomasen, P, Stangerup, S-E, Tos, M & Thomsen, J 2003, 'Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery', Journal of Laryngology and Otology, bind 117, nr. 12, s. 955-64. https://doi.org/10.1258/002221503322683830

APA

Tos, T., Caye-Thomasen, P., Stangerup, S-E., Tos, M., & Thomsen, J. (2003). Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery. Journal of Laryngology and Otology, 117(12), 955-64. https://doi.org/10.1258/002221503322683830

Vancouver

Tos T, Caye-Thomasen P, Stangerup S-E, Tos M, Thomsen J. Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery. Journal of Laryngology and Otology. 2003 dec 1;117(12):955-64. https://doi.org/10.1258/002221503322683830

Author

Tos, Tina ; Caye-Thomasen, Per ; Stangerup, Sven-Eric ; Tos, Mirko ; Thomsen, Jens. / Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery. I: Journal of Laryngology and Otology. 2003 ; Bind 117, Nr. 12. s. 955-64.

Bibtex

@article{61de46ef38ae447a972b136e71e11684,
title = "Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery",
abstract = "This study describes and compares the long-term socio-economic impact for patients diagnosed with a vestibular schwannoma and either operated on or observed. A consecutive sample of patients diagnosed with vestibular schwannoma in Denmark and either operated on (748 patients) or observed by the wait-and-re-scan policy (272 patients) during the period 1976-2000 were studied retrospectively. The consequences of operation/diagnosis (and observation) on vocational status, ability to handle daily chores and some psycho-social aspects were studied by means of a prospective postal questionnaire. Ninety-six per cent of the operated and 83 per cent of the observed patients answered the questionnaire. Overall, 34 per cent of operated patients resumed their daily activities within one to two months, and 76 per cent within four to six months. Patients operated on for a large tumour resumed their daily activities later than patients with a small tumour. Regardless of tumour size, employment was unchanged for the majority of observed and operated patients. The vocational consequences were significantly worse for operated patients with a large tumour, than for observed patients. However, no difference existed between the observed group and operated patients with a tumour below 20 mm in size. A change in vocational status was most frequent for assisting spouses, unskilled manual workers and the self-employed. The majority of both observed and operated patients experienced no change in their ability to handle daily chores. The changed ability of operated patients was worse than that of observed patients. Among various changes in their psycho-social well-being, decrease in social ability was the most frequent complaint in both groups, followed by increased fatigue, decreased concentration, increased irritability, depression and headache, decreased intellect and libido. Regardless of tumour size, the change in social ability, concentration and fatigue was worse for operated patients. Concerning headache, patients operated on for a large tumour were better off than observed patients and patients operated on for a small tumour. There was no difference between the operated and observed groups concerning irritability, intellect and libido. Deterioration of vocational status, ability to handle daily chores and several aspects of psycho-social well-being are reported both by patients operated on and observed for vestibular schwannoma. However, the negative changes were more frequent among the operated patients, although the differences were surprisingly modest, especially when comparing observed patients with patients operated on for a small tumour.",
author = "Tina Tos and Per Caye-Thomasen and Sven-Eric Stangerup and Mirko Tos and Jens Thomsen",
year = "2003",
month = "12",
day = "1",
doi = "http://dx.doi.org/10.1258/002221503322683830",
language = "English",
volume = "117",
pages = "955--64",
journal = "Journal of Laryngology and Otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "12",

}

RIS

TY - JOUR

T1 - Long-term socio-economic impact of vestibular schwannoma for patients under observation and after surgery

AU - Tos, Tina

AU - Caye-Thomasen, Per

AU - Stangerup, Sven-Eric

AU - Tos, Mirko

AU - Thomsen, Jens

PY - 2003/12/1

Y1 - 2003/12/1

N2 - This study describes and compares the long-term socio-economic impact for patients diagnosed with a vestibular schwannoma and either operated on or observed. A consecutive sample of patients diagnosed with vestibular schwannoma in Denmark and either operated on (748 patients) or observed by the wait-and-re-scan policy (272 patients) during the period 1976-2000 were studied retrospectively. The consequences of operation/diagnosis (and observation) on vocational status, ability to handle daily chores and some psycho-social aspects were studied by means of a prospective postal questionnaire. Ninety-six per cent of the operated and 83 per cent of the observed patients answered the questionnaire. Overall, 34 per cent of operated patients resumed their daily activities within one to two months, and 76 per cent within four to six months. Patients operated on for a large tumour resumed their daily activities later than patients with a small tumour. Regardless of tumour size, employment was unchanged for the majority of observed and operated patients. The vocational consequences were significantly worse for operated patients with a large tumour, than for observed patients. However, no difference existed between the observed group and operated patients with a tumour below 20 mm in size. A change in vocational status was most frequent for assisting spouses, unskilled manual workers and the self-employed. The majority of both observed and operated patients experienced no change in their ability to handle daily chores. The changed ability of operated patients was worse than that of observed patients. Among various changes in their psycho-social well-being, decrease in social ability was the most frequent complaint in both groups, followed by increased fatigue, decreased concentration, increased irritability, depression and headache, decreased intellect and libido. Regardless of tumour size, the change in social ability, concentration and fatigue was worse for operated patients. Concerning headache, patients operated on for a large tumour were better off than observed patients and patients operated on for a small tumour. There was no difference between the operated and observed groups concerning irritability, intellect and libido. Deterioration of vocational status, ability to handle daily chores and several aspects of psycho-social well-being are reported both by patients operated on and observed for vestibular schwannoma. However, the negative changes were more frequent among the operated patients, although the differences were surprisingly modest, especially when comparing observed patients with patients operated on for a small tumour.

AB - This study describes and compares the long-term socio-economic impact for patients diagnosed with a vestibular schwannoma and either operated on or observed. A consecutive sample of patients diagnosed with vestibular schwannoma in Denmark and either operated on (748 patients) or observed by the wait-and-re-scan policy (272 patients) during the period 1976-2000 were studied retrospectively. The consequences of operation/diagnosis (and observation) on vocational status, ability to handle daily chores and some psycho-social aspects were studied by means of a prospective postal questionnaire. Ninety-six per cent of the operated and 83 per cent of the observed patients answered the questionnaire. Overall, 34 per cent of operated patients resumed their daily activities within one to two months, and 76 per cent within four to six months. Patients operated on for a large tumour resumed their daily activities later than patients with a small tumour. Regardless of tumour size, employment was unchanged for the majority of observed and operated patients. The vocational consequences were significantly worse for operated patients with a large tumour, than for observed patients. However, no difference existed between the observed group and operated patients with a tumour below 20 mm in size. A change in vocational status was most frequent for assisting spouses, unskilled manual workers and the self-employed. The majority of both observed and operated patients experienced no change in their ability to handle daily chores. The changed ability of operated patients was worse than that of observed patients. Among various changes in their psycho-social well-being, decrease in social ability was the most frequent complaint in both groups, followed by increased fatigue, decreased concentration, increased irritability, depression and headache, decreased intellect and libido. Regardless of tumour size, the change in social ability, concentration and fatigue was worse for operated patients. Concerning headache, patients operated on for a large tumour were better off than observed patients and patients operated on for a small tumour. There was no difference between the operated and observed groups concerning irritability, intellect and libido. Deterioration of vocational status, ability to handle daily chores and several aspects of psycho-social well-being are reported both by patients operated on and observed for vestibular schwannoma. However, the negative changes were more frequent among the operated patients, although the differences were surprisingly modest, especially when comparing observed patients with patients operated on for a small tumour.

U2 - http://dx.doi.org/10.1258/002221503322683830

DO - http://dx.doi.org/10.1258/002221503322683830

M3 - Journal article

VL - 117

SP - 955

EP - 964

JO - Journal of Laryngology and Otology

JF - Journal of Laryngology and Otology

SN - 0022-2151

IS - 12

ER -

ID: 40196668