The Aftercare Survey: Assessment and intervention practices after brain tumor surgery in Europe.

Autor: Sierpowska J; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands., Rofes A; Department of Neurolinguistics, University of Groningen, Groningen, the Netherlands., Dahlslätt K, Mandonnet E; Neurosurgery Department, Hôpital Lariboisière, Paris, France., Ter Laan M; Department of Neurosurgery, Radboud Institute of Health Science, Radboud University Medical Center, Nijmegen, the Netherlands., Połczyńska M; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California, USA., Hamer PW; Medical Department, Amsterdam University, Amsterdam, the Netherlands., Halaj M; Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic., Spena G; Neurosurgery Department, Alessandro Manzoni Hospital, Lecco, Italy., Meling TR; Department of Neurosurgery, Geneva University Hospital, Geneva, Switzerland., Motomura K; Department of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan., Reyes AF; Experimental Psychology Lab, Faculty of Psychology, Universidad El Bosque, Bogotá, Colombia., Campos AR; Department of Neurosurgery, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal., Robe PA; Department of Neurology and Neurosurgery, University Medical Center of Utrecht, Utrecht, the Netherlands., Zigiotto L; Department of Neurosurgery, 'S. Chiara' Hospital, Azienda Provinciale per i Servizi Sanitari, Trento, Italy., Sarubbo S; Department of Neurosurgery, 'S. Chiara' Hospital, Azienda Provinciale per i Servizi Sanitari, Trento, Italy., Freyschlag CF; Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria., Broen MPG; Department of Neurology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands., Stranjalis G; Department of Neurosurgery, National and Kapodistrian University of Athens, Evangelismos Hospital, Athens, Greece., Papadopoulos K; Department of Neurosurgery, National and Kapodistrian University of Athens, Evangelismos Hospital, Athens, Greece., Liouta E; Department of Neurosurgery, National and Kapodistrian University of Athens, Evangelismos Hospital, Athens, Greece., Rutten GJ; Department of Neurosurgery, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands., Viegas CP; Department of Neurosurgery, Hospital Garcia de Orta, Lisbon, Portugal., Silvestre A; Department of Neurosurgery, Hospital Garcia de Orta, Lisbon, Portugal., Perrote F; Department of Neurosurgery and Neurology, Private University Hospital of Córdoba, Córdoba, Argentina., Brochero N; Department of Neurosurgery and Neurology, Private University Hospital of Córdoba, Córdoba, Argentina., Cáceres C; Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain., Zdun-Ryżewska A; Department of Quality-of-Life Research, Medical University of Gdansk, Gdansk, Poland., Kloc W; Department of Psychology and Sociology of Health and Public Health School of Public Health Collegium Medicum, University of Warmia-Mazury in Olsztyn, Olsztyn, Poland., Satoer D; Department of Neurosurgery, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands., Dragoy O; Center for Language and Brain, HSE University, Moscow, Russia., Hendriks MPH; Academic Centre for Epileptology, Kempenhaeghe, Heeze, the Netherlands., Alvarez-Carriles JC; Clinical Neuropsychology Unit, Liaison Mental Health Service, Hospital Universitario Central de Asturias, Oviedo, Spain., Piai V; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Jazyk: angličtina
Zdroj: Neuro-oncology practice [Neurooncol Pract] 2022 Apr 04; Vol. 9 (4), pp. 328-337. Date of Electronic Publication: 2022 Apr 04 (Print Publication: 2022).
DOI: 10.1093/nop/npac029
Abstrakt: Background: People with gliomas need specialized neurosurgical, neuro-oncological, psycho-oncological, and neuropsychological care. The role of language and cognitive recovery and rehabilitation in patients' well-being and resumption of work is crucial, but there are no clear guidelines for the ideal timing and character of assessments and interventions. The goal of the present work was to describe representative (neuro)psychological practices implemented after brain surgery in Europe.
Methods: An online survey was addressed to professionals working with individuals after brain surgery. We inquired about the assessments and interventions and the involvement of caregivers. Additionally, we asked about recommendations for an ideal assessment and intervention plan.
Results: Thirty-eight European centers completed the survey. Thirty of them offered at least one postsurgical (neuro)psychological assessment, mainly for language and cognition, especially during the early recovery stage and at long term. Twenty-eight of the participating centers offered postsurgical therapies. Patients who stand the highest chances of being included in evaluation and therapy postsurgically are those who underwent awake brain surgery, harbored a low-grade glioma, or showed poor recovery. Nearly half of the respondents offer support programs to caregivers, and all teams recommend them. Treatments differed between those offered to individuals with low-grade glioma vs those with high-grade glioma. The figure of caregiver is not yet fully recognized in the recovery phase.
Conclusion: We stress the need for more complete rehabilitation plans, including the emotional and health-related aspects of recovery. In respondents' opinions, assessment and rehabilitation plans should also be individually tailored and goal-directed (eg, professional reinsertion).
(© The Author(s) 2022. Published by Oxford University Press on behalf of the Society for Neuro-Oncology and the European Association of Neuro-Oncology.)
Databáze: MEDLINE
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