Factors influencing activities of daily living using FIM-FAM scoring system before starting adjuvant treatment in patients with brain tumors: results from a prospective study
| Autor: | Pushpa Vanere, Rakesh Jalali, Tejpal Gupta, Debnarayan Dutta, Anusheel Munshi |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Psychometrics Adolescent Brain tumor Severity of Illness Index Disability Evaluation Young Adult Internal medicine Severity of illness Activities of Daily Living medicine Humans Prospective Studies Fibrillary astrocytoma Young adult Prospective cohort study Retrospective Studies Univariate analysis Analysis of Variance business.industry Brain Neoplasms Age Factors Middle Aged medicine.disease Surgery Neurology Oncology Female Neurology (clinical) business Stress Psychological Anaplastic astrocytoma |
| Zdroj: | Journal of neuro-oncology. 94(1) |
| ISSN: | 1573-7373 |
| Popis: | Background Patients with brain tumors have varied degree of functional and psychological impairments because of factors relating to the tumor or to the treatment they receive. The functional independence measurement and functional activity measurement system (FIM–FAM) is an activity of daily living (ADL) scoring system that may be able to determine impairments in different domains objectively. Material and method From August 2007 to April 2008, 150 consecutive adult (>18 years) primary brain tumor patients (median age 40 years; male 88, female 62) registered in a general out-patient neuro-oncology clinic were accrued and detailed data were recorded. Seventy percent had malignant tumor (66% high-grade and 34% low-grade; 70% intra-axial). Glioblastoma (GBM) (23.3%), anaplastic astrocytoma (AA) (18.7%), and diffuse fibrillary astrocytoma (18.7%) were the commonest histologic subtypes. The common sites for tumors included frontal region (30.7%), posterior fossa (12%), and left parietal region (11.3%). A detailed baseline pre-radiotherapy (pre-RT) ADL assessment was done with the FIM–FAM scoring system, which has seven domains with 30 sub-domains (maximum and minimum total scores are 210 and 30). Results The mean total FIM–FAM score of the entire patient population was 167.5 (range 30–208). Scores in self care, sphincter control, mobility items, locomotion, communication items, psychological, and cognitive item domains were 39.49, 10.95, 22.70, 16.44, 28.93, 18.96, and 30.1, respectively. Univariate analysis showed total FIM–FAM scores not significantly different with age (≤35 years vs. >35 years; P = 0.994), sex (male versus female; P = 0.133), and grade of the tumor (high-grade versus low-grade; P = 0.142) but were significantly higher in patients with a Karnofsky performance score (KPS) of ≥70 as compared with |
| Databáze: | OpenAIRE |
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