Quality of life scores in patients with unruptured cerebral aneurysm: Prospective cohort study

Autor: Gary Redekop, Swetha Prakash, Lily W Zhou, Charles S. Haw, Charlotte Dandurand, Peter Gooderham, Garrett M. Fitzmaurice
Rok vydání: 2021
Předmět:
Zdroj: Journal of Clinical Neuroscience. 91:350-353
ISSN: 0967-5868
DOI: 10.1016/j.jocn.2021.07.024
Popis: Background Living with the diagnosis of an unruptured cerebral aneurysm can understandably cause distress to a patient. The goal of preventive treatment is to increase the number of years with good quality of life (QoL). Objective This study aimed to measure the effect of unruptured intracranial aneurysm treatment on change in QoL scores measured by the SF36 and EQ-5D-5L. Methods We prospectively collected SF36 and EQ-5D-5L survey data for patients with unruptured intracranial aneurysms at two time-points over 1 year between 2 treatment groups: observation and intervention (microsurgical and endovascular). Multivariable linear regression was used to examine treatment group differences in the mean change in scores from baseline to 1 year when adjusted for covariates. Results 92 patients were included in the observation group and 68 patients were included in the intervention group, for a total of 160 patients. The intervention group had lower SF36 total scores at baseline (p = 0.001). With multivariate linear regression models, the effect of treatment on mean change in SF36 total score from baseline to 1 year was not statistically significant (p = 0.4); similarly, there was no difference in mean change in EQ-5D-5L. Conclusion In this large prospective study, preventive aneurysm treatment was not associated with a significant change in QoL score at 1 year compared to observation as measured by the SF36 and EQ-5D-5L. Further studies are needed to explore the lower QoL scores in patients seeking treatment and its impact on management decision making.
Databáze: OpenAIRE
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