Outcome prediction in brain tumor surgery: a literature review on the influence of nonmedical factors

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Review Neurosurg Rev

  • 2021 Apr;44(2):807-819. doi: 10.1007/s10143-020-01289-0. Epub 2020 May 7.

Outcome prediction in brain tumor surgery: a literature review on the influence of nonmedical factors

Silvia Schiavolin 1Alberto Raggi 2Chiara Scaratti 2Claudia Toppo 2Fabiola Silvaggi 2Davide Sattin 2Morgan Broggi 3Paolo Ferroli 3Matilde Leonardi 2Affiliations expand

Abstract

The purpose of the present study was to review the existing data on preoperative nonmedical factors that are predictive of outcome in brain tumor surgery. Our hypothesis was that also the individual characteristics (e.g., emotional state, cognitive status, social relationships) could influence the postoperative course in addition to clinical factors usually investigated in brain tumor surgery. PubMed, Embase, and Scopus were searched from 2008 to 2018 using terms relating to brain tumors, craniotomy, and predictors. All types of outcome were considered: clinical, cognitive, and psychological. Out of 6.288 records identified, 16 articles were selected for analysis and a qualitative synthesis of the prognostic factors was performed. The following nonmedical factors were found to be predictive of surgical outcomes: socio-demographic (age, marital status, type of insurance, gender, socio-economic status, type of hospital), cognitive (preoperative language and cognitive deficits, performance at TMT-B test), and psychological (preoperative depressive symptoms, personality traits, autonomy for daily activities, altered mental status). This review showed that nonmedical predictors of outcome exist in brain tumor surgery. Consequently, individual characteristics (e.g., emotional state, cognitive status, social relationships) can influence the postoperative course in addition to clinical factors.

Keywords: Brain tumor; Craniotomy; Outcome; Prediction.

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References

  1. Altman DG (2001) Systematic reviews of evaluations of prognostic variables. BMJ 323:224–228 – DOI

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