T. Gómez Vecchio, I. Rydén, A. Ozanne, M. Blomstrand, L. Carstam, A. Smits, A. Jakola
{"title":"IDH突变弥漫性胶质瘤2级和3级患者的总体健康状况和疲劳评分--一项从手术到12个月随访的纵向人群研究","authors":"T. Gómez Vecchio, I. Rydén, A. Ozanne, M. Blomstrand, L. Carstam, A. Smits, A. Jakola","doi":"10.1093/nop/npae017","DOIUrl":null,"url":null,"abstract":"\n \n \n At group level, health-related quality of life (HRQoL) in patients with IDH-mutant diffuse glioma grade 2 and 3 seems to remain stable over time. However, clinical experience indicates that there are patients with unfavorable outcomes on key HRQoL subdomains. The aim of this longitudinal population-based study, following patients over a period of 12 months from surgery, was to describe individual level data on global health status and fatigue score and explore possible predictors of deterioration.\n \n \n \n All patients undergoing surgery for presumed glioma grade 2 or 3 at the Sahlgrenska University Hospital during 2017-2022, were screened for the study. Patients were invited to complete the EORTC core questionnaires and brain module at baseline, 3 and 12 months postoperatively. Data is reported with respect to minimal clinical important difference (MCID).\n \n \n \n We included 51 patients with IDH-mutant diffuse glioma grade 2 or 3. There was no difference in group level data of either global health status or fatigue score from baseline to the 12-month follow-up (p-value >0.05). Unfavorable individual changes (beyond MCID) in global health status and fatigue score were observed in 12 and in 17 patients respectively (23.5% and 33.3%). A lower proportion of proton radiotherapy was found in patients with unfavorable changes in fatigue (10/15, 66.7%) compared to all other patients undergoing radiotherapy (22/23, 95.7%, p-value 0.03).\n \n \n \n Deterioration beyond MCID was seen in approximately one-third of patients. Changes in global health status could not be predicted, but changes in fatigue may be influenced by tumor-targeted and symptomatic treatment.\n","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":"118 51","pages":""},"PeriodicalIF":4.6000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Global health status and fatigue score in IDH-mutant diffuse glioma grades 2 and 3 – A longitudinal population-based study from surgery to 12-month follow-up\",\"authors\":\"T. Gómez Vecchio, I. Rydén, A. Ozanne, M. Blomstrand, L. Carstam, A. Smits, A. Jakola\",\"doi\":\"10.1093/nop/npae017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n \\n \\n At group level, health-related quality of life (HRQoL) in patients with IDH-mutant diffuse glioma grade 2 and 3 seems to remain stable over time. However, clinical experience indicates that there are patients with unfavorable outcomes on key HRQoL subdomains. The aim of this longitudinal population-based study, following patients over a period of 12 months from surgery, was to describe individual level data on global health status and fatigue score and explore possible predictors of deterioration.\\n \\n \\n \\n All patients undergoing surgery for presumed glioma grade 2 or 3 at the Sahlgrenska University Hospital during 2017-2022, were screened for the study. Patients were invited to complete the EORTC core questionnaires and brain module at baseline, 3 and 12 months postoperatively. Data is reported with respect to minimal clinical important difference (MCID).\\n \\n \\n \\n We included 51 patients with IDH-mutant diffuse glioma grade 2 or 3. There was no difference in group level data of either global health status or fatigue score from baseline to the 12-month follow-up (p-value >0.05). Unfavorable individual changes (beyond MCID) in global health status and fatigue score were observed in 12 and in 17 patients respectively (23.5% and 33.3%). A lower proportion of proton radiotherapy was found in patients with unfavorable changes in fatigue (10/15, 66.7%) compared to all other patients undergoing radiotherapy (22/23, 95.7%, p-value 0.03).\\n \\n \\n \\n Deterioration beyond MCID was seen in approximately one-third of patients. 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Global health status and fatigue score in IDH-mutant diffuse glioma grades 2 and 3 – A longitudinal population-based study from surgery to 12-month follow-up
At group level, health-related quality of life (HRQoL) in patients with IDH-mutant diffuse glioma grade 2 and 3 seems to remain stable over time. However, clinical experience indicates that there are patients with unfavorable outcomes on key HRQoL subdomains. The aim of this longitudinal population-based study, following patients over a period of 12 months from surgery, was to describe individual level data on global health status and fatigue score and explore possible predictors of deterioration.
All patients undergoing surgery for presumed glioma grade 2 or 3 at the Sahlgrenska University Hospital during 2017-2022, were screened for the study. Patients were invited to complete the EORTC core questionnaires and brain module at baseline, 3 and 12 months postoperatively. Data is reported with respect to minimal clinical important difference (MCID).
We included 51 patients with IDH-mutant diffuse glioma grade 2 or 3. There was no difference in group level data of either global health status or fatigue score from baseline to the 12-month follow-up (p-value >0.05). Unfavorable individual changes (beyond MCID) in global health status and fatigue score were observed in 12 and in 17 patients respectively (23.5% and 33.3%). A lower proportion of proton radiotherapy was found in patients with unfavorable changes in fatigue (10/15, 66.7%) compared to all other patients undergoing radiotherapy (22/23, 95.7%, p-value 0.03).
Deterioration beyond MCID was seen in approximately one-third of patients. Changes in global health status could not be predicted, but changes in fatigue may be influenced by tumor-targeted and symptomatic treatment.
期刊介绍:
ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications.
The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.