Article

OBJECTIVES: To determine long-term cognitive complaints and symptoms of
depression or anxiety in patients following surgery for a cerebral meningioma,
and to examine factors associated with these outcomes. DESIGN: Cross-sectional
study. PATIENTS: Patients operated on for a cerebral meningioma in the University
Medical Center Utrecht, The Netherlands, between 2007 and 2009. METHODS: Clinical
data were retrieved from medical files. Patients completed a postal
questionnaire. Cognitive complaints were measured with the Cognitive Failures
Questionnaire. A score above 43.5 was defined as presence of cognitive
complaints. Anxiety and depressive symptoms were measured with the Hospital
Anxiety and Depression Scale, and were considered present if the scale score was
>/= 8. RESULTS: The response rate was 76% (n = 136). Mean time after operation
was 32.6 months (standard deviation 10.6 months). Overall, 40% of patients
experienced cognitive and/or emotional problems. Thirty-one patients (23%)
experienced cognitive complaints, 39 (29%) showed anxiety, and 31 (23%) showed
depressive symptoms. Country of birth and previous depression/burn-out were the
most important factors. Scores on all outcome measures were related to each
other. CONCLUSION: Forty percent of patients experienced cognitive or emotional
problems following surgery for a cerebral meningioma. Screening for these
problems is therefore important in order to provide patients with the care they
require as soon as possible.

Langue : ANGLAIS