Article Text

other Versions

PDF
Improvement of quality-of-life in patients surgically treated for asymptomatic unruptured intracranial aneurysms
  1. Shigeo Yamashiro (khc04160{at}nifty.com)
  1. Kumamoto Rosai Hospital, Japan
    1. Toru Nishi
    1. Saiseikai Kumamoto Hospital, Japan
      1. Kazunari Koga
      1. Saiseikai Kumamoto Hospital, Japan
        1. Tomoaki Goto
        1. Saiseikai Kumamoto Hospital, Japan
          1. Masatomo Kaji
          1. Saiseikai Kumamoto Hospital, Japan
            1. Daisuke Muta
            1. Saiseikai Kumamoto Hospital, Japan
              1. Jun-ichi Kuratsu
              1. Kumamoto University Graduate School of Medicine, Japan
                1. Shodo Fujioka
                1. Saiseikai Kumamoto Hospital, Japan

                  Abstract

                  Objectives: The aim of this study was to compare the pre- and postoperative health-related quality-of-life (QOL) and psychological state of patients with asymptomatic unruptured intracranial aneurysms (ICAs) who underwent elective surgery.

                  Methods: Of 67 patients who underwent neck clipping of ICAs, we assessed the QOL of 61 patients using Short Form-36 (SF-36); their psychological state was rated on the Hospital Anxiety and Depression Scale (HADS) before, 3 months, and 1- and 3 years after treatment.

                  Results: The preoperative mean scores for each of the 8 SF-36 domains except bodily pain were significantly lower in the study- than the reference population. Fourteen patients (20.9%) experienced surgical complications defined as neurological deterioration and/or abnormal CT findings within 30 days of the operation. Despite some complications, the QOL of all operated patients returned to the mean level of the reference population 3 years post-treatment. At 3 months after surgery, the scores for psychosocial activities and general health perception were transiently below the preoperative levels. According to the HADS, the patients experienced mild anxiety before the operation; it disappeared by the 3rd postoperative month.

                  Conclusions: Preoperatively, patients with unruptured ICAs reported a significantly decreased QOL. It further declined transiently after elective surgery but within 3 years it returned to the mean level recorded for the reference population. Our findings suggest that these patients derived significant QOL benefits from their surgery. We therefore propose that subjective QOL issues should be considered in deciding whether treatment-related risks and their natural history such as their potential rupture, warrant surgery of asymptomatic unruptured ICAs.

                  • HADS
                  • SF-36
                  • anxiety
                  • quality-of-life
                  • unruptured intracranial aneurysm

                  Statistics from Altmetric.com

                  Request permissions

                  If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.