Evaluation of the quality of life in patients with meningiomas of the craniovertebral junction using a developed questionnaire in a neurosurgical clinic

V. Shimanskiy, R. A. Sultanov, D. Yusupova, V. K. Poshataev, A. Zimin, S. V. Tanyashin, A. Zaytsev, V. V. Karnaukhov, N. Suponeva
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Abstract

BACKGROUND: A validated tool for assessing the quality of life specific to a particular disease has not yet been developed. Previous studies only partially investigated the quality of life of patients with craniovertebral junction meningiomas and did not include the entire spectrum of functional disorders in this disease. AIM: To develop and validate a questionnaire to assess the quality of life of patients with craniovertebral junction meningiomas. MATERIALS AND METHODS: A retrospective and prospective study of 119 patients with craniovertebral junction meningiomas was conducted before and after surgical and combined (surgical removal of the tumor followed by radiation therapy) treatment using a validated questionnaire developed. RESULTS: A quality of life questionnaire for patients with craniovertebral junction meningiomas was developed and validated. Determining the internal consistency of the scale showed that the Cronbach alpha coefficient was α=0.78 (p 0.001), confirming its sufficient level. In analyzing the sensitivity of the questionnaire, the estimates before and after surgery did not differ significantly (p=0.62, t-criterion). CONCLUSIONS: This study developed the first quality of life questionnaire worldwide for patients with craniovertebral junction meningiomas. In summary, this questionnaire is not able to reflect the dynamics of the quality of life.
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使用神经外科诊所编制的调查问卷评估颅椎体交界处脑膜瘤患者的生活质量
背景:目前尚未开发出评估特定疾病生活质量的有效工具。以往的研究仅对颅椎交界脑膜瘤患者的生活质量进行了部分调查,并未包括该疾病的所有功能障碍。目的:开发并验证评估颅椎间隙脑膜瘤患者生活质量的问卷。材料与方法:使用一份经过验证的调查问卷,对119名颅椎交界脑膜瘤患者进行了手术治疗和联合治疗(手术切除肿瘤,然后进行放射治疗)前后的回顾性和前瞻性研究。结果:为颅椎交界脑膜瘤患者开发并验证了一份生活质量问卷。量表的内部一致性测定结果显示,Cronbach α系数为α=0.78(P 0.001),证实了量表的充分性。在分析问卷的敏感性时,手术前后的估计值没有显著差异(p=0.62,t 标准)。结论:本研究为颅椎交界脑膜瘤患者编制了全球首份生活质量调查问卷。总之,该问卷无法反映生活质量的动态变化。
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