Psycho-socio-economic outcomes in acoustic neuroma patients and their carers related to tumour size
Authors: Pritchard, C., Clapham, L., Davis, A., Lang, D.A. and Neil-Dwyer, G.
Journal: Clinical Otolaryngology and Allied Sciences
Volume: 29
Issue: 4
Pages: 324-330
ISSN: 0307-7772
DOI: 10.1111/j.1365-2273.2004.00822.x
Abstract:The objective was to explore psycho-socio-economic outcomes of a 2-year cohort of patients having surgery for an acoustic neuroma, and carers and their relationship to tumour size after surgery. The Wessex Patient Carer Questionnaire was designed in conjunction with Patients and Carers, to determine psycho-socio-economic outcomes. The results were juxtaposed against clinical profiles. The House-Brackman (HB) scale was used to assess facial function at 6 and 12 months after operation. The cohort contained 102 patients. There were 87% effective responders. Half were aged below 54 years and 30% had school-aged children. The majority (93%) of patients were operated via the translabyrinthine approach. Patients with large tumours, i.e. greater than 3 cm (28%), had most post-treatment physical problems, including hearing and balance difficulties, and 42% reported difficulty eating in public. Thirty-four per cent felt 'stressed' and 18% 'depressed'. After 6 months, facial function was recorded as HB scale 5/6 in 21% of patients but by 1 year only 8% of patients were HB 5/6. Patients and carers were generally very satisfied with their in-patient neurosurgical care, but significantly dissatisfied with post-discharge care - particularly the shortcoming of the community services. The majority of families felt 'unsupported' and only 20% of patients had confidence in their General Practitioner's knowledge. Families faced severe socio-economic disruption and patients' 'time-off-work' was estimated to cost £954 000. Carers carried considerable post-discharge psychological burdens and costs to the public purse were calculated to be £52 400.
Source: Scopus
Psycho-socio-economic outcomes in acoustic neuroma patients and their carers related to tumour size.
Authors: Pritchard, C., Clapham, L., Davis, A., Lang, D.A. and Neil-Dwyer, G.
Journal: Clin Otolaryngol Allied Sci
Volume: 29
Issue: 4
Pages: 324-330
ISSN: 0307-7772
DOI: 10.1111/j.1365-2273.2004.00822.x
Abstract:The objective was to explore psycho-socio-economic outcomes of a 2-year cohort of patients having surgery for an acoustic neuroma, and carers and their relationship to tumour size after surgery. The Wessex Patient Carer Questionnaire was designed in conjunction with Patients and Carers, to determine psycho-socio-economic outcomes. The results were juxtaposed against clinical profiles. The House-Brackman (HB) scale was used to assess facial function at 6 and 12 months after operation. The cohort contained 102 patients. There were 87% effective responders. Half were aged below 54 years and 30% had school-aged children. The majority (93%) of patients were operated via the translabyrinthine approach. Patients with large tumours, i.e. greater than 3 cm (28%), had most post-treatment physical problems, including hearing and balance difficulties, and 42% reported difficulty eating in public. Thirty-four per cent felt 'stressed' and 18%'depressed'. After 6 months, facial function was recorded as HB scale 5/6 in 21% of patients but by 1 year only 8% of patients were HB 5/6. Patients and carers were generally very satisfied with their in-patient neurosurgical care, but significantly dissatisfied with post-discharge care - particularly the shortcoming of the community services. The majority of families felt 'unsupported' and only 20% of patients had confidence in their General Practitioner's knowledge. Families faced severe socio-economic disruption and patients"time-off-work' was estimated to cost pound 954,000. Carers carried considerable post-discharge psychological burdens and costs to the public purse were calculated to be pound 52,000.
Source: PubMed
Psycho-socio-economic outcomes in acoustic neuroma patients and their carers related to tumour size
Authors: Pritchard, C., Clapham, L., Davis, A., Lang, D.A. and Neil-Dwyer, G.
Journal: CLINICAL OTOLARYNGOLOGY
Volume: 29
Issue: 4
Pages: 324-330
ISSN: 0307-7772
DOI: 10.1111/j.1365-2273.2004.00822.x
Source: Web of Science (Lite)
Psycho-socio-economic outcomes in acoustic neuroma patients and their carers related to tumour size
Authors: Pritchard, C., Clapham, L., Davis, A., Lang, D.A. and Neil-Dwyer, G.
Journal: Clinical Otolaryngology & Allied Sciences
Volume: 29
Pages: 324-330
ISSN: 0307-7772
DOI: 10.1111/j.1365-2273.2004.00822.x
Abstract:The objective was to explore psycho-socio-economic outcomes of a 2-year cohort of patients having surgery for an acoustic neuroma, and carers and their relationship to tumour size after surgery. The Wessex Patient Carer Questionnaire was designed in conjunction with Patients and Carers, to determine psycho-socio-economic outcomes. The results were juxtaposed against clinical profiles. The House–Brackman (HB) scale was used to assess facial function at 6 and 12 months after operation. The cohort contained 102 patients. There were 87% effective responders. Half were aged below 54 years and 30% had school-aged children. The majority (93%) of patients were operated via the translabyrinthine approach. Patients with large tumours, i.e. greater than 3 cm (28%), had most post-treatment physical problems, including hearing and balance difficulties, and 42% reported difficulty eating in public. Thirty-four per cent felt ‘stressed’ and 18%‘depressed’. After 6 months, facial function was recorded as HB scale 5/6 in 21% of patients but by 1 year only 8% of patients were HB 5/6. Patients and carers were generally very satisfied with their in-patient neurosurgical care, but significantly dissatisfied with post-discharge care – particularly the shortcoming of the community services. The majority of families felt ‘unsupported’ and only 20% of patients had confidence in their General Practitioner's knowledge. Families faced severe socio-economic disruption and patients’‘time-off-work’ was estimated to cost £954 000. Carers carried considerable post-discharge psychological burdens and costs to the public purse were calculated to be £52 400. [ABSTRACT FROM AUTHOR]
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Source: Manual
Psycho-socio-economic outcomes in acoustic neuroma patients and their carers related to tumour size.
Authors: Pritchard, C., Clapham, L., Davis, A., Lang, D.A. and Neil-Dwyer, G.
Journal: Clinical otolaryngology and allied sciences
Volume: 29
Issue: 4
Pages: 324-330
eISSN: 1365-2273
ISSN: 0307-7772
DOI: 10.1111/j.1365-2273.2004.00822.x
Abstract:The objective was to explore psycho-socio-economic outcomes of a 2-year cohort of patients having surgery for an acoustic neuroma, and carers and their relationship to tumour size after surgery. The Wessex Patient Carer Questionnaire was designed in conjunction with Patients and Carers, to determine psycho-socio-economic outcomes. The results were juxtaposed against clinical profiles. The House-Brackman (HB) scale was used to assess facial function at 6 and 12 months after operation. The cohort contained 102 patients. There were 87% effective responders. Half were aged below 54 years and 30% had school-aged children. The majority (93%) of patients were operated via the translabyrinthine approach. Patients with large tumours, i.e. greater than 3 cm (28%), had most post-treatment physical problems, including hearing and balance difficulties, and 42% reported difficulty eating in public. Thirty-four per cent felt 'stressed' and 18%'depressed'. After 6 months, facial function was recorded as HB scale 5/6 in 21% of patients but by 1 year only 8% of patients were HB 5/6. Patients and carers were generally very satisfied with their in-patient neurosurgical care, but significantly dissatisfied with post-discharge care - particularly the shortcoming of the community services. The majority of families felt 'unsupported' and only 20% of patients had confidence in their General Practitioner's knowledge. Families faced severe socio-economic disruption and patients"time-off-work' was estimated to cost pound 954,000. Carers carried considerable post-discharge psychological burdens and costs to the public purse were calculated to be pound 52,000.
Source: Europe PubMed Central