TY - JOUR A1 - Gugel, Isabel A1 - Grimm, Florian A1 - Hartjen, Philip A1 - Breun, Maria A1 - Zipfel, Julian A1 - Liebsch, Marina A1 - Löwenheim, Hubert A1 - Ernemann, Ulrike A1 - Kluwe, Lan A1 - Mautner, Victor-Felix A1 - Tatagiba, Marcos A1 - Schuhmann, Martin Ulrich T1 - Risk stratification for immediate postoperative hearing loss by preoperative BAER (brainstem auditory evoked response) and audiometry in NF2-associated vestibular schwannomas JF - Cancers N2 - Both brainstem auditory evoked potentials (BAEP) and audiometry play a crucial role in neuro-oncological treatment decisions in Neurofibromatosis Type 2 associated (NF2) vestibular schwannoma (VS) as hearing preservation is the major goal. In this study, we investigated the risk of immediate postoperative hearing deterioration (>15 dB and/or 15% loss in pure-tone average [PTA]/ speech discrimination score [SDS] in a cohort of 100 operated VS (ears) in 72 NF2 patients by retrospective analysis of pre- and postoperative hearing data (PTA, SDS, American Association of Otolaryngology–Head and Neck Surgery [AAO-HNS], and brainstem auditory evoked potential [BAEP] class) taking into account relevant influencing factors, particularly preoperative audiometry and BAEP status and the extent of resection. Immediately after surgery, the hearing was preserved in 73% of ears and approximately ~60% of ears kept their hearing classes. Preoperative BAEP (p = 0.015) and resection amount (p = 0.048) significantly influenced postoperative hearing outcome. The prediction model for postoperative hearing deterioration/loss between preoperative BAEP and AAO-HNS class showed increased risk by increasing BAEP class. Twenty-one tumors/ears were identified with large BAEP and AAO-HNS class discrepancies (≥2 points) and were associated with a high (48–100%) risk of deafness after surgery in ears with preoperative available hearing. Overall, the results were heterogeneous but the better both BAEP and audiometry class before surgery, the higher the chance of hearing maintenance afterwards. Large resection amounts (e.g., 100% risk in near-total resections) exhibit a significant (p < 0.05) higher risk compared to smaller amounts (e.g., 10/20% in laser-coagulated/partially resected tumors). Our results emphasized the indispensable role of both hearing monitoring in form of audiometry and neurophysiology (BAEP) in the pre-and perioperative monitoring of NF2-associated VS. Both BAEP and audiometry are good prognostic markers for the postoperative hearing outcome. The extent of resection should be strictly guided by and adjusted to the intraoperative neurophysiological monitoring. KW - hearing preservation KW - neurofibromatosis type 2 KW - vestibular schwannoma KW - audiometry KW - brainstem auditory evoked potentials Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-234165 SN - 2072-6694 VL - 13 IS - 6 ER - TY - JOUR A1 - Fröhlich, Ellen A1 - Sassenrath, Claudia A1 - Nadji-Ohl, Minou A1 - Unteroberdörster, Meike A1 - Rückriegel, Stefan A1 - Brelie, Christian von der A1 - Roder, Constantin A1 - Forster, Marie-Therese A1 - Schommer, Stephan A1 - Löhr, Mario A1 - Pala, Andrej A1 - Goebel, Simone A1 - Mielke, Dorothee A1 - Gerlach, Rüdiger A1 - Renovanz, Mirjam A1 - Wirtz, Christian Rainer A1 - Onken, Julia A1 - Czabanka, Marcus A1 - Tatagiba, Marcos Soares A1 - Rohde, Veit A1 - Ernestus, Ralf-Ingo A1 - Vajkoczy, Peter A1 - Gansland, Oliver A1 - Coburger, Jan T1 - Resilience in lower grade glioma patients JF - Cancers N2 - Current data show that resilience is an important factor in cancer patients’ well-being. We aim to explore the resilience of patients with lower grade glioma (LGG) and the potentially influencing factors. We performed a cross-sectional assessment of adult patients with LGG who were enrolled in the LoG-Glio registry. By phone interview, we administered the following measures: Resilience Scale (RS-13), distress thermometer, Montreal Cognitive Assessment Test for visually impaired patients (MoCA-Blind), internalized stigmatization by brain tumor (ISBI), Eastern Cooperative Oncological Group performance status (ECOG), patients’ perspective questionnaire (PPQ) and typical clinical parameters. We calculated correlations and multivariate regression models. Of 74 patients who were assessed, 38% of those showed a low level of resilience. Our results revealed significant correlations of resilience with distress (p < 0.001, −0.49), MOCA (p = 0.003, 0.342), ECOG (p < 0.001, −0.602), stigmatization (p < 0.001, −0.558), pain (p < 0.001, −0.524), and occupation (p = 0.007, 0.329). In multivariate analyses, resilience was negatively associated with elevated ECOG (p = 0.020, β = −0.383) and stigmatization levels (p = 0.008, β = −0.350). Occupation showed a tendency towards a significant association with resilience (p = 0.088, β = −0.254). Overall, low resilience affected more than one third of our cohort. Low functional status is a specific risk factor for low resilience. The relevant influence of stigmatization on resilience is a novel finding for patients suffering from a glioma and should be routinely identified and targeted in clinical routine. KW - resilience KW - lower grade glioma KW - diffuse astrocytoma KW - oligodendroglioma KW - RS-13 KW - distress KW - internalized stigmatization KW - ISBI KW - occupation KW - pain Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-297518 SN - 2072-6694 VL - 14 IS - 21 ER -