Evidence map›Paper›PMID 38270649›Full record

ArticleActa neurochirurgica2024

Quality of life in patients after vestibular schwannoma surgery.

Jan Lazak, Jan Betka, Eduard Zverina, Ales Vlasak, Marketa Bonaventurova, Zuzana Balatkova, Martin Kana, Zdenek Fik

Open access · hybridAbstract read
In one paragraph

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Radicality and revision surgery in vestibular schwannoma treatment: balancing optimal outcomes with unavoidable necessity.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. No surgery, but headache exists? Quality of life with vestibular schwannoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jan LazakDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Jan BetkaDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Eduard ZverinaDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Ales VlasakDepartment of Neurosurgery for Children and Adults, Second Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Marketa BonaventurovaDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Zuzana BalatkovaDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Martin KanaDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
Zdenek FikDepartment of Otorhinolaryngology and Head and Neck Surgery, Charles University, First Faculty of Medicine, University Hospital Motol, Prague, Czech Republic. zdenek.fik@fnmotol.cz.ORCID 0000-0003-4243-9727
Charles University · CZUniversity Hospital in Motol · CZ

Funding

Agentura Pro Zdravotnický Výzkum České Republiky NV19-06-00189Agentura Pro Zdravotnický Výzkum České Republiky NV20-08-00311Grantová Agentura České Republiky GAČR No. 19-08241SGrantová Agentura, Univerzita Karlova GAUK No. 874120
6 · The paper itself

Abstract

aimTo evaluate the most important factors of quality of life in patients after vestibular schwannoma surgery. MATERIALS AND

methodsPatients with unilateral sporadic occurrence of vestibular schwannoma who underwent surgery via suboccipital-retrosigmoid approach were included in the prospective study (2018-2021). Patients after previous Leksell gamma knife irradiation (or other methods of stereotactic radiosurgery) were excluded. Quality of life was assessed using 10 validated questionnaires that were distributed preoperatively, 3 months and 1 year after the surgery.

resultsA total of 76 patients were included in the study, complete data were analysed in 43 of them (response rate 57%). Grade III and IV represented up to 70% of all tumors. Patients with larger tumors had a significantly higher risk of postoperative facial nerve paresis, liquorrhea and lower probability of hearing preservation. Patients with smaller tumors and those, who suffered from headaches before surgery had more frequent and severe headaches after surgery. Postoperative headaches were associated with higher incidence of anxiety and tinnitus. More frequent anxiety was also identified in patients with preoperative serviceable hearing who became deaf after surgery. Nevertheless, tinnitus and hearing impairment appeared to have less impact on overall quality of life compared to headaches and facial nerve function.

conclusionAccording to our results, tumor size, postoperative function of the facial nerve and occurrence of postoperative headaches had the greatest influence on the overall postoperative quality of life in patients after vestibular schwannoma surgery.

Indexed as

Neuroma, AcousticTinnitusHeadacheHumansProspective StudiesQuality of LifeQuality of lifeQuestionnaireSurgeryVestibular schwannoma

Identifiers

PMID38270649
PMCPMC10810939
OpenAlexW4391227275

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.