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70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

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Return to work and quality of life after surgical treatment and conservative management of patients with intramedullary spinal cord ependymoma

Arbeitsfähigkeit und Lebensqualität nach operativer und konservativer Therapie von intramedullären Ependymomen

Meeting Abstract

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  • presenting/speaker Bedjan Behmanesh - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Florian Geßler - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Sae-Yeon Won - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Johanna Quick-Weller - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Daniel Dubinski - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Lioba Imöhl - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Volker Seifert - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland
  • Gerhard Marquardt - Universitätsklinikum Frankfurt, Neurochirurgie, Frankfurt am Main, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocV268

doi: 10.3205/19dgnc287, urn:nbn:de:0183-19dgnc2879

Veröffentlicht: 8. Mai 2019

© 2019 Behmanesh et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: The diagnosis of intramedullary spinal cord ependymoma and the subsequent therapy are mostly associated with a massive impact in daily life, independency and ability to work. Aim of the study is to compare surgery and conservative management focusing on quality of life and ability to return to work in patients with intramedullary spinal cord ependymoma.

Methods: Retrospective, single center review of all patients with intramedullary spinal cord ependymoma, who underwent surgery or were treated conservatively between 1980 and 2017. The neurological status at first presentation, as well as in long-term follow-up, were assessed using the modified McCormick Disability Scale and modified Rankin Scale.

Results: The study population consisted of 56 patients, 23 (41%) were managed conservatively and 33 (59%) underwent microsurgical resection. Within the first admission 18 of conservatively treated and 28 of surgically treated patients were employed, p=0.7. At the last follow-up 15 (83%) of conservatively and 10 (36%) of surgically treated patients returned to work, p=0.002. The median modified McCormick score in both group (conservative vs. surgery) was at admission 1 vs. 1, p=1.0 and at last follow up 1 vs. 2.5, p=0.001.

The quality of life in the surgical group was significantly reduced at last follow up as assessed by the modified Rankin Scale (mRs score of 0–2) at admission 100% vs. 100 % and last follow-up 94% vs. 57%, p=0.007.

Conclusion: In our investigated study population, conservatively managed patients revealed a significantly better quality of life and were more often able to return to work.