gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

Assessment of psychosocial support and unmet needs in glioma patients using the patients' perspective questionnaire – Results of 232 patients as part of the prospective multicenter "ERASMUS II" study

Meeting Abstract

  • Heike Lahr - Neurochirurgische Klinik, Universitätsmedizin Mainz, Mainz, Deutschland
  • Susanne Singer - Institut für Epidemiologie und Versorgungsforschung, Universitätsmedizin Mainz, Mainz, Deutschland
  • Elke Weimann - Neurologische Klinik, Klinikum Ludwigsburg, Ludwigsburg, Deutschland
  • Florian Ringel - Neurochirurgische Klinik, Universitätsmedizin Mainz, Mainz, Deutschland
  • Christian Rainer Wirtz - Neurochirurgische Klinik, Universitätsklinikum Ulm, Ulm, Deutschland
  • Mirjam Renovanz - Universitätsmedizin Mainz, Neurochirurgische Klinik, Mainz, Deutschland
  • Jan Coburger - Neurochirurgische Klinik, Universitätsklinikum Ulm, Ulm, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMi.22.03

doi: 10.3205/17dgnc514, urn:nbn:de:0183-17dgnc5149

Published: June 9, 2017

© 2017 Lahr et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Objective: To assess unmet needs of glioma patients and to evaluate received and requested psychosocial support by the patient’s perspective questionnaire (PPQ) a patient reported outcome measure, applied for the first time in glioma patients.

Methods: We used a multicentre prospective design. Neuro-oncological patients were assessed consecutively within their outpatient visits using the self-administered PPQ. The first 9 items assess psychosocial distress by 5 step Likert-scales and support requested by the patient. The next 10 items assess provided support and its subjective benefit. Last 7 items record support requested currently by the patients (caregivers, relatives, physician etc.). We performed descriptive statistics.

Results: We included 232 patients. 82% were high-grade gliomas. M:f ratio was1.25:1. Mean age was 52 years (range 20-87yrs). We observed that 38% (87) of patients felt depressed. 44% (103) showed signs of anxiety. 39% (91) reported to feel tense/nervous. 57% (133) were emotionally distressed by the disease at a higher level. 77% (180) of patients felt sufficiently supported. But only 59% (138) reported to be thoroughly informed about the disease and therapy options. Patients’ reported support was highest among family (75%) and physicians (68%). Both were classified as helpful in 87%. Only 13% were supported by a psychologist and 5% by a dietitian. Desired support was highest from physicians (59%), psychologists (19%) and dietitians (15%).

Conclusion: Glioma patients report a high level of psychological distress and need for support. Physicians play a crucial role in these patients’ care. While the majority of them seems sufficiently supported, it is our task to detect the remaining almost 20% that are not. The PPQ screening instrument allows to evaluating the psychosocial support perceived by the patients, to detect supportive care needs and provide this information to the caregiver at a glance.