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Clinical Outcome Assessments of motor status in patients undergoing brain tumor surgery
Clinical Neurology and Neurosurgery ( IF 1.9 ) Pub Date : 2021-02-01 , DOI: 10.1016/j.clineuro.2020.106420
Mayla Santana Correia 1 , Iuri Santana Neville 2 , Cesar Cimonari de Almeida 3 , Cintya Yukie Hayashi 3 , Luana Talita Diniz Ferreira 4 , Danilo Gomes Quadros 3 , Alexandra Gomes Dos Santos 5 , Davi Jorge Fontoura Solla 3 , Gustavo Nader Marta 6 , Manoel Jacobsen Teixeira 7 , Wellingson Silva Paiva 8
Affiliation  

INTRODUCTION Clinical outcome assessment (COA) is an important instrument for testing the effectiveness of treatments and for supporting healthcare professionals on decision-making. This review aims to assess the use of COAs, and the evaluation time points of motor status in patients with brain tumor (BT) undergoing surgery. METHODS We performed a scoping review through MEDLINE, EMBASE, and LILACS databases, looking for original studies in primary or secondary BT, having motor function status as the primary outcome. EXCLUSION CRITERIA mixed sample, BT recurrence, and an unspecific description of motor deficits evaluation. RESULTS Nine studies met the eligibility criteria. There were 449 patients assessed. A total of 18 scales evaluated these BT patients, 12 performance outcomes measures (PerfO) tested motor function. Four scales were the clinician-reported outcome measures (ClinRO) found in this review, two assessed performance status, and two rated ambulation. Two patient-reported outcome measures (PRO) appraised functionality. CONCLUSIONS A variety of instruments were used to assess BT patients. Rehabilitation studies are more likely to associate the use of PerfO and PRO concerning motor and functional status. The use of specific validated scales to the BT population was rare. The lack of a standardized approach hampers the quality of BT patient's assessment.

中文翻译:

脑肿瘤手术患者运动状态的临床结果评估

简介 临床结果评估 (COA) 是测试治疗有效性和支持医疗保健专业人员进行决策的重要工具。本综述旨在评估 COA 的使用,以及接受手术的脑肿瘤 (BT) 患者运动状态的评估时间点。方法 我们通过 MEDLINE、EMBASE 和 LILACS 数据库进行了范围审查,寻找以运动功能状态作为主要结果的原发性或继发性 BT 的原始研究。排除标准混合样本、BT 复发和运动缺陷评估的非特异性描述。结果 九项研究符合资格标准。评估了 449 名患者。共有 18 个量表评估了这些 BT 患者,12 个性能结果测量 (PerfO) 测试了运动功能。四个量表是本次审查中发现的临床医生报告的结果测量 (ClinRO)、两个评估的体能状态和两个评估的步行。两个患者报告的结果测量 (PRO) 评估功能。结论 多种仪器用于评估 BT 患者。康复研究更有可能将 PerfO 和 PRO 的使用与运动和功能状态相关联。对 BT 人群使用经过验证的特定量表很少见。缺乏标准化方法阻碍了 BT 患者评估的质量。康复研究更有可能将 PerfO 和 PRO 的使用与运动和功能状态相关联。对 BT 人群使用经过验证的特定量表很少见。缺乏标准化方法阻碍了 BT 患者评估的质量。康复研究更有可能将 PerfO 和 PRO 的使用与运动和功能状态相关联。对 BT 人群使用经过验证的特定量表很少见。缺乏标准化方法阻碍了 BT 患者评估的质量。
更新日期:2021-02-01
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