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Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms.
Backes, Daan; Rinkel, Gabriel J E; van der Schaaf, Irene C; Nij Bijvank, Jenny A; Verweij, Bon H; Visser-Meily, Johanna M A; Post, Marcel W; Algra, Ale; Vergouwen, Mervyn D I.
Affiliation
  • Backes D; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Rinkel GJ; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • van der Schaaf IC; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Nij Bijvank JA; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Verweij BH; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Visser-Meily JM; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Post MW; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Algra A; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
  • Vergouwen MD; From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., G.J.E.R., J.A.N.B., B.H.V., A.A., M.D.I.V.), Department of Radiology (I.C.v.d.S.), and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, the Netherlands; and Cent
Stroke ; 46(6): 1607-12, 2015 Jun.
Article in En | MEDLINE | ID: mdl-25922514
ABSTRACT
BACKGROUND AND

PURPOSE:

The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to balance the pros and cons of preventive aneurysm occlusion.

METHODS:

We sent a questionnaire on time-to-recovery to preintervention functioning and return-to-work and life satisfaction to patients treated for an unruptured aneurysm between 2000 and 2013. Changes in life satisfaction before treatment, during recovery, and at follow-up were assessed with Wilcoxon signed-rank tests.

RESULTS:

The questionnaire was sent to 159 patients of whom 110 (69%) responded. The mean follow-up time after aneurysm treatment was 6 years (SD 4). Fifty-four patients had endovascular and 56 had microsurgical occlusion. Complete recovery to preintervention functioning was reported by 81% (95% confidence interval [CI], 74-88) of patients, with a median time-to-recovery of 3 months (range 0-48). Complete work recovery was reported by 78% (95% CI, 66-87) of patients. The proportion of patients with high life satisfaction reduced from 76% (95% CI, 67-84) before treatment to 52% (95% CI, 43-61) during the period of recovery (P<0.01) and restored largely at long-term follow-up (67% [95% CI, 59-76], P=0.08).

CONCLUSION:

Life satisfaction is significantly reduced during the period of recovery after treatment of unruptured aneurysms. In the long-term, ≈1 out of 5 patients reports incomplete recovery. These treatment effects should be kept in mind when considering preventive aneurysm treatment. Prospective studies are needed to better compare these losses in patients treated for unruptured aneurysms with those who had subarachnoid hemorrhage.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Intracranial Aneurysm / Surveys and Questionnaires / Recovery of Function / Return to Work Type of study: Observational_studies / Prognostic_studies Aspects: Patient_preference Limits: Female / Humans / Male / Middle aged Language: En Journal: Stroke Year: 2015 Document type: Article
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Intracranial Aneurysm / Surveys and Questionnaires / Recovery of Function / Return to Work Type of study: Observational_studies / Prognostic_studies Aspects: Patient_preference Limits: Female / Humans / Male / Middle aged Language: En Journal: Stroke Year: 2015 Document type: Article