Rofes Adrià, Mandonnet Emmanuel, Godden John, Baron Marie Hélène, Colle Henry, Darlix Amelie, de Aguiar Vânia, Duffau Hugues, Herbet Guillaume, Klein Martin, Lubrano Vincent, Martino Juan, Mathew Ryan, Miceli Gabriele, Moritz-Gasser Sylvie, Pallud Johan, Papagno Costanza, Rech Fabien, Robert Erik, Rutten Geert-Jan, Santarius Thomas, Satoer Djaina, Sierpowska Joanna, Smits Anja, Skrap Miran, Spena Giannantonio, Visch Evy, De Witte Elke, Zetterling Maria, Wager Michel
Global Brain Health Institute, Trinity College, Dublin, Ireland.
Trinity College Institute of Neuroscience, Trinity College, Dublin, Ireland.
Acta Neurochir (Wien). 2017 Jul;159(7):1167-1178. doi: 10.1007/s00701-017-3192-2. Epub 2017 May 4.
The European Low-Grade Glioma network indicated a need to better understand common practices regarding the managing of diffuse low-grade gliomas. This area has experienced great advances in recent years.
A general survey on the managing of diffuse low-grade gliomas was answered by 21 centres in 11 European countries. Here we focused on specific questions regarding perioperative and intraoperative cognitive assessments.
More centres referred to the same speech and language therapist and/or neuropsychologist across all assessments; a core of assessment tools was routinely used across centres; fluency tasks were commonly used in the perioperative stages, and object naming during surgery; tasks that tapped on attention, executive functions, visuospatial awareness, calculation and emotions were sparsely administered; preoperative assessments were performed 1 month or 1 week before surgery; timing for postoperative assessments varied; finally, more centres recommended early rehabilitation, whenever needed.
There is an emerging trend towards following similar practices for the management of low-grade gliomas in Europe. Our results are descriptive and formalise current discussions in our group. Also, they contribute towards the development of a European assessment protocol.
欧洲低级别胶质瘤网络指出，有必要更好地了解弥漫性低级别胶质瘤管理的常见做法。近年来，该领域取得了巨大进展。
11个欧洲国家的21个中心回答了一项关于弥漫性低级别胶质瘤管理的综合调查。在此，我们重点关注围手术期和术中认知评估的具体问题。
更多中心在所有评估中都提及同一位言语和语言治疗师及/或神经心理学家；各中心常规使用一套核心评估工具；流利性任务在围手术期和手术期间的物体命名中普遍使用；涉及注意力、执行功能、视觉空间意识、计算和情绪的任务使用较少；术前评估在手术前1个月或1周进行；术后评估时间各不相同；最后，更多中心建议在需要时尽早进行康复治疗。
欧洲在低级别胶质瘤管理方面遵循类似做法的趋势正在显现。我们的结果具有描述性，使我们小组目前的讨论形式化。此外，它们有助于制定欧洲评估方案。
