Sierpowska Joanna, Rofes Adrià, Dahlslätt Kristoffer, Mandonnet Emmanuel, Ter Laan Mark, Połczyńska Monika, Hamer Philip De Witt, Halaj Matej, Spena Giannantonio, Meling Torstein R, Motomura Kazuya, Reyes Andrés Felipe, Campos Alexandre Rainha, Robe Pierre A, Zigiotto Luca, Sarubbo Silvio, Freyschlag Christian F, Broen Martijn P G, Stranjalis George, Papadopoulos Konstantinos, Liouta Evangelia, Rutten Geert-Jan, Viegas Catarina Pessanha, Silvestre Ana, Perrote Federico, Brochero Natacha, Cáceres Cynthia, Zdun-Ryżewska Agata, Kloc Wojciech, Satoer Djaina, Dragoy Olga, Hendriks Marc P H, Alvarez-Carriles Juan C, Piai Vitória
Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Department of Neurolinguistics, University of Groningen, Groningen, the Netherlands.
Neurooncol Pract. 2022 Apr 4;9(4):328-337. doi: 10.1093/nop/npac029. eCollection 2022 Aug.
People with gliomas need specialized neurosurgical, neuro-oncological, psycho-oncological, and neuropsychological care. The role of language and cognitive recovery and rehabilitation in patients' well-being and resumption of work is crucial, but there are no clear guidelines for the ideal timing and character of assessments and interventions. The goal of the present work was to describe representative (neuro)psychological practices implemented after brain surgery in Europe.
An online survey was addressed to professionals working with individuals after brain surgery. We inquired about the assessments and interventions and the involvement of caregivers. Additionally, we asked about recommendations for an ideal assessment and intervention plan.
Thirty-eight European centers completed the survey. Thirty of them offered at least one postsurgical (neuro)psychological assessment, mainly for language and cognition, especially during the early recovery stage and at long term. Twenty-eight of the participating centers offered postsurgical therapies. Patients who stand the highest chances of being included in evaluation and therapy postsurgically are those who underwent awake brain surgery, harbored a low-grade glioma, or showed poor recovery. Nearly half of the respondents offer support programs to caregivers, and all teams recommend them. Treatments differed between those offered to individuals with low-grade glioma vs those with high-grade glioma. The figure of caregiver is not yet fully recognized in the recovery phase.
We stress the need for more complete rehabilitation plans, including the emotional and health-related aspects of recovery. In respondents' opinions, assessment and rehabilitation plans should also be individually tailored and goal-directed (eg, professional reinsertion).
胶质瘤患者需要专业的神经外科、神经肿瘤学、心理肿瘤学和神经心理学护理。语言和认知恢复及康复对患者的幸福感和恢复工作起着至关重要的作用，但对于评估和干预的理想时机及特点，尚无明确的指导方针。本研究的目的是描述欧洲脑手术后实施的代表性（神经）心理学实践。
针对脑手术后患者的专业人员开展了一项在线调查。我们询问了评估和干预措施以及护理人员的参与情况。此外，我们还询问了理想评估和干预计划的建议。
38个欧洲中心完成了调查。其中30个中心至少提供了一项术后（神经）心理学评估，主要针对语言和认知，尤其是在早期恢复阶段和长期。28个参与中心提供了术后治疗。术后最有可能被纳入评估和治疗的患者是那些接受清醒开颅手术、患有低级别胶质瘤或恢复较差的患者。近一半的受访者为护理人员提供支持项目，所有团队都推荐这些项目。低级别胶质瘤患者和高级别胶质瘤患者接受的治疗有所不同。护理人员在恢复阶段的作用尚未得到充分认可。
我们强调需要更完善的康复计划，包括恢复过程中的情感和健康相关方面。在受访者看来，评估和康复计划也应根据个体情况量身定制并以目标为导向（例如职业再融入）。
