Department for Small Animals and Horses, Small Animal Surgery, University of Veterinary Medicine Vienna, Vienna, Austria.
Bioinformatics and Biostatistics Platform, Department of Biomedical Sciences, University of Veterinary Medicine Vienna, Vienna, Austria.
J Feline Med Surg. 2023 Oct;25(10):1098612X231194425. doi: 10.1177/1098612X231194425.
The present study aimed to evaluate the postoperative quality of life (QOL) after surgery for the treatment of intracranial meningioma in cats.
The study included 14 cases that underwent craniotomy from May 2009 to March 2021. Owners were contacted via telephone after a median time of 967 (range 227-4209) days after surgery and surveyed with a specially designed questionnaire that consisted of three domains, subdivided into different items. Physical behaviour, including general condition, food intake, mobility and overall impression, was evaluated from 0, reflecting the worst status, to 10, reflecting the best. The development of preoperative existing clinical signs, seizures and concurrent medication were evaluated individually for each patient. The time span necessary for the improvement of each item was recorded. Finally, satisfaction about the decision for surgery was ranked from 0 to 10.
Thirteen questionnaires were completed. Three cats were evaluated twice owing to revision surgery. Owners reported a statistically significant ( <0.001) improvement from immediately after the operation to 240 days after surgery. Preoperative clinical signs resolved in 95% of cases. All questioned owners would opt for surgery again.
QOL after surgery for intracranial meningioma in cats seems encouraging regarding our study. Nevertheless, limitations, such as small sample size, recall bias, lack of a control group and validation of the questionnaire, need to be kept in mind when interpreting the results.
本研究旨在评估颅内脑膜瘤手术后猫的生活质量(QOL)。
本研究纳入了 2009 年 5 月至 2021 年 3 月期间接受开颅手术的 14 例病例。在手术后中位数时间为 967(范围 227-4209)天,通过电话联系主人,并使用专门设计的问卷进行调查,问卷包括三个领域,分为不同的项目。身体行为,包括一般状况、食物摄入、运动能力和总体印象,从 0(反映最差状态)到 10(反映最佳状态)进行评估。评估每个患者术前存在的临床症状、癫痫发作和同时使用的药物的变化情况。记录每个项目改善所需的时间。最后,根据手术决策对满意度进行 0-10 的评分。
完成了 13 份问卷。由于进行了翻修手术,有 3 只猫被评估了两次。主人报告说,从手术后立即到 240 天,有统计学意义( <0.001)的改善。95%的病例术前临床症状得到缓解。所有接受询问的主人都会再次选择手术。
就我们的研究而言,颅内脑膜瘤手术后猫的生活质量似乎令人鼓舞。然而,在解释结果时,需要注意一些局限性,如样本量小、回忆偏倚、缺乏对照组和问卷验证。