A prospective evaluation of health-related quality of life after skull base re-irradiation Academic Article uri icon

abstract

  • Purpose

    To report cancer control outcomes and health-related quality of life (HRQoL) outcomes after highly conformal skull-based re-irradiation (re-RT).

    Methods

    Patients planned for curative intent re-RT to a recurrent or new skull base tumor were enrolled. HRQoL were assessed using the MD Anderson Symptom Inventory Brain Tumor (MDASI-BT) and the anterior skull base surgery quality of life (ASBQ) questionnaires.

    Results

    Thirty-nine patients were treated with stereotactic body RT or intensity modulated RT. Median follow-up was 14 months. Progression free survival was 71% at 1-year. There was mild clinically significant worsening of fatigue, lack of appetite and drowsiness (MDASI-BT), and physical function (ASBQ) at the end of RT, followed by recovery to baseline on subsequent follow-ups. Subjective emotions were clinically improved at 12 months, with patients reporting feeling less tense/nervous.

    Conclusion

    Conformal skull base re-RT is associated with mild immediate deterioration in physical function followed by rapid and sustained recovery.

authors

  • Bahig, H
  • Ng, Sweet P
  • Pollard, C
  • Nguyen, TP
  • Gunn, GB
  • Rosenthal, DI
  • Fuller, CD
  • Frank, SJ
  • Garden, AS
  • Reddy, JP
  • Morrison, WH
  • Ferrarotto, R
  • Hanna, EY
  • DeMonte, F
  • Su, SY
  • Phan, J

publication date

  • March 1, 2020