Survey on current cognitive practices within the European Low-Grade Glioma Network: towards a European assessment protocol

Acta Neurochir (Wien). 2017 Jul;159(7):1167-1178. doi: 10.1007/s00701-017-3192-2. Epub 2017 May 4.

Abstract

Background: 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.

Method: 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.

Results: 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.

Conclusions: 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.

Keywords: Assessment; Cognition; Diffuse low-grade glioma; Protocol; Surgery; Survey.

MeSH terms

  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / surgery*
  • Cognition*
  • Europe
  • Glioma / diagnosis
  • Glioma / surgery*
  • Humans
  • Neurosurgical Procedures / adverse effects
  • Neurosurgical Procedures / methods*
  • Neurosurgical Procedures / standards
  • Postoperative Complications / prevention & control*
  • Practice Guidelines as Topic*
  • Preoperative Period