Lessons from traumatic head injury for assessing functional status after brain tumour.

Journal of Neuro-oncology
J T Lindsay Wilson

Abstract

Assessment of global functional status plays a central role in describing outcome after traumatic head injury, but has played a relatively minor role as an endpoint in brain tumour studies. Advantages of functional status as an outcome include simplicity, objectivity, and interpretability, and it is particularly useful in conditions where cognitive impairment is common. Work in the field of traumatic brain injury, specifically on the Glasgow Outcome Scale (GOS), provides lessons in how the validity and reliability of global outcome assessment can be improved. Functional status is conceptually and empirically distinct from cognition and health-related quality of life, and neither of these can adequately substitute for it as an outcome. The strongest candidate for a global outcome measure in brain tumour work is the Karnofsky Performance Status (KPS). Many of the lessons from the GOS could be applied to improvement of KPS assessment. However, the KPS has additional limitations, particularly that it is not brain injury specific. Global functional status is potentially a useful outcome for brain tumour studies, but there is a gap in the tools currently available.

References

Mar 1, 1975·Lancet·B Jennett, M Bond
May 1, 1988·Stroke; a Journal of Cerebral Circulation·J C van SwietenJ van Gijn
May 1, 1986·Journal of Neurology, Neurosurgery, and Psychiatry·D N BrooksM Aughton
Apr 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·B JennettN Brooks
Mar 1, 1984·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·C C SchagP A Ganz
Mar 1, 1983·Journal of Neurosurgery·A I MaasA H van Zomeren
Dec 1, 1994·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·J Schaafsma, D Osoba
Jul 1, 1993·Brain Injury : [BI]·S I AndersonJ D Miller
Dec 2, 1998·Journal of Neurosurgery·L E PettigrewG M Teasdale
Apr 24, 1999·Acta neurochirurgica·G D MurrayA Unterberg
Jul 15, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·J T WilsonG M Teasdale
Jun 4, 2002·Journal of Neurotrauma·Raj K NarayanLorraine Yurkewicz
Dec 17, 2002·Journal of Neurotrauma·J T L WilsonG M Teasdale
Feb 8, 2003·Stroke; a Journal of Cerebral Circulation·Nancy J NewcommonMichael D Hill
Jun 13, 2003·The Journal of Head Trauma Rehabilitation·Laura E L PettigrewGraham M Teasdale
Mar 6, 2004·Neuropsychology Review·Naomi Chaytor, Maureen Schmitter-Edgecombe
Apr 15, 2004·Archives of Physical Medicine and Rehabilitation·Marcel P Dijkers
Feb 19, 2005·Stroke; a Journal of Cerebral Circulation·J T Lindsay WilsonKeith W Muir
May 17, 2005·Journal of Neurotrauma·Gordon D MurrayChristopher J Weir
May 27, 2005·Neurosurgical Focus·M Ross BullockGraham M Teasdale
Mar 10, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Christina A Meyers, Paul D Brown
Mar 23, 2007·Journal of Neurotrauma·Andrew I R MaasEwout W Steyerberg
Apr 3, 2007·Archives of Physical Medicine and Rehabilitation·Carolyn E SchwartzUNKNOWN RRTC Expert Panel on Health Status Measurement
Aug 31, 2007·Disability and Rehabilitation·Jeffrey ShamesSalvatore Giaquinto
Aug 8, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·T J QuinnK R Lees
Mar 10, 2010·Journal of Neurotrauma·Nicole von SteinbüchelUNKNOWN QOLIBRI Task Force

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Citations

Sep 26, 2012·Current Opinion in Neurology·Nicholas Butowski, Susan M Chang

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