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Neuro-Oncology 2009 11(1):41-50; doi:10.1215/15228517-2008-050
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Copyright 2009 by the Society for Neuro-Oncology

Health-related quality of life in patients with high-grade glioma

Jin-xiang Cheng, Xiang Zhang and Bo-Lin Liu

Department of Neurosurgery, Xijing Institute of Clinical Neuroscience, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, People's Republic of China

Address correspondence to Xiang Zhang, Department of Neurosurgery, Xijing Institute of Clinical Neuroscience, Xijing Hospital, Fourth Military Medical University, Changle West Road, No. 127, Xi'an, Shaanxi Province 710032, PR China (xzhang{at}fmmu.edu.cn).


   Abstract

Health-related quality of life (HRQOL) has become an increasingly important endpoint in cancer studies; however, the research into the HRQOL of patients with high-grade glioma (HGG) is sparse compared with that for patients with other neoplasms. Owing to the specific location and poor prognosis, it is more important and difficult to study HRQOL in patients with HGG than in those with other tumors; furthermore, the study of HRQOL in patients with HGG differs from that for patients with other tumors. In this review, we identified and compared the most frequently used instruments to assess HRQOL; analyzed specific facets and determinants of HRQOL (such as sex, tumor location and histological classification, depression, and cognitive function), as well as the association between HRQOL and survival; and appraised the effects of new treatments on HRQOL in patients with HGG from randomized controlled trials. Furthermore, we detected broadly existing problems and many contradictory outcomes and gave some proper interpretation and suggestions regarding them.

Keywords: cognitive function, depression, health-related quality of life, high-grade glioma, instruments, survival

Received December 12, 2007; Accepted June 25, 2008


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