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European Archives of Oto-Rhino-Laryngology

04-04-2024 | Vestibular Schwannoma | Otology

The impact of multiple deprivation on the management of vestibular schwannomas

Authors: Elena Brachimi, Paul Sooby, M. Afiq M. Slim, Georgios Kontorinis

Published in: European Archives of Oto-Rhino-Laryngology

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Abstract

Purpose

While some factors have been well-shown to affect the decision-making in treating patients with vestibular schwannomas (VS), little is known on the role of deprivation. Our objective was to assess the effect of socioeconomic background on the management of patients with VS.

Methods

This retrospective cohort study included 460 patients with sporadic VS from West of Scotland. The postcode-based, multifactorial Scottish Index of Multiple Deprivation (SIMD) was used to assess the socioeconomic background of each patient. We performed a multivariate analysis including tumour size, growth and patient age with management modality (observation, stereotactic radiotherapy, microsurgery) being the main outcome measure and outcome (need for additional treatment) an additional measure.

Results

We found no significant difference in the demographics, tumour characteristics and primary treatment choice between patients with different SIMD scores. In addition, there was no statistically significant difference in the growth occurrence rates following first-line treatment (p = 0.964) and in the second-line treatment choice (p = 0.460).

Conclusions

Multiple deprivation does not affect decision making in patients with VS in the examined cohort. This is probably linked to the centralisation and uniformity of the service and might not necessarily be applicable to other health services without centralisation.
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Metadata
Title
The impact of multiple deprivation on the management of vestibular schwannomas
Authors
Elena Brachimi
Paul Sooby
M. Afiq M. Slim
Georgios Kontorinis
Publication date
04-04-2024
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-024-08570-8