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Patient acceptance of awake craniotomy
Karsten H Wrede1, Lennart H Stieglitz, Antje Fiferna
1University Hospital Essen, Department of Neurosurgery, Hufelandstrasse 55, 45147 Essen, Germany. karsten@dr-wrede.com
Clinical Neurology and Neurosurgery
|July 26, 2011
Summary
Patients showed good acceptance for awake craniotomy (AC) compared to general anesthesia (GA). This formal assessment using the PPP33 questionnaire indicates better outcomes for AC regarding postoperative pain and physical disorders.
Area of Science:
- Neurosurgery
- Patient Experience
- Anesthesia
Background:
- Awake craniotomy (AC) is used for brain lesions near eloquent areas.
- Patient acceptance is crucial for AC success.
- Formal assessment of AC acceptance has been limited.
Purpose of the Study:
- To objectively assess patient acceptance of awake craniotomy.
- To compare AC acceptance with general anesthesia (GA) using a formal questionnaire.
- To evaluate patient-reported outcomes for AC in neurosurgical patients.
Main Methods:
- A formal questionnaire (PPP33) was administered to assess patient acceptance.
- Patients undergoing AC under local anesthesia and conscious sedation were compared to those under GA.
- Results were compared to previously published data.
Main Results:
- The AC group (n=48) and GA group (n=43) completed the questionnaire.
- Overall PPP33 scores suggested better acceptance for AC (p=0.07).
- AC showed significantly better scores for "postoperative pain" (p=0.02) and "physical disorders" (p=0.01) compared to GA.
Conclusions:
- Formal assessment using the PPP33 questionnaire verifies good patient acceptance for AC.
- This study substantiates previous findings on AC acceptance with a novel, formal approach.
- Awake craniotomy is a well-accepted procedure for treating brain tumors near eloquent areas.
