Quality of life assessment in schwannomatosis – A systematic review

Introduction: The term schwannomatosis refers to rare genetic disorders characterized by the development of multiple tumors within the central and/or peripheral nervous system. Recent advancements in our molecular understanding of these disorders have led to a redefined conceptual framework within t...

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Main Authors: Anna C. Lawson McLean, Steffen K. Rosahl, Aaron Lawson McLean, Pascal Fehringer, Anna Freier, Denise Löschner, Marcel A. Kamp, Christian Senft, Andreas K. Demetriades
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Brain and Spine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772529425000980
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author Anna C. Lawson McLean
Steffen K. Rosahl
Aaron Lawson McLean
Pascal Fehringer
Anna Freier
Denise Löschner
Marcel A. Kamp
Christian Senft
Andreas K. Demetriades
author_facet Anna C. Lawson McLean
Steffen K. Rosahl
Aaron Lawson McLean
Pascal Fehringer
Anna Freier
Denise Löschner
Marcel A. Kamp
Christian Senft
Andreas K. Demetriades
author_sort Anna C. Lawson McLean
collection DOAJ
description Introduction: The term schwannomatosis refers to rare genetic disorders characterized by the development of multiple tumors within the central and/or peripheral nervous system. Recent advancements in our molecular understanding of these disorders have led to a redefined conceptual framework within the field, grouping NF2-related schwannomatosis with other forms of schwannomatosis. Research question: This systematic review aims to compile and analyse existing literature on QoL in individuals with schwannomatosis. Methods: A comprehensive search of electronic databases was conducted up until January 2025. Inclusion criteria included studies evaluating QoL in adults with schwannomatosis, using validated QoL assessment tools or patient-reported outcome measures. There were no geographical or time restrictions placed on the search. Case reports and reviews were excluded from the analysis to focus on original research contributions. Results: The initial search identified 241 articles, after removal of duplicates. Three articles were added after screening references. 40 articles were selected for final analysis. These studies utilized various assessment tools, including PHQ-9 (n = 10), WHOQOL-BREF (n = 9) and the disease-specific questionnaire NFTI-QOL (n = 15). The collective findings consistently indicated compromised QoL among individuals with schwannomatosis, particularly in domains such as physical functionality, pain perception, emotional well-being, and social interactions. Discussion and conclusion: This systematic review reveals substantial variability in QoL assessment for schwannomatosis, highlighting significant physical and psychological impacts in NF2-SWN and predominant bodily pain in non-NF2-SWN patients. We call for an international, interdisciplinary consensus on standardized QoL tools to enable clearer research comparisons, guide clinical practice, and improve patient-centered care.
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spelling doaj-art-222b2f812ca144688e30e6b9f2c023ba2025-08-20T02:29:59ZengElsevierBrain and Spine2772-52942025-01-01510427910.1016/j.bas.2025.104279Quality of life assessment in schwannomatosis – A systematic reviewAnna C. Lawson McLean0Steffen K. Rosahl1Aaron Lawson McLean2Pascal Fehringer3Anna Freier4Denise Löschner5Marcel A. Kamp6Christian Senft7Andreas K. Demetriades8Department of Neurosurgery, Jena University Hospital, Germany; Comprehensive Cancer Centre Central Germany, Jena, Germany; Corresponding author. Am Klinikum 1, 07745, Jena, Germany.Department of Neurosurgery, Helios Klinikum and Health & Medical University Erfurt, GermanyDepartment of Neurosurgery, Jena University Hospital, Germany; Comprehensive Cancer Centre Central Germany, Jena, GermanyFriedrich-Schiller University, Jena, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, Phillips University Marburg, Marburg, GermanyDepartment of Neurosurgery, Helios Klinikum and Health & Medical University Erfurt, GermanyDepartment of Palliative Care and Neuro-palliative Care, Immanuel Klinik Rüdersdorf, Brandenburg Medical School Theodor Fontane, GermanyDepartment of Neurosurgery, Jena University Hospital, Germany; Comprehensive Cancer Centre Central Germany, Jena, GermanyDepartment of Neurosurgery, Royal Infirmary of Edinburgh, Edinburgh, UKIntroduction: The term schwannomatosis refers to rare genetic disorders characterized by the development of multiple tumors within the central and/or peripheral nervous system. Recent advancements in our molecular understanding of these disorders have led to a redefined conceptual framework within the field, grouping NF2-related schwannomatosis with other forms of schwannomatosis. Research question: This systematic review aims to compile and analyse existing literature on QoL in individuals with schwannomatosis. Methods: A comprehensive search of electronic databases was conducted up until January 2025. Inclusion criteria included studies evaluating QoL in adults with schwannomatosis, using validated QoL assessment tools or patient-reported outcome measures. There were no geographical or time restrictions placed on the search. Case reports and reviews were excluded from the analysis to focus on original research contributions. Results: The initial search identified 241 articles, after removal of duplicates. Three articles were added after screening references. 40 articles were selected for final analysis. These studies utilized various assessment tools, including PHQ-9 (n = 10), WHOQOL-BREF (n = 9) and the disease-specific questionnaire NFTI-QOL (n = 15). The collective findings consistently indicated compromised QoL among individuals with schwannomatosis, particularly in domains such as physical functionality, pain perception, emotional well-being, and social interactions. Discussion and conclusion: This systematic review reveals substantial variability in QoL assessment for schwannomatosis, highlighting significant physical and psychological impacts in NF2-SWN and predominant bodily pain in non-NF2-SWN patients. We call for an international, interdisciplinary consensus on standardized QoL tools to enable clearer research comparisons, guide clinical practice, and improve patient-centered care.http://www.sciencedirect.com/science/article/pii/S2772529425000980SchwannomatosisQuality of lifeHealth-related quality of lifeNeurofibromatosis 2
spellingShingle Anna C. Lawson McLean
Steffen K. Rosahl
Aaron Lawson McLean
Pascal Fehringer
Anna Freier
Denise Löschner
Marcel A. Kamp
Christian Senft
Andreas K. Demetriades
Quality of life assessment in schwannomatosis – A systematic review
Brain and Spine
Schwannomatosis
Quality of life
Health-related quality of life
Neurofibromatosis 2
title Quality of life assessment in schwannomatosis – A systematic review
title_full Quality of life assessment in schwannomatosis – A systematic review
title_fullStr Quality of life assessment in schwannomatosis – A systematic review
title_full_unstemmed Quality of life assessment in schwannomatosis – A systematic review
title_short Quality of life assessment in schwannomatosis – A systematic review
title_sort quality of life assessment in schwannomatosis a systematic review
topic Schwannomatosis
Quality of life
Health-related quality of life
Neurofibromatosis 2
url http://www.sciencedirect.com/science/article/pii/S2772529425000980
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