Return to play following craniotomy for non-traumatic brain lesions
Objective: Return to play (RTP) decisions after cranial surgery are important to patients. Most published data relate to RTP following sports-related brain injury. This study investigated factors that influence neurosurgical RTP decision-making following craniotomy for non-traumatic brain lesions. M...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | World Neurosurgery: X |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590139724001406 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823861188911431680 |
|---|---|
| author | Jovanna A. Tracz Matthew L. Farmer Mark Hughes Debraj Mukherjee Paul M. Brennan |
| author_facet | Jovanna A. Tracz Matthew L. Farmer Mark Hughes Debraj Mukherjee Paul M. Brennan |
| author_sort | Jovanna A. Tracz |
| collection | DOAJ |
| description | Objective: Return to play (RTP) decisions after cranial surgery are important to patients. Most published data relate to RTP following sports-related brain injury. This study investigated factors that influence neurosurgical RTP decision-making following craniotomy for non-traumatic brain lesions. Methods: A patient scenario-based survey was distributed to U.S. and Europe-based neurosurgeons via the American Association of Neurological Surgeons/Congress of Neurological Surgeons Tumor Section and the European Association of Neuro-Oncology. From one core patient scenario, 5 further scenarios were developed involving patients of varying age, sport preference, tumor pathology, and craniotomy approach. Respondents provided RTP recommendations and factors important in forming these recommendations. Results: Forty-one responses were received; Europe (48%), U.S. (37%). The most commonly cited factors influencing RTP decision-making across scenarios were symptomatic recovery (85.4%), resolution of blood and/or air on imaging (43.4%), and patient demand (31.7%). The sports with the longest average RTP timeline were boxing (10.3 months), rugby (8.7 months), and American football (8.5 months) in the core patient scenario. Twenty-nine percent of neurosurgeons requested neuroimaging before determining RTP recommendations in this scenario, more commonly in America than Europe (46.7% and 5.0% respectively, p = .006). Conclusions: Although limited by sample size, the data provides a foundation to support development of a systematic approach to RTP decision-making following craniotomy for brain lesions of non-traumatic etiology. Future work to develop consensus guidelines will benefit from objective data about outcomes, particularly in relation to repeat imaging prior to RTP. |
| format | Article |
| id | doaj-art-7abe3bbb8d0641c5982eabcba7d94b23 |
| institution | Kabale University |
| issn | 2590-1397 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Neurosurgery: X |
| spelling | doaj-art-7abe3bbb8d0641c5982eabcba7d94b232025-02-10T04:34:49ZengElsevierWorld Neurosurgery: X2590-13972025-01-0125100409Return to play following craniotomy for non-traumatic brain lesionsJovanna A. Tracz0Matthew L. Farmer1Mark Hughes2Debraj Mukherjee3Paul M. Brennan4Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, 35294, USADepartment of Neurosurgery, Henry Ford Hospital, Detroit, MI, 48202, USALaboratory for Translational Neurosurgery Research, Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, EH8 9JZ, UKDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USALaboratory for Translational Neurosurgery Research, Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, EH8 9JZ, UK; Department of Neurosurgery, Centre for Clinical Neuroscience, NHS Lothian, Edinburgh, EH16 4TJ, UK; Corresponding author. University of Edinburgh and NHS Lothian, Laboratory for Translational Neurosurgery Research, Centre for Clinical Brain Sciences, University of Edinburgh Edinburgh, EH8 9JZ, UK.Objective: Return to play (RTP) decisions after cranial surgery are important to patients. Most published data relate to RTP following sports-related brain injury. This study investigated factors that influence neurosurgical RTP decision-making following craniotomy for non-traumatic brain lesions. Methods: A patient scenario-based survey was distributed to U.S. and Europe-based neurosurgeons via the American Association of Neurological Surgeons/Congress of Neurological Surgeons Tumor Section and the European Association of Neuro-Oncology. From one core patient scenario, 5 further scenarios were developed involving patients of varying age, sport preference, tumor pathology, and craniotomy approach. Respondents provided RTP recommendations and factors important in forming these recommendations. Results: Forty-one responses were received; Europe (48%), U.S. (37%). The most commonly cited factors influencing RTP decision-making across scenarios were symptomatic recovery (85.4%), resolution of blood and/or air on imaging (43.4%), and patient demand (31.7%). The sports with the longest average RTP timeline were boxing (10.3 months), rugby (8.7 months), and American football (8.5 months) in the core patient scenario. Twenty-nine percent of neurosurgeons requested neuroimaging before determining RTP recommendations in this scenario, more commonly in America than Europe (46.7% and 5.0% respectively, p = .006). Conclusions: Although limited by sample size, the data provides a foundation to support development of a systematic approach to RTP decision-making following craniotomy for brain lesions of non-traumatic etiology. Future work to develop consensus guidelines will benefit from objective data about outcomes, particularly in relation to repeat imaging prior to RTP.http://www.sciencedirect.com/science/article/pii/S2590139724001406Brain neoplasmCraniotomyInternationalNeuro-oncologyReturn to sportReturn to play |
| spellingShingle | Jovanna A. Tracz Matthew L. Farmer Mark Hughes Debraj Mukherjee Paul M. Brennan Return to play following craniotomy for non-traumatic brain lesions World Neurosurgery: X Brain neoplasm Craniotomy International Neuro-oncology Return to sport Return to play |
| title | Return to play following craniotomy for non-traumatic brain lesions |
| title_full | Return to play following craniotomy for non-traumatic brain lesions |
| title_fullStr | Return to play following craniotomy for non-traumatic brain lesions |
| title_full_unstemmed | Return to play following craniotomy for non-traumatic brain lesions |
| title_short | Return to play following craniotomy for non-traumatic brain lesions |
| title_sort | return to play following craniotomy for non traumatic brain lesions |
| topic | Brain neoplasm Craniotomy International Neuro-oncology Return to sport Return to play |
| url | http://www.sciencedirect.com/science/article/pii/S2590139724001406 |
| work_keys_str_mv | AT jovannaatracz returntoplayfollowingcraniotomyfornontraumaticbrainlesions AT matthewlfarmer returntoplayfollowingcraniotomyfornontraumaticbrainlesions AT markhughes returntoplayfollowingcraniotomyfornontraumaticbrainlesions AT debrajmukherjee returntoplayfollowingcraniotomyfornontraumaticbrainlesions AT paulmbrennan returntoplayfollowingcraniotomyfornontraumaticbrainlesions |