The changing face of acoustic neuroma management in the USA: Analysis of the 1998 and 2008 patient surveys from the acoustic neuroma association

@article{Patel2014TheCF,
  title={The changing face of acoustic neuroma management in the USA: Analysis of the 1998 and 2008 patient surveys from the acoustic neuroma association},
  author={Jaymin Patel and Rohit Vasan and Harry van Loveren and Katheryne L Downes and Siviero Agazzi},
  journal={British Journal of Neurosurgery},
  year={2014},
  volume={28},
  pages={20 - 24}
}
Abstract Objective. A recent review of the national cancer center registry Surveillance Epidemiology and End Results (SEER) database revealed that in the United States, 25% of Acoustic Neuromas (AN) are managed with observation. Several articles have questioned the aggressive treatment of these slow growing tumors. Concern has been raised that data from the SEER database might be biased towards treatment as patients who chose observation are less likely to be seen at a cancer center. To try and… 
Evolution in Management Trends of Sporadic Vestibular Schwannoma in the United States Over the Last Half-century
TLDR
Overall, these data support a progression toward fewer patients treated with microsurgery in recent decades, possibly due to better detection of small and asymptomatic tumors and a greater understanding of the natural history of disease.
Patient Decision Making in Vestibular Schwannoma: A Survey of the Acoustic Neuroma Association
TLDR
It is clear that many patients with vestibular schwannoma find it important to seek second opinions from other specialties, and the number of neurotologists consulted correlated with higher decision satisfaction.
Predicting Hearing Outcomes in Conservatively Managed Vestibular Schwannoma Patients Utilizing Magnetic Resonance Imaging
  • A. M. Selleck, Justin D. Rodriguez, K. Brown
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2020
TLDR
The presence of a smaller fundal cap is correlated with a greater risk of progression of hearing loss and should be a variable considered in the management of small vestibular schwannomas.
Screening for vestibular schwannoma in the context of an ageing population
TLDR
An evidence-based approach to the investigation of asymmetric hearing loss and tinnitus in the elderly patient can be used to formulate guidelines for the rational use of magnetic resonance imaging in this population.
Main Symptom that Led to Medical Evaluation and Diagnosis of Vestibular Schwannoma and Patient-Reported Tumor Size: Cross-sectional Study in 1,304 Patients.
TLDR
A large-scale questionnaire-driven review of 1,304 patients confirms that VS presentations are stereotypical, with most individuals recalling hearing loss, dizziness, or tinnitus as their chief complaint.
Surgical Management of Vestibular Schwannoma: Practice Pattern Analysis via NSQIP
TLDR
There is increased employment of RS approach for the operative management of VS, which likely is the result of increased reliance on both stereotactic radiosurgery and observation as alternative treatment strategies.
Experience of multidisciplinary team meetings in vestibular schwannoma: a preliminary report
TLDR
Future studies in MTMs are warranted to evaluate the benefit and evaluated if MTM could optimize long-term follow-up, limiting loss to follow- up in the observation of vestibular schwannomas that may be evolutive.
CyberKnife radiosurgery for acoustic neuromas: Tumor control and clinical outcomes
TLDR
CKRS affords effective tumor control for acoustic neuromas with an acceptable rate of hearing preservation, and the actuarial rates of tumor control at 1, 3, 5, and 7 years were 96%, 94%, 88%, and 88%, respectively.
Vestibular Schwannoma Excision in Sporadic versus Neurofibromatosis Type 2 Populations
  • H. Mahboubi, M. Maducdoc, H. Djalilian
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2015
TLDR
The surgery rates for vestibular schwannoma excision for both sporadic and NF2 patients have declined, but the decline is more prominent for sporadic cases.
...
...

References

SHOWING 1-10 OF 20 REFERENCES
Current epidemiology and management trends in acoustic neuroma
  • T. Gal, J. Shinn, Bin Huang
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2010
Paradoxical trends in the management of vestibular schwannoma in the United States.
TLDR
Study data demonstrated a shift in the management of small VSs in the US between 2004 and 2007, with microsurgical removal giving way to radiation treatment and the overall rate for observation remaining low and stable.
Comparison of Growth Patterns of Acoustic Neuromas With and Without Radiosurgery
  • A. Battaglia, B. Mastrodimos, R. Cueva
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2006
TLDR
There is no discernable significant difference between growth patterns of untreated acoustic neuromas and those treated radiosurgically, and longer-term follow-up studies with larger sample sizes and tumor control rates are needed.
The Natural History of Vestibular Schwannoma
TLDR
Growth of vestibular schwannomas occurs within the first 5 years after diagnosis in a limited number of tumors, primarily in tumors with an extrameatal extension, and there is no relation between tumor growth and sex or age.
Acoustic neuroma—the patient's perspective: Subjective assessment of symptoms, diagnosis, therapy, and outcome in 541 patients
TLDR
This retrospective study presents an extensive overview of the experience of acoustic neuroma patients treated at a variety of institutions, and provides a unique perspective not previously represented in the medical literature.
True Incidence of Vestibular Schwannoma?
TLDR
After a steady increase over the last 4 decades, the incidence of vestibular schwannomas appears to have peaked and decreased in recent years, stabilizing at about 19 tumors per million per year.
Vestibular schwannoma management in the next century: a radiosurgical perspective.
TLDR
If the mathematical model proves to be accurate, then stereotactic radiosurgery will replace surgical resection as the preferred management strategy for the majority of patients with vestibular schwannomas.
The natural history of untreated vestibular schwannomas. Is there a role for conservative management?
TLDR
The majority of vestibular schwannomas are slow growing, although, CPA tumours appear to grow faster than IAC tumours.
Conservative management of vestibular schwannomas: third review of a 10‐year prospective study
  • D. Hajioff, V. Raut, J. Rutka
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2008
TLDR
Patients who failed conservative management with a unilateral vestibular schwannoma had clinical outcomes that were not different from those who underwent primary treatment without a period of conservative management, and no factors predictive of tumour growth or failure ofconservative management could be identified.
Incidence of Vestibular Schwannoma and Neurofibromatosis 2 in the North West of England over a 10-year Period: Higher Incidence than Previously Thought
TLDR
The incidence of vestibular schwannoma in sporadic, neurofibromatosis type 2 (NF2) germ-line and mosaic form in sporadic and NF2-related VS is rising almost certainly due to increasing diagnosis in the magnetic resonance imaging era.
...
...