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Stress*Anxiety*And Depression Associated With Awake Craniotomy: A Systematic Review Publisher Pubmed



Mofatteh M1 ; Mashayekhi MS2 ; Arfaie S3, 4 ; Chen Y5 ; Hendi K6 ; Kwan ATH7 ; Honarvar F8 ; Solgi A9 ; Liao X10, 11 ; Ashkan K12, 13, 14, 15
Authors
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Authors Affiliations
  1. 1. School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, United Kingdom
  2. 2. Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
  3. 3. Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada
  4. 4. Department of Molecular and Cell Biology, University of California, Berkeley, CA, United States
  5. 5. Department of Neurology, Foshan Sanshui District People's Hospital, Foshan, China
  6. 6. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Faculty of Medicine, University of Ottawa, ON, Canada
  8. 8. School of Medicine, Queen's University, Kingston, ON, Canada
  9. 9. School of Kinesiology & Health Science, York University, Toronto, ON, Canada
  10. 10. Department of Neurosurgery, Foshan Sanshui District People's Hospital, Foshan, China
  11. 11. Department of Surgery of Cerebrovascular Diseases, Foshan First People's Hospital, Foshan, China
  12. 12. Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, United Kingdom
  13. 13. Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom
  14. 14. King's Health Partners Academic Health Sciences Centre, London, United Kingdom
  15. 15. School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King's College London, United Kingdom

Source: Neurosurgery Published:2023


Abstract

BACKGROUND: Awake craniotomy (AC) enables real-time monitoring of cortical and subcortical functions when lesions are in eloquent brain areas. AC patients are exposed to various preoperative, intraoperative, and postoperative stressors, which might affect their mental health. OBJECTIVE: To conduct a systematic review to better understand stress, anxiety, and depression in AC patients. METHODS: PubMed, Scopus, and Web of Science databases were searched from January 1, 2000, to April 20, 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. RESULTS: Four hundred forty-seven records were identified that fit our inclusion and exclusion criteria for screening. Overall, 24 articles consisting of 1450 patients from 13 countries were included. Sixteen studies (66.7%) were prospective, whereas 8 articles (33.3%) were retrospective. Studies evaluated stress, anxiety, and depression during different phases of AC. Twenty-two studies (91.7%) were conducted on adults, and 2 studies were on pediatrics (8.3 %). Glioma was the most common AC treatment with 615 patients (42.4%). Awake-awake-awake and asleep-awake-asleep were the most common protocols, each used in 4 studies, respectively (16.7%). Anxiety was the most common psychological outcome evaluated in 19 studies (79.2%). The visual analog scale and self-developed questionnaire by the authors (each n = 5, 20.8%) were the most frequently tools used. Twenty-three studies (95.8%) concluded that AC does not increase stress, anxiety, and/or depression in AC patients. One study (4.2%) identified younger age associated with panic attack. CONCLUSION: In experienced hands, AC does not cause an increase in stress, anxiety, and depression; however, the psychiatric impact of AC should not be underestimated. © 2023 Journal of Public Health Management and Practice. All rights reserved.
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