Perioperative medicine & outcomes

Changes of perioperative cognitive function and its effect on quality of life in laryngeal cancer

Perioper Med (Lond)Published Prospective cohort study

Authors' conclusion

LSCC patients exhibit a high prevalence of cognitive dysfunction, which significantly associated with reduced overall QoL. Age, postoperative anxiety, operation mode, and preoperative MoCA score were significantly associated with postoperative cognitive dysfunction.

Study context

Population
Patients with laryngeal squamous cell carcinoma (LSCC) treated with radical surgery
Participants
88 patients
Exposure
Before vs after surgery
Outcome
Association between perioperative changes in cognitive function (MoCA) and QoL (EORTC QLQ-C30)

Main finding

As reported in the abstract

MoCA score

Before surgery

24.78

± 2.42

After surgery

23.02

± 3.06

P < 0.001

Poorer overall health function scale quality of life (QoL) score in patients with postoperative cognitive impairment
P = 0.030

Observational data: associations, not effects.

Further findings

Cognitive impairment

Independent factors for preoperative cognitive dysfunction

Age
P = 0.003
Preoperative anxiety
P = 0.016

Factors associated with postoperative cognitive dysfunction

Age
P = 0.023
Postoperative anxiety
P = 0.041
Operation mode
P = 0.05, p = 0.016 respectively
Preoperative Montreal Cognitive Assessment (MoCA) score
P = 0.008

Original publication

Changes of perioperative cognitive function and its effect on quality of life in laryngeal cancer. Perioper Med (Lond). Published 13 March 2025. doi:10.1186/s13741-025-00507-x

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