Post-operative assessment and debridement are key components in patient care for surgery patients. However, a standardized protocol for management after endoscopic skull base surgery is unavailable. In this study, investigators will observe the effect of various follow-up schedules on the patient's quality of life after surgery. Patients who received surgery for pituitary adenoma will be placed randomly in 1 of 3 groups (short-term = follow-up in 2 weeks and 8 weeks after surgery; intermediate = 4 weeks and 8 weeks; long-term = 8 weeks). At each visit, patients will be asked to complete a packet of surveys and questionnaires that provide metrics on their quality of life in addition to receiving standard patient care (post-operative assessment and nasal debridement). Researchers hope to find that a follow-up schedule that has patients visiting the clinic closer to their surgery date will increase the patient's quality of life after surgery.
Study Type
OBSERVATIONAL
Enrollment
165
Patients will be randomized into 1 of 3 follow-up schedules for post-operative clinic visits.
SNOT-22 survey scores for pre-op/initial visit
Patient responses to the SNOT-22 will be collected and calculated.
Time frame: Survey results will be collected during the pre-op/initial 1 day visit
SNOT-22 survey scores for 2-week or 4-week follow-up visit
Patient responses to the SNOT-22 will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
SNOT-22 survey scores for 8-week follow-up visit
Patient responses to the SNOT-22 will be collected and calculated.
Time frame: 8-weeks post-op
SNOT-22 survey scores for 3-month contact
Patient responses to the SNOT-22 will be collected and calculated.
Time frame: 3-month contact
SNOT-22 survey scores for 6-month follow-up visit
Patient responses to the SNOT-22 will be collected and calculated.
Time frame: 6-month post-op
Anterior Skull Base QOL survey scores for pre-op/initial visit
Patient responses to the Anterior Skull Base QOL will be collected and calculated.
Time frame: collected during the pre-op/initial 1 day visit
Anterior Skull Base QOL survey scores for 2-week or 4-week follow-up visit
Patient responses to the Anterior Skull Base QOL will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
Anterior Skull Base QOL survey scores for 8-week follow-up visit
Patient responses to the Anterior Skull Base QOL will be collected and calculated.
Time frame: 8-weeks post-op
Anterior Skull Base QOL survey scores for 3-month contact
Patient responses to the Anterior Skull Base QOL will be collected and calculated.
Time frame: 3-month contact
Anterior Skull Base QOL survey scores for 6-month follow-up visit
Patient responses to the Anterior Skull Base QOL will be collected and calculated.
Time frame: 6-month post-op
Pain Catastrophizing Scale (PCS) response for pre-op/initial visit
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: collected during the pre-op/initial 1 day visit
Pain Catastrophizing Scale (PCS) response for 2-week or 4-week follow-up visit
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
Pain Catastrophizing Scale (PCS) response for 8-week follow-up visit
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: 8-weeks post-op
Pain Catastrophizing Scale (PCS) response for 3-month contact
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: 3-month contact
Pain Catastrophizing Scale (PCS) response for 6-month follow-up visit
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: 6-month post-op
Questionnaire of Olfactory Disorders survey scores for pre-op/initial visit
Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.
Time frame: collected during the pre-op/initial 1 day visit
Questionnaire of Olfactory Disorders survey scores for 2-week or 4-week follow-up visit
Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
Questionnaire of Olfactory Disorders survey scores for 8-week follow-up visit
Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.
Time frame: 8-weeks post-op
Questionnaire of Olfactory Disorders survey scores for 3-month contact
Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.
Time frame: 3-month contact
Questionnaire of Olfactory Disorders survey scores for 6-month follow-up visit
Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.
Time frame: 6-month post-op
Skull Based Inventory scores for pre-op/initial visit
Patient responses to the Skull Based Inventory will be collected and calculated.
Time frame: collected during the pre-op/initial 1 day visit
Skull Based Inventory scores for 2-week or 4-week follow-up visit
Patient responses to the Skull Based Inventory will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
Skull Based Inventory scores for 8-week follow-up visit
Patient responses to the Skull Based Inventory will be collected and calculated.
Time frame: 8-weeks post-op
Skull Based Inventory scores for 3-month contact
Patient responses to the Skull Based Inventory will be collected and calculated.
Time frame: 3-month contact
Skull Based Inventory scores for 6-month follow-up visit
Patient responses to the Skull Based Inventory will be collected and calculated.
Time frame: 6-month post-op
Quality of Recover (QOR 40) survey scores for pre-op/initial visit
Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.
Time frame: collected during the pre-op/initial 1 day visit
Quality of Recover (QOR 40) survey scores for 2-week or 4-week follow-up visit
Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.
Time frame: 2-weeks or 4-weeks after surgery (based on group)
Quality of Recover (QOR 40) survey scores for 8-week follow-up visit
Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.
Time frame: 8-weeks post-op
Quality of Recover (QOR 40) survey scores for 3-month contact
Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.
Time frame: 3-month contact
Quality of Recover (QOR 40) survey scores for 6-month follow-up visit
Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.
Time frame: 6-month post-op
Physician's notes/Patient progress notes for patient clinic visits
Notes taken by the physician/medical staff during subject's clinic visit (i.e. lesion pathology, cavernous sinus invasion, suprasellar extension, post-op assessment, presence of nasal synechiae, rate of medpor graft extrusion)
Time frame: Clinic visit notes and/or patient progress notes will be collected during the pre-op/initial 1 day visit, subsequent follow-up visits (2-weeks, 4-weeks, and 8-weeks post-op), and final visit (6-months post-op).
Endoscopy scores
Lund-Kennedy scoring of endoscopic imaging of nasal cavity
Time frame: Endoscopy scores will be collected during the pre-op/initial 1 day visit, subsequent follow-up visits (2-weeks, 4-weeks, and 8-weeks post-op), and final visit (6-months post-op).
Surgery notes/outcomes
Surgeon's notes on subject surgery (i.e. occurrence of intra-operative leak, type of packing used)
Time frame: intraoperative
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