• Medicine · Nov 2020

    Meta Analysis

    Rehabilitation therapy for patients with glioma: A PRISMA-compliant systematic review and meta-analysis.

    • Kai Zhao, Chaojun Yu, Zhichao Gan, Minhao Huang, Tingting Wu, and Ninghui Zhao.
    • Neurosurgery Department, the Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province.
    • Medicine (Baltimore). 2020 Nov 6; 99 (45): e23087.

    BackgroundGlioma is the most common type of brain tumor because of the destructiveness of the disease itself and the side effects of treatment, patients often leave symptoms of neurological defects. At present, rehabilitation treatment is not popular in glioma patients. There is a lack of definite evidence to prove the benefits of rehabilitation therapy for glioma patients. The purpose of this meta-analysis is to determine whether rehabilitation therapy can significantly improve the prognosis of neurological function and improve the quality of life of patients with glioma.MethodsThe articles about rehabilitation treatment of glioma in Cochrane, PubMed, and Embase, Web of Science, and Medline database from January 1990 to May 2020 were searched. Before rehabilitation as the control group, after rehabilitation as the experimental group. The Functional Independence Measure (FIM) was used as the outcome index, including total FIM, motor FIM, and cognitive FIM. Use STATA12.0 for meta-analysis.ResultsA total of 8 articles were included in the study, with a total of 375 glioma patients. Meta-analysis of total FIM (SMD = 0.96, 95%CI = 0.66-1.26, P < .001), motor FIM (SMD = 0.75, 95%CI = 0.54-0.96, P < .001) and cognitive FIM (SMD = 0.35, 95%CI = 0.19-0.50, P < .001) indicated that the neurological function of rehabilitation was significantly improved in total, motor and consciousness.ConclusionThe published studies show that rehabilitation therapy can improve the functional prognosis and quality of life of glioma patients. More attention should be paid to the therapeutic value of rehabilitation for glioma patients in the future.Prospero Registration NumberPROSPERO CRD42020188740.

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