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Driving with an intracranial tumor
Survey of the EAN Scientific Panel Neuro-oncology
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1.
Which country do you work in?
(Required.)
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2.
How many patients do you see in a year with primary or metastatic brain tumors?
(Required.)
<20
20-50
50-100
>100
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3.
Does your country have a national legal obligation to report a patient with a primary or metastatic brain tumor with respect to driving, to local or national authorities?
(Required.)
Yes, regardless of medical state
Yes, if seizures and/or disability
No legal obligation
I do not know
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4.
If yes, do you report a patient with a brain tumor who you deem unfit to drive?
(Required.)
Yes, always
Yes, sometimes
Never
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5.
What are barriers for you to report a brain tumor patient who you deem unfit to drive?
(Required.)
Desire to preserve your patient's quality of life
Negative impact on the physician-patient relationship
Time restraints for addressing the issue
Lack of tools for determining driving fitness
Reporting requirements are unclear
Another medical specialist should address the issue
I do not have any barriers
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6.
What is your current policy for driving prohibition/recommending driving prohibition in a brain tumor patient that has received optimal primary treatment and has “stable disease” clinically and radiologically?
(Required.)
Meningioma (never seizure):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Meningioma (previous seizure, now seizure-free on AED):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
High grade glioma (WHO grad III-IV) (never seizure):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
High grade glioma (previous seizure, now seizure-free on AED):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Low grade glioma (WHO grad II) (never seizure):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Low grade glioma, (previous seizure, now seizure-free on AED):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Brain metastasis (never seizures):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Brain metastasis (previous seizure, now seizure-free on AED):
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
Incidental finding of a probable low grade glioma in an asymptomatic patient:
-- Select an option --
None
3 months
6 months
1 year
2 years
3-5 years
Prohibited for life
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7.
Do you allow/recommend allowing a patient with a recurrent brain tumor to drive?
(Required.)
Recurrent meningioma:
-- Select an option --
Yes
Yes, after a period of observation
No, prohibited for life
Recurrent low grade glioma:
-- Select an option --
Yes
Yes, after a period of observation
No, prohibited for life
Recurrent high grade glioma:
-- Select an option --
Yes
Yes, after a period of observation
No, prohibited for life
Recurrent brain metastasis:
-- Select an option --
Yes
Yes, after a period of observation
No, prohibited for life
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8.
If you allow/recommend allowing a brain tumor patient to drive, do you inform the patient of medical circumstances (as seizure or new or worsening symptoms) that should lead to self-termination of driving?
(Required.)
Yes, always
Yes, sometimes
No
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9.
What is your current policy for evaluation of cognitive function in a patient with a glioma or metastasis, when you assess fitness to drive?
(Required.)
My clinical assessment
Testing by an occupational therapist
Testing by a neuropsychologist
Practical driving test
More than one of these
None of these
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10.
I consider age and comorbidity when I evaluate a brain tumor patient for driving.
(Required.)
Yes
No
11.
Do you routinely prohibit driving/recommend driving prohibition after brain tumor surgery?
Never
1 week
1 month
Other (please specify)
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12.
Do you prohibit driving/recommend driving prohibition during radiotherapy?
(Required.)
Never
Depending on frequency and severity of seizures
Always
