Driving with an intracranial tumor Survey of the EAN Scientific Panel Neuro-oncology Question Title * 1. Which country do you work in? Question Title * 2. How many patients do you see in a year with primary or metastatic brain tumors? <20 20-50 50-100 >100 Question Title * 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? Yes, regardless of medical state Yes, if seizures and/or disability No legal obligation I do not know Question Title * 4. If yes, do you report a patient with a brain tumor who you deem unfit to drive? Yes, always Yes, sometimes Never Question Title * 5. What are barriers for you to report a brain tumor patient who you deem unfit to drive? 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 Question Title * 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? Meningioma (never seizure): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life Meningioma (never seizure): menu Meningioma (previous seizure, now seizure-free on AED): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life Meningioma (previous seizure, now seizure-free on AED): menu High grade glioma (WHO grad III-IV) (never seizure): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life High grade glioma (WHO grad III-IV) (never seizure): menu High grade glioma (previous seizure, now seizure-free on AED): 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): menu Low grade glioma (WHO grad II) (never seizure): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life Low grade glioma (WHO grad II) (never seizure): menu Low grade glioma, (previous seizure, now seizure-free on AED): 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): menu Brain metastasis (never seizures): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life Brain metastasis (never seizures): menu Brain metastasis (previous seizure, now seizure-free on AED): None 3 months 6 months 1 year 2 years 3-5 years Prohibited for life Brain metastasis (previous seizure, now seizure-free on AED): menu Incidental finding of a probable low grade glioma in an asymptomatic patient: 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: menu Question Title * 7. Do you allow/recommend allowing a patient with a recurrent brain tumor to drive? Recurrent meningioma: Yes Yes, after a period of observation No, prohibited for life Recurrent meningioma: menu Recurrent low grade glioma: Yes Yes, after a period of observation No, prohibited for life Recurrent low grade glioma: menu Recurrent high grade glioma: Yes Yes, after a period of observation No, prohibited for life Recurrent high grade glioma: menu Recurrent brain metastasis: Yes Yes, after a period of observation No, prohibited for life Recurrent brain metastasis: menu Question Title * 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? Yes, always Yes, sometimes No Question Title * 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? My clinical assessment Testing by an occupational therapist Testing by a neuropsychologist Practical driving test More than one of these None of these Question Title * 10. I consider age and comorbidity when I evaluate a brain tumor patient for driving. Yes No Question Title * 11. Do you routinely prohibit driving/recommend driving prohibition after brain tumor surgery? Never 1 week 1 month Other (please specify) Question Title * 12. Do you prohibit driving/recommend driving prohibition during radiotherapy? Never Depending on frequency and severity of seizures Always Done
