Persistent fatigue after surgery for asymptomatic meningiomas: a population-based long-term follow-up study
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2026
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Abstract
Abstract Background Meningiomas are increasingly detected incidentally due to widespread neuroimaging and are sometimes managed surgically despite the absence of preoperative symptoms. Although surgery in these patients is often considered to be of low risk, long-term patient-reported outcomes such as fatigue remain insufficiently characterized. Objective To assess the prevalence and severity of long-term fatigue in patients surgically treated for asymptomatic meningiomas. Methods In this population-based retrospective cohort study, adult (≥18 years) patients with asymptomatic meningioma treated surgically at Karolinska University Hospital between 2007 and 2013 (n = 69) were included. Patients were assessed using the Multidimensional Fatigue Inventory (MFI-20) and compared with age- and sex-matched normative values. The proportion of patients with clinically significant fatigue was estimated using validated cut-off scores based on previous studies. Results The median total fatigue score was 55 (IQR 45–63), corresponding to approximately 0.7 standard deviations above age- and sex-matched normative values. Patients reported significantly higher fatigue levels than normative values across all MFI-20 dimensions (all p < 0.001). Fatigue was present in 33% of patients based on total fatigue scores, while 48–64% exceeded cut-off values in individual fatigue dimensions present in MFI-20. Descriptive differences in fatigue scores were observed across age groups and between sexes Conclusion Patients surgically treated for asymptomatic meningiomas experience elevated multidimensional fatigue at long-term follow-up. These findings challenge assumptions of benign postoperative recovery in this patient population and highlight the importance of systematic fatigue assessment and targeted management strategies even in previously asymptomatic patients.
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| Authors | Olivia Näslund, Isabelle Rydén, Stina Rittri, Jenny Pettersson-Segerlind, Jiri Bartek, Erik Thurin |
| Journal | Neuro-Oncology Practice |
| Year | 2026 |
| DOI |
10.1093/nop/npag071
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| URL | |
| Keywords | Keywords not found |
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