RBIO-01. Individual return to work after treatment of vestibular schwannoma – a questionnaire-based study

Abstract INTRODUCTION A fulfilling professional life is an integral part of overall quality of life. Understanding post-treatment return to work (RTW) in vestibular schwannoma (VS) patients is essential for optimizing patient management and counseling. Our questionnaire-based study aimed to assess individual factors influencing RTW outcomes in VS patients. Materials and Methods We conducted a questionnaire-based study on a retrospective cohort diagnosed with vestibular schwannoma who underwent either surgical resection or stereotactic radiosurgery at our institution between 2012 and 2021. RTW was assessed in a working age population (<65 years) at time of intervention using a 26-item questionnaire, addressing key domains such as employment status, work capacity, job modifications, and factors influencing the return-to-work process. Patient demographics, tumor characteristics, treatment modality, and follow-up were recorded. RESULTS 144 eligible patients underwent treatment during the study period. Of these, 72 patients (50%) with a median age of 51 years at the time of treatment agreed to participate in the study, with 38 and 34 having undergone SRS and surgery respectively. At 12 months post-intervention, 72% were working (59% full-time), increasing to 84% at 24 months (65% full-time), stabilizing at 60 months. At last contact, 50% of patients were employed, 47% retired, and 3% unemployed. Employment changes were present in 16%. Work-life balance remained unchanged in 56%, while 41% prioritized free time. Perceived employer support significantly increased RTW likelihood (p=0.013). However, treatment modality and gender showed no significant impact on RTW. Patients requiring psychological support post-intervention were significantly less likely to return to work at six months (p=0.046), but showed no significant difference at 12, 24, or 60 months. CONCLUSION Treatment modality did not significantly influence RTW. However, employer support significantly affected RTW post-treatment.