Abstract:Examination of subcomponents of executive functioning is recommended to better characterize the nature of executive dysfunction in women treated with chemotherapy. Future studies should include executive functioning tasks of varying complexity, use of multiple tasks to increase reliability, and alternative indices to capture performance, such as within-person variability.
“…Another issue is study retention, i.e. the proportion and composition of cases having dropped out (11,17). Attrition may result in the selection of data and miss the most vulnerable cases; this phenomenon is more relevant in studies with long follow-up.…”
Section: Discussionmentioning
confidence: 99%
“…The adverse effects of adjuvant therapies on cognitive functioning including verbal memory (immediate and delayed recall), visuo-spatial memory, executive functioning, attention/concentration, psychomotor speed, verbal fluency, verbal articulation (language skills) may exert profound effects on quality of life (QOL) (6)(7)(8). Chemotherapy-related cognitive deterioration originally named as "chemobrain" is a wellknown phenomenon which includes various chemotherapyinduced deficits and impairments such as decline of verbal memory and psychomotor functioning (3,(9)(10)(11). Similar consequences of endocrine therapy (ET) have been less intensively investigated.…”
Background/Aim: Anti-cancer therapies may deteriorate cognitive functioning, affective functioning and psychological well-being. Materials and Methods: In this prospective longitudinal pilot study, premenopausal and postmenopausal patients received adjuvant endocrine therapy (ET) (tamoxifen with or without LHRH analog or aromatase inhibitor) or were observed only (control group). At baseline testing and 6, 12 and 24 months thereafter, cognitive, depression and anxiety tests and quality of life (QOL) measurements were performed. Results: Overall, 46 cases were evaluated. None of the studied cognitive parameters differed between the subgroups or changed by time. No differences were found regarding anxiety, depression or QOL measures either. Baseline cognitive test and QOL results were in association with later anxiety and depression. Conclusion: No cognitive impairment was found during the two years of ET. Baseline cognitive scores and QOL dimensions proved good predictors of later anxiety and depression.
“…Another issue is study retention, i.e. the proportion and composition of cases having dropped out (11,17). Attrition may result in the selection of data and miss the most vulnerable cases; this phenomenon is more relevant in studies with long follow-up.…”
Section: Discussionmentioning
confidence: 99%
“…The adverse effects of adjuvant therapies on cognitive functioning including verbal memory (immediate and delayed recall), visuo-spatial memory, executive functioning, attention/concentration, psychomotor speed, verbal fluency, verbal articulation (language skills) may exert profound effects on quality of life (QOL) (6)(7)(8). Chemotherapy-related cognitive deterioration originally named as "chemobrain" is a wellknown phenomenon which includes various chemotherapyinduced deficits and impairments such as decline of verbal memory and psychomotor functioning (3,(9)(10)(11). Similar consequences of endocrine therapy (ET) have been less intensively investigated.…”
Background/Aim: Anti-cancer therapies may deteriorate cognitive functioning, affective functioning and psychological well-being. Materials and Methods: In this prospective longitudinal pilot study, premenopausal and postmenopausal patients received adjuvant endocrine therapy (ET) (tamoxifen with or without LHRH analog or aromatase inhibitor) or were observed only (control group). At baseline testing and 6, 12 and 24 months thereafter, cognitive, depression and anxiety tests and quality of life (QOL) measurements were performed. Results: Overall, 46 cases were evaluated. None of the studied cognitive parameters differed between the subgroups or changed by time. No differences were found regarding anxiety, depression or QOL measures either. Baseline cognitive test and QOL results were in association with later anxiety and depression. Conclusion: No cognitive impairment was found during the two years of ET. Baseline cognitive scores and QOL dimensions proved good predictors of later anxiety and depression.
“…2018; 1-14. wileyonlinelibrary.com/journal/hed survivors of childhood cancers. [1][2][3][4][5][6][7][8][9][10] Interestingly, studies examining NCF in women with breast cancer indicate that a subset have deficits before receiving chemotherapy, 11,12 and similar pretreatment deficits have been reported in hematological patients before hematopoietic stem cell transplants. 13 Both self-reported and objective neurocognitive deficits have been reported but the concordance between them is limited, making it essential to assess both.…”
Pretreatment patients with head and neck cancer reported cognitive disturbance. The frequency of impaired performance, albeit high, was consistent with the literature demonstrating false-positive "abnormal" neuropsychological test performance is not uncommon. Inclusion of a noncancer patient control cohort is essential because using solely normative data as a comparison may foster erroneous interpretation.
“…The cognitive impairments associated with chemotherapy have been observed up to 2 years after therapy in prospective longitudinal studies [99] and as long as 21 years after treatment in cross-sectional studies [100]. Deficits in both immediate and delayed memory recall, working memory, attention, and processing speed have been reported [101] but with a large intraindividual variability [102][103][104].…”
Section: Brain Toxicity By Antineoplastic Drugsmentioning
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