Author:
ANDERSON-HANLEY CAY,SHERMAN MARNE L.,RIGGS RAINE,AGOCHA V. BEDE,COMPAS BRUCE E.
Abstract
A meta-analysis was conducted to evaluate possible neuropsychological effects of treatments for cancer in adults. A search revealed 30 studies, encompassing 29 eligible samples, and leading to inclusion of a total of 838 patients and control participants. A total of 173 effect sizes (Cohen'sd) were extracted across 7 cognitive domains and as assessed in the literature via 3 methods of comparison (post-treatment compared with normative data, controls, or baseline performance). Statistically significant negative effect sizes were found consistently across both normative and control methods of comparison for executive function, verbal memory, and motor function. The largest effects were for executive function and verbal memory normative comparisons (−.93 and −.91, respectively). When limiting the sample of studies in the analyses to only those with relatively “less severe” diagnoses and treatments, the effects remained. While these results point toward some specific cognitive effects of systemic cancer therapies in general, no clear clinical implications can yet be drawn from these results. More research is needed to clarify which treatments may produce cognitive decrements, the size of those effects, and their duration, while ruling out a wide variety of possible mediating or moderating variables. (JINS, 2003,9, 967–982.)
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Clinical Neurology,Clinical Psychology,General Neuroscience
Reference83 articles.
1. Copeland, D.R. , Fletcher, J.M. , & Pfefferbaum-Levine, B. (1985).Neuropsychological sequelae of childhood cancer in long-termsurvivors.Pediatrics,75,745–753.
2. Mann, D. (1999).Memory lock: Is chemobrain making you forgetful? MAMM: Women, Cancer and Community,December/January,67–69.
3. Ahles, T.A. , Tope, D.M. , Furstenberg, C. , Hann, D. , & Mills, L. (1996).Psychologic and neuropsychologic impact of autologous bone marrowtransplantation.Journal of Clinical Oncology,14,1457–1462.
4. Videtic, G.M. (2001).Using treatment interruptions to palliate the toxicity fromconcurrent chemoradiation for limited small cell lung cancer decreasessurvival and disease control.Lung Cancer,33,249–258.
5. van Oosterhout, A.G. , Ganzevles, P.G. , Wilmink, J.T. , De Geus, B.W. , Van Vonderen, R.G. , & Twijnstra, A. (1996).Sequelae in long-term survivors of small cell lung cancer.International Journal of Oncology, Biology and Physics,34,1037–1044.
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