Neurocognitive impairment, employment, and social status in radiotherapy-treated adult survivors of childhood brain tumors.

Autor: Remes, Tiina M, Hovén, Emma, Ritari, Niina, Pohjasniemi, Heli, Puosi, Riina, Arikoski, Pekka M, Arola, Mikko O, Lähteenmäki, Päivi M, Lönnqvist, Tuula R I, Ojaniemi, Marja K, Riikonen, V Pekka, Sirkiä, Kirsti H, Winqvist, Satu, Rantala, Heikki M J, Harila, Marika, Harila-Saari, Arja H
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Zdroj: Neuro-Oncology Practice; Jun2021, Vol. 8 Issue 3, p266-277, 12p
Abstrakt: Background Little is known of the cognitive functions, employment, and social status in adult survivors of childhood brain tumor (BT). We aimed to determine the long-term neurocognitive profile of radiotherapy-treated adult survivors of childhood BT and the relationship between cognitive functions and employment and social status. Methods Neurocognitive profiles of survivors were assessed in a Finnish national cohort of 71 radiotherapy-treated survivors of childhood BT (median follow-up time: 21 years [range: 5-33 years]) using a cross-sectional design. Neurocognitive outcomes were compared to control (n = 45) and normative values. Tumor- and treatment-related data were collected from the patient files. Information on employment and social status was gathered. Results Survivors' (median age: 27 years [range: 16-43 years]) median verbal and performance intelligence quotient (IQ) was 90 (range: 49-121) and 87 (range: 43-119), respectively. The cognitive domains with the greatest impairment were executive functions (median z score, −3.5 SD [range: −25.0 to 1.3 SD]), and processing speed and attention (median z score, −2.5 SD [range: −24.9 to 0.5 SD]). Executive functions were associated with employment, educational level, living independently, having an intimate relationship, and having a driving license. Processing speed and attention were related to educational level, living independently, having an intimate relationship, and having a driving license. Performance IQ was associated with educational level and employment status. Working memory was associated with educational level and living independently. Conclusions Radiotherapy-treated adult survivors of childhood BT experience significant neurocognitive impairment, which is associated with difficulties related to employment and social status. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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