Objective neurocognitive functioning and neurocognitive complaints in patients with high-grade glioma
Autor: | Martin J. van den Bent, Martin Klein, Andrew Bottomley, Wolfgang Wick, Jos W. R. Twisk, Jaap C. Reijneveld, A Josephine Drijver, Ahmed Idbaih, Madeline Pe, Ivan Caramanna |
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Přispěvatelé: | Neurology, unité de recherche de l'institut du thorax UMR1087 UMR6291 (ITX), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), Vrije Universiteit Amsterdam [Amsterdam] (VU), European Organisation for Research and Treatment of Cancer [Bruxelles] (EORTC), European Cancer Organisation [Bruxelles] (ECCO), VU University Medical Center [Amsterdam], Erasmus University Medical Center [Rotterdam] (Erasmus MC), Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Heidelberg University Hospital [Heidelberg], Clinical Neuropsychology, Medical psychology, Epidemiology and Data Science, APH - Health Behaviors & Chronic Diseases, APH - Methodology, CCA - Cancer Treatment and quality of life, Gestionnaire, HAL Sorbonne Université 5, Unité de recherche de l'institut du thorax (ITX-lab), Institut du Cerveau = Paris Brain Institute (ICM), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
Male Health Knowledge Attitudes Practice Cancer Research Cognition Disorders/etiology Health-related quality of life Neuropsychological Tests Correlation High-grade glioma 0302 clinical medicine Quality of life Surveys and Questionnaires Medicine Practice Brain Neoplasms Health Knowledge Cognition Glioma Middle Aged Mental Status and Dementia Tests Prognosis humanities 3. Good health Europe Oncology 030220 oncology & carcinogenesis [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] Female Clinical psychology Cognitive awareness Concordance [SDV.CAN]Life Sciences [q-bio]/Cancer Glioma/complications 03 medical and health sciences [SDV.CAN] Life Sciences [q-bio]/Cancer SDG 3 - Good Health and Well-being Humans [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] Cognitive skill business.industry Cancer medicine.disease Clinical trial Neurocognitive functioning 030104 developmental biology Cross-Sectional Studies Brain Neoplasms/complications Attitudes Quality of Life PROs Cognition Disorders business Neurocognitive Follow-Up Studies |
Zdroj: | European Journal of Cancer, 144, 162-168. Elsevier Ltd. European Journal of Cancer European Journal of Cancer, Elsevier, 2020, 144, pp.162-168. ⟨10.1016/j.ejca.2020.10.040⟩ European Journal of Cancer, 144, 162-168. Elsevier Limited European Journal of Cancer, 144, 162-168. Pergamon European Journal of Cancer, 2020, 144, pp.162-168. ⟨10.1016/j.ejca.2020.10.040⟩ Caramanna, I, Bottomley, A, Drijver, A J, Twisk, J, van den Bent, M, Idbaih, A, Wick, W, Pe, M, Klein, M, Reijneveld, J C & EORTC Quality of Life Group and Brain Tumour Group 2021, ' Objective neurocognitive functioning and neurocognitive complaints in patients with high-grade glioma : Evidence of cognitive awareness from the European Organisation for Research and Treatment of Cancer brain tumour clinical trials ', European Journal of Cancer, vol. 144, pp. 162-168 . https://doi.org/10.1016/j.ejca.2020.10.040 EORTC Quality of Life Group and Brain Tumour Group 2021, ' Objective neurocognitive functioning and neurocognitive complaints in patients with high-grade glioma : Evidence of cognitive awareness from the European Organisation for Research and Treatment of Cancer brain tumour clinical trials ', European Journal of Cancer, vol. 144, pp. 162-168 . https://doi.org/10.1016/j.ejca.2020.10.040 |
ISSN: | 0959-8049 |
DOI: | 10.1016/j.ejca.2020.10.040 |
Popis: | BACKGROUND: Neurocognitively impaired patients with brain tumour are presumed to have reduced cognitive awareness preventing them from adequately valuing and reporting their own functioning, for instance, when providing patient-reported outcomes (PROs) such as health-related quality of life instruments. In this cross-sectional study, we aimed at assessing the concordance of neurocognitive complaints (NCCs) and objective neurocognitive functioning (NCF) as a measure of cognitive awareness.METHODS: NCF was assessed using an internationally accepted clinical trial battery. NCC was assessed using the cognitive functioning questionnaire from the Medical Outcome Study (MOS) and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire cognitive functioning subscale. Patients were divided in cognitively impaired and unimpaired groups, based on their NCF performance. Pearson's correlation coefficients between NCF and NCCs were calculated. The same procedure was used to evaluate the correlation of NCF and QLQ-C30 CF subscale.RESULTS: Data from EORTC trials 26091 and 26101 were pooled into a data set of 546 patients. Twenty percent of patients could be characterised as unimpaired (109) and 80% as impaired (437). Impaired patients reported more cognitive complaints on the MOS scale than unimpaired patients. Correlations between NCF and NCCs were weak but significant for impaired patients and non-significant for unimpaired ones. Similar results were found for the correlation between NCF test performance and the QLQ-C30 CF subscale.CONCLUSION: Correlations between NCF test scores and complaints were weak but suggesting that neurocognitive impairment in patients with HGG does not preclude cognitive awareness. However, considering the findings of this study, we would suggest not to use PROs as a surrogate of performance-based neurocognitive evaluation. |
Databáze: | OpenAIRE |
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