TABLE 1.
Studies Examining Attention
Reference | N, Population, Design | Time Since Treatment | Treatment Regimen | Outcome | Limitations |
---|---|---|---|---|---|
Mabbott et al. (2008) | 60 survivors of PF tumor; 10 non-CNS tumor control subjects; Cross-sectional | Mean since diagnosis: PF group = 5.4 y; non-CNS tumor group = 5.9 y | PF group: 32/60 received CRT; 28/60 received surgery only; Non-CNS group received chemo + surgery | No differences in sustained attention were found between PF groups and/or healthy control group. | Heterogeneity in type of treatment received; Unequal group sizes. |
Mabbott et al. (2009) | 22 survivors of MDB; 17 survivors of low-grade PF glioma; 15 survivors of non-CNS tumor; 10 healthy controls; Cross-sectional | MDB group: Mean = 4.9y (SD = 0.55 y) | MDB group received CRT + surgery, 10/22 also received chemo. | Overall, both PF groups performed worse on selective attention tasks than the non-CNS and control groups. MDB group who received CRT had more errors and slower reaction times compared to non-CNS and control groups. | Potentially confounded by MDB group having 18% with residual complications of tumor (0% in all other groups); Unequal group sizes. |
Maddrey et al. (2005) | 16 long-term survivors of MDB; Cross-sectional | Mean = 14.6 y (SD = 3.5 y) | All received surgery + CRT | The majority were impaired on measures of attention. | Small sample size; No control group. |
Mulhern et al. (2001) | 42 MDB survivors; Cross-sectional | Mean = 4.9 y; Range (1.8–11.0 y) | All received surgery + CRT; 29/42 also received chemo | Cohort showed deficits in selective attention; these were linked to younger age at time of CRT. | No control group; Heterogeneity of treatment. |
Reeves et al. (2006) | 38 MDB survivors; Cross-sectional | Time since diagnosis: Mean = 1.9 y; Range (0.1–4.7 y) | Surgery and CRT: 25/38; Surgery, CRT, and chemo: 13/38 | 8/11 attention variables were significantly below sample mean; omission errors associated with lower reading and math. | No control group; Wide range of time since treatment. |
Ronning et al. (2005) | 23 survivors of MDB (n=11) or astrocytoma (n=12); Cross-sectional | Mean = 15.9 y, Range (10.2–20.8 y) | MDB: Surgery, CRT + chemo; Astroctyoma: Surgery | Both groups performed below the mean; MDB group performed worse than astrocytoma group in attention. | Small sample size; No control group. |
Note. MDB = medulloblastoma; PF = posterior fossa; Y = years; SD = standard deviation; CRT = cranial radiation therapy; chemo = chemotherapy; CNS = Central Nervous System.