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. 2023 Feb 14;15(4):1215. doi: 10.3390/cancers15041215

Table A3.

Overview of self-report studies in older cancer survivors according to the systematic literature review.

Questionnnaires/Interviews
Freedman,
2013
PR Breast 297 chemo * 71.5 N.A. NBF-ADL
  • -

    ChemoTx was not associated with longitudinal changes in self-reported cognitive function

  • -

    No changes by Tx (standard vs capecitabine)

  • -

    At 24 months, most survivors reported normal cognition

Heflin,
2005
CS All
(excluded brain)
702;
702 twin HC
N.A. 74.9 Telephone cognitive screening (unable or poor score on cognitive screening then BDRS); If score 3 Dementia screening using Diagnostic and Statistical Manual-IV criteria
  • -

    Long-term survivors presented higher rates of cognitive dysfunction complaints than their healthy twin

  • -

    Cancer survivors were twice as likely to be diagnosed with dementia as their healthy twin

Hurria, Goldfarb,
2006
PR Breast 45 chemo 70 N.A. Squire Memory Self-Rating Questionnaire
  • -

    51% of survivors perceived decline in memory when comparing to before chemoTx

Keating,
2005
CS All 964;
14 330 HC
55.0 68.3 Survey
TICS
  • -

    Similar rates of self-reported memory, and among 65+, similar cognition scores between survivors and HC

  • -

    No difference in cognitive complaints between survivors and HC

Mandelblatt,
2016
PR Breast 519 chemo ± hormone
687 hormone alone
N.A. 72.7 EORTC-QLQ-C30
  • -

    Most older survivors maintained good long-term self-reported cognitive function (42%)

  • -

    2.1x higher odds of accelerated decline when exposed to chemoTx (with or without anti-hormonal Tx)

  • -

    Comorbidity (or frailty) and low pre-diagnosis function increased odds of accelerated cognitive decline

  • -

    Age was not related to accelerated group

  • -

    Cognition trajectories were related to physical function trajectories

Schilder,
2012
PR Breast 80 Tamoxifen;
99 Exemestane;
120 HC
N.A. 68.7 Tamoxifen;
68.3 Exemestane;
66.2 HC
CFQ Dutch version;
Interview questions “Do you have any complaints with regard to memory and attention/ concentration?”
Neuropsychological tests
Dutch Adult Reading Test;
Fepsy Finger Tapping;
Fepsy Reaction Times;
RAVLT (immediate and delayed);
SCWT;
TMT A and B;
VFT (phonetic, semantic);
Visual Association Test;
WAIS-III Letter-Number sequencing;
WMS-R Visual Memory (immediate and delayed)
  • -

    Increased attention/concentration complaints in tamoxifen users 1 year after Tx, but not in exemestane

  • -

    Tamoxifen or exemestane use did not influence self-reported frequency of cognitive failures

  • -

    Self-reported cognitive function was associated with anxiety/depression, fatigue, and menopausal complaints

  • -

    Cognitive test was not associated with self-reported cognitive functioning

Stava,
2006
CS Breast;
Other
Female
814 breast cancer;
- 334 chemo;
- 470 no chemo
1894 other cancers
46.8 breast;
42.7 other
69.4 breast;
66.4 other
Survey
  • -

    Survivors who received chemoTx more frequently reported loss of memory (11.3% vs. 4.8%)

  • -

    Women who received chemoTx more frequently reported loss of memory (12.3% vs. 7.2%)

  • -

    Breast cancer survivors reported more loss of memory than other cancers (18.4% vs. 12.5%)

NOTE. * Indicates median. Abbreviations: 3MS, Modified Mini-Mental State Examination; AD, Alzheimer’s Disease; ADT, Androgen Deprivation Therapy; ApoE ε4, Apolipoprotein E; AVLT, Auditory Verbal Learning Test; BDRS, Blessed Dementia Rating Scale; BNT, Boston Naming Test; BVMT-R, Brief Visual-Memory Test-Revised; BVRT, Benton Visual Retention Test; CAMCO-G, Cambridge Cognitive Examination; CDR, Clinical Dementia Rating; CERAD-K-N, Consortium to Establish a Registry for Alzheimer’s Disease; CFQ, Cognitive Failure Questionnaire; CNS, Central Nervous System; COWAT, Controlled Oral Word Association Test; CRT, Complex reaction time; CS, Cross-sectional; CVLT, California Verbal Learning Test; D-KEFS, Delis-Kaplan Executive Function System; DSST, Digit Symbol Substitution Test; DTC, differentiated thyroid cancers; Dx, Diagnosis; EBPM, event-based prospective memory; EORTC-QLQ-C30, European Organization for Research and Treatment for Cancer Quality of Life Questionnaire; FAB-K, Frontal Assessment Battery; FACT-cog, Functional Assessment of Cancer Therapy-Cognitive Function; FDG, fluorodeoxyglucose; GMD, gray matter density; HC, healthy controls; H MRS, Proton Magnetic Resonance Spectroscopy; HVLT-R, Hopkins Verbal Learning Test, Revised; IED; Intradimensional/Extradimensional; IL-6, Interleukin 6; KDCT, Kendrick Assessment of Cognitive Aging battery; LDST, Letter-Digit Substitution Test; LHRH, Luteinizing hormone releasing hormone; LMWT, Luria Memory Word test; MDRS-2, Mattis Dementia Rating Scale-2; MFTC, Multiple Features Target Cancellation Test; MMSE, Mini-Mental State Exam; MoCA, Montreal Cognitive Assessment; MRI, Magnetic Resonance Imaging; MTCF, Modified Taylor Complex Figure Test; NAB, Neuropsychological Assessment Battery; NART, National Adult Reading Test; NBFADL, Neurobehavioral Functioning and Activities of Daily Living Scale; NHL, Non-Hodgkin Lymphoma; NMSC, Non-Melanoma Skin Cancer; No, number; PCI, prophylactic cranial irradiation; PET, Positron emission tomography; PMA-V, Primary Mental Abilities-Vocabulary; PPT, Purdue Pegboard Test; PR, Prospective; PTSD, Post-Traumatic Stress Disorder; RAVLT, Rey Auditory Verbal Learning Test; RCFT, Rey Complex Figure Test; ROCF, Rey–Osterrieth Complex Figure; RPM, Raven’s Progressive Matrices; RST, The Road Sign Test; RT, Radiotherapy; SCLC, Small Cell lung Cancer; SCWT, Stroop Color Word Test; SDMT, Symbol Digit Modalities Test; SRT, Simple reaction time; TBPM, time-based prospective memory; TIADL, Timed Instrumental Activities of Daily Living; TICS-m, Telephone interview cognitive screening; TMT, Trail Making Test; TSH, Thyroid Stimulating Hormone; Tx, Treatment; UFOV, Useful Field Of Vision; VFT, Verbal Fluency Test; WAIS-III, Wechsler Adult Intelligence Scale III; WASI, Wechsler Abbreviated Scale of Intelligence; WCST, Wisconsin Card Sorting Test; WFT, Word Fluency Test; WLT, 15-Word Learning Test; WMI, Working Memory Index; WMS, Wechsler Memory Scale; WRAT, Wide Range Achievement Test; Yrs, years.