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    Cancer survivors often experience cognitive impairment due to cancer or its treatments. Management focuses on non-drug strategies first, with medication as a final option for persistent symptoms.

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    Area of Science:

    • Oncology
    • Neuroscience
    • Quality of Life Research

    Background:

    • Cognitive impairment is a frequent issue for cancer survivors, stemming from the disease or treatments like chemotherapy and radiation.
    • Persistent and severe cognitive symptoms can significantly diminish survivors' quality of life and daily functioning.

    Framework:

    • This guidance outlines assessment, evaluation, and management strategies for cognitive dysfunction in cancer survivors.
    • Recommendations are based on the NCCN Guidelines for Survivorship.

    Implementation:

    • Prioritizes non-pharmacologic interventions, including coping strategies, distress, pain, sleep, and fatigue management, and occupational therapy.
    • Pharmacologic interventions are reserved as a last resort for cases unresponsive to other methods.

    Implications:

    • Aims to improve cognitive function and overall well-being in the cancer survivor population.
    • Provides a structured approach for healthcare providers to address cognitive challenges in survivorship care.