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Monitoring and optimising cognitive function in cancer patients: Present knowledge and future directions
S B Schagen1, M Klein2, J C Reijneveld3
1Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Cancer and its treatments can impair cognitive function, affecting independence in patients with and without brain tumors. Research is exploring causes, consequences, and rehabilitation strategies for cognitive decline in cancer survivors.
Area of Science:
- Neuroscience
- Oncology
- Psychology
Background:
- Cancer and cancer treatments significantly impact cognitive function, a growing concern in survivorship.
- Cognitive problems are prevalent in patients with central nervous system (CNS) and non-CNS tumors, affecting daily independence.
Purpose of the Study:
- To review current knowledge on cognitive functioning in cancer patients (CNS and non-CNS) at various disease stages.
- To discuss disease and treatment effects on cognition, underlying mechanisms, and neural substrates.
- To highlight rehabilitation strategies and identify knowledge gaps in cancer-related cognitive dysfunction.
Main Methods:
- Literature review of studies on cognitive functioning in cancer patients.
- Analysis of disease and treatment effects on cognition.
- Examination of neural substrates and rehabilitation strategies.
Main Results:
- Cognitive deficits are common in patients with primary/secondary brain tumors and those with non-CNS cancers.
- Both the cancer itself and its therapies contribute to cognitive decline.
- Understanding of neural mechanisms and effective rehabilitation strategies is evolving.
Conclusions:
- Further research is needed to address knowledge gaps concerning cancer-related cognitive dysfunction.
- Cooperative groups should integrate cognitive endpoints into clinical trials to advance understanding and treatment.
- Interventions are crucial for improving functional independence in cancer survivors experiencing cognitive impairment.
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