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Updated: Sep 12, 2025
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Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
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Prehabilitation: Cognitive considerations
David P Sheppard1, Sarah P Psutka2, Hanna Hunter1
1Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA; Fred Hutchinson Cancer Center, Seattle, WA.
Urologic Oncology
|August 7, 2025
Summary
Cognitive dysfunction is common in urologic cancer survivors. This review explores prehabilitation strategies to support cognitive health before cancer treatment, aiming to improve quality of life.
Area of Science:
- Oncology
- Neuroscience
- Rehabilitation Medicine
Background:
- Urologic cancers and treatments can lead to cognitive dysfunction, impacting survivorship.
- Current cognitive rehabilitation focuses on post-treatment compensatory strategies or restorative training.
- Prehabilitation shows promise for urologic cancer outcomes but is understudied for cognitive function.
Purpose of the Study:
- To review common cognitive deficits in urologic cancers.
- To examine current cognitive rehabilitation evidence in cancer patients.
- To identify potential prehabilitation approaches for cognitive support in urologic cancers.
- To explore existing prehabilitation efforts (physical activity, nutrition, mood) applicable to cognitive endpoints.
Main Methods:
- Literature review of studies on urologic cancers, cognitive dysfunction, and prehabilitation.
- Analysis of cognitive rehabilitation strategies in broader cancer populations.
- Identification of transferable prehabilitation interventions.
Main Results:
- Cognitive dysfunction is a significant concern for urologic cancer survivors.
- Evidence for cognitive rehabilitation exists but is primarily post-treatment.
- Few studies have specifically investigated prehabilitation for cognitive function in urologic cancers.
- Physical activity, nutrition, and mood interventions are established prehabilitation components with potential cognitive benefits.
Conclusions:
- There is a need for cognitive prehabilitation in urologic cancer care.
- A proposed model for cognitive prehabilitation can guide future research.
- Integrating prehabilitation strategies may enhance cognitive resilience and outcomes for urologic cancer patients.
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