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Updated: Jun 14, 2025

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Quantifying Cognitive Decrements Caused by Cranial Radiotherapy
Published on: October 18, 2011
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在被诊断为血液恶性新生体的老年人中认知轨迹
Li-Wen Huang1,2, Ying Shi3,4, W John Boscardin3,4,5
1Division of Hematology/Oncology, Department of Medicine, San Francisco Veterans Affairs Medical Center, California.
JAMA network open
|August 30, 2024
概括
患有血液性恶性瘤 (HMN) 的老年人表现出与没有癌症的人相似的认知衰退率. 考虑到死亡风险,认知轨迹在HMN患者和对照人群中仍然可比.
科学领域:
- 老年学是一门学科.
- 血液学 血液学 血液学
- 神经科学是一个神经科学.
背景情况:
- 增加血液性恶性瘤 (HMN) 的长期存活率需要了解认知结果.
- 关于HMN幸存者的癌症相关认知障碍的数据有限,特别是老年人.
研究的目的:
- 模型和比较认知轨迹和老年人诊断HMN与匹配的非癌症队列下降率.
主要方法:
- 基于人口的队列研究,使用 1998-2016 年的健康和退休研究 (HRS) 数据.
- 患有HMN的老年人 (≥65岁) 与使用倾向分数的无癌症参与者相匹配1:3.
- 认知功能通过Langa-Weir认知总结得分进行评估; 认知轨迹是使用零碎线性线条建模的.
主要成果:
- 在HMN和对照组 (N=668和N=1994,分别) 中,在诊断周围的认知衰退率相似.
- 在诊断后,HMN队列的衰退速度较慢,但考虑到相应的死亡风险后,这并不重要.
- 该研究主要包括惰的HMN诊断,有限的化疗使用 (14.4%).
结论:
- 当考虑死亡的竞争风险时,患有HMN和匹配的对照的老年人表现出类似的认知衰退率.
- 在HMN诊断之前,期间和之后的认知轨迹在两组之间是可比的.
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