Cancer-related cognitive impairment and associated factors in a sample of older male oral-digestive cancer survivors.

Abstract:

OBJECTIVE:This study examines the demographic and clinical variables associated with cancer-related cognitive impairment (CRCI) in a sample of older, male, oral-digestive cancer survivors at VA Medical Centers in Boston and Houston. METHODS:A two-time point, longitudinal design was used, with cognitive assessment conducted at 6 and 18 months post-diagnosis. Using ANCOVA, the cognitive functioning of 88 older adults with head and neck, esophageal, gastric, or colorectal cancers was compared with that of 88 healthy controls. Paired t-tests examined cognitive change over time in the cancer group. Hierarchical linear regression examined variables potentially associated with cognitive impairment at 18 months. RESULTS:Forty-eight percent of cancer patients exhibited cognitive impairment 6 months post-cancer diagnosis, and 40% at 18 months. Cancer survivors were impaired relative to controls on measures of sustained attention, memory, and verbal fluency at 18 months, controlling for age. Older age, low hemoglobin, and cancer-related PTSD were associated with worse cognition at 18 months. CONCLUSIONS:CRCI is more frequent in older adults than reported in studies of younger adults and may be more frequent in men. Potential areas of intervention for CRCI include psychotherapy for cancer-related PTSD, treatment of anemia, and awareness of particularly vulnerable cognitive domains such as sustained attention, memory, and verbal fluency.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Regier NG,Naik AD,Mulligan EA,Nasreddine ZS,Driver JA,Sada YH,Moye J

doi

10.1002/pon.5131

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

1551-1558

issue

7

eissn

1057-9249

issn

1099-1611

journal_volume

28

pub_type

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