Neurocognitive impairment, employment, and social status in radiotherapy-treated adult survivors of childhood brain tumors
Riikonen V. Pekka; Harila-Saari Arja H.; Puosi Riina; Ritari Niina; Arola Mikko O.; Remes Tiina M.; Lönnqvist Tuula R.I.; Rantala Heikki M.J.; Harila Marika; Ojaniemi Marja K.; Lähteenmäki Päivi M.; Hovén Emma; Sirkiä Kirsti H.; Winqvist Satu; Arikoski Pekka M.; Pohjasniemi Heli
https://urn.fi/URN:NBN:fi-fe2021093048221
Tiivistelmä
Background. Little is known of the cognitive functions, employment, and social status in adult survivors of childhood brain tumor (BT). We aimed to determine the long-term neurocognitive profile of radiotherapy-treated adult survivors of childhood BT and the relationship between cognitive functions and employment and social status.
Methods. Neurocognitive profiles of survivors were assessed in a Finnish national cohort of 71 radiotherapy-treated survivors of childhood BT (median follow-up time: 21 years [range: 5-33 years]) using a cross-sectional design. Neurocognitive outcomes were compared to control (n = 45) and normative values. Tumor- and treatment-related data were collected from the patient files. Information on employment and social status was gathered.
Results. Survivors' (median age: 27 years [range: 16-43 years]) median verbal and performance intelligence quotient (IQ) was 90 (range: 49-121) and 87 (range: 43-119), respectively. The cognitive domains with the greatest impairment were executive functions (median z score, 3.5 SD [range: -25.0 to 1.3 SD]), and processing speed and attention (median z score, -2.5 SD [range: -24.9 to 0.5 SD]). Executive functions were associated with employment, educational level, living independently, having an intimate relationship, and having a driving license. Processing speed and attention were related to educational level, living independently, having an intimate relationship, and having a driving license. Performance IQ was associated with educational level and employment status. Working memory was associated with educational level and living independently.
Conclusions. Radiotherapy-treated adult survivors of childhood BT experience significant neurocognitive impairment, which is associated with difficulties related to employment and social status.
Kokoelmat
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