A systematic review of interventions for neurocognitive dysfunctions in patients and survivors of a pediatric brain tumor.
Kristien BullensCharlotte SleursJeroen BlommaertJurgen LemiereSandra JacobsPublished in: Pediatric blood & cancer (2024)
Due to a high burden of neurocognitive impairment on patients with a pediatric brain tumor, interventions mitigating these symptoms are highly needed. Currently, evidence on the efficacy and feasibility of such interventions remains scarce. A systematic literature study was performed based on four different databases (PubMed, Web of Science Core Collection, Embase, and PsycArticles). Resulting articles (n = 2232) were screened based on title and abstract, and full text. We included 28 articles, investigating cognitive effects of either a lifestyle intervention (n = 6), a cognitive training (n = 15), or pharmacological intervention (n = 7). The most frequently studied interventions were the Cogmed and methylphenidate. Most interventions showed short-term efficacy. Fewer interventions also showed long-term maintenance of positive results. Despite positive trends of these interventions, results are heterogeneous, suggesting relatively limited efficacy of existing interventions and more potential of more individualized as well as multimodal approaches for future interventions.
Keyphrases
- physical activity
- randomized controlled trial
- public health
- systematic review
- metabolic syndrome
- bipolar disorder
- type diabetes
- cardiovascular disease
- newly diagnosed
- end stage renal disease
- depressive symptoms
- machine learning
- risk assessment
- smoking cessation
- chronic pain
- pain management
- human health
- patient reported