Several patient-reported measures are commonly used to assess PBT patients including the HealthMeasures Quality of Life in Neurological Disorders (Neuro-QOL) Cognitive Function tool 13 and the MD Anderson Symptom Inventory-Brain Tumor module (MDASI-BT). 11 When considering the similarities between the mechanisms of spinal cord injuries and spinal cord tumors, 12 these findings highlight the need to explore cognitive deficits in the primary CNS tumor population.īoth patient-reported and objective measures of CD have been developed to assess and improve the evaluation of patients reporting or clinically suspected to have cognitive deficits. 9, 10 Craig et al reported that about 30% of the adult spinal cord injury population have severe cognitive impairments. However, there is evidence of cognitive impairment in those with spinal cord injury, specifically in the cognitive domains of memory, attention, and processing speed. 7, 8 Spinal cord tumors are rare, and there are limited reports describing cognitive function in these patients. 3, 6 Previous research suggests that assessing CD in this population is important as it may provide insight into overall survival, progression-free survival, and direct tumor management. 5 Furthermore, deficits in the cognitive domains of executive functioning, attention, memory, and processing speed have shown to be detrimental to a patient’s quality of life, even after treatment is ceased. 4 Similarly, Tucha et al reported that 71% of patients had impairments in 3 or more cognitive areas. 1–3 In a recent systematic review of literature on neurocognitive function in patients with diffuse glioma, 63% of patients had an impairment in at least one cognitive domain. CNS tumors, cognitive dysfunction, neurocognitive testing, telehealthĬognitive dysfunction (CD) is one of the most common symptoms experienced by primary brain tumor (PBT) patients and is associated with the disease and as a consequence of treatment, often including surgical resection, radiation therapy, and chemotherapy.
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