Illuminating the hidden cost: A systematic review of cognitive late effects regarding cancer-related fatigue in treated paediatric brain tumors
2024

Understanding Cognitive Late Effects of Radiotherapy in Children with Brain Tumors

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): Vethe Hernes Ingrid, Jansdatter Amalie, Nordsteien Anita, Haraldsen Normann Mathilde

Primary Institution: Haukeland University Hospital, Norway

Hypothesis

This study aims to investigate previous research on the impact of cancer-related fatigue for neurocognitive function that can be related to radiotherapy in patients who have undergone primary brain radiotherapy before the age of 18.

Conclusion

The findings underscore the critical need for more in-depth research to understand the health perception variations among children post-primary brain radiotherapy.

Supporting Evidence

  • Children treated with proton therapy may experience fewer cognitive late effects compared to those treated with photon therapy.
  • Variations in cognitive outcomes were observed, indicating that treatment type affects long-term cognitive function.
  • Many children face significant cognitive and social challenges after treatment, impacting their daily lives.

Takeaway

This study looks at how kids who had radiation for brain tumors might feel really tired and have trouble thinking later on. It shows that some kids get better over time, but many still struggle with their thinking and social skills.

Methodology

This systematic review searched MEDLINE ALL, EMBASE, CINAHL, and PsycINFO for studies on children under 18 who underwent radiotherapy for primary brain cancer, focusing on late cognitive side effects, published from 2000 to 2023.

Potential Biases

Variability in treatment methods and follow-up times may introduce bias in understanding the effects of radiotherapy.

Limitations

The included studies vary in terms of population, follow-up, treatment, treatment period, dosage, and cognitive tests, making general comparisons difficult.

Participant Demographics

Children under 18 who underwent radiotherapy for primary brain cancer.

Digital Object Identifier (DOI)

10.1016/j.tipsro.2024.100291

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