Evidence map›Paper›PMID 34173970›Full record

ArticleJournal of cancer survivorship : research and practice2022

Association of cognitive impairment and breast cancer survivorship on quality of life in younger breast cancer survivors.

Diane Von Ah, Adele D Crouch, Patrick O Monahan, Timothy E Stump, Frederick W Unverzagt, Susan Storey, Andrea A Cohee, David Cella, Victoria L Champion

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Accounting for unmet needs resulting from cancer-related cognitive impairment.Journal of cancer survivorship : research and practice · 2026
    Article
  4. Symptom burden in cancer survivorship: insights from a survivorship program's patient-reported outcomes database.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The association of the MIND diet and its components with cognitive function in postmenopausal breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  13. Article
  14. Incidence and predictors of immune checkpoint inhibitor treatment-related cognitive impairment in a racial and ethnic diverse population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Qigong in the care of breast cancer survivors with diabetes.Asia-Pacific journal of oncology nursing · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Diane Von AhIndiana University School of Nursing, 600 Barnhill Drive, NU 120, Indianapolis, IN, 46202, USA. dvonah@iu.edu.ORCID 0000-0002-3189-1307
Adele D CrouchIndiana University School of Nursing, 600 Barnhill Drive, NU 120, Indianapolis, IN, 46202, USA.ORCID 0000-0001-9881-1247
Patrick O MonahanDepartment of Biostatistics, Indiana University School of Medicine, HS3000, Indianapolis, IN, 46202, USA.
Timothy E StumpDepartment of Biostatistics, Indiana University School of Medicine, HS3000, Indianapolis, IN, 46202, USA.
Frederick W UnverzagtDepartment of Psychiatry, Indiana University School of Medicine, 355 W. 16th Street, Suite 2800, Indianapolis, IN, 46202, USA.
Susan StoreyDepartment of Psychiatry, Indiana University School of Medicine, 355 W. 16th Street, Suite 2800, Indianapolis, IN, 46202, USA.
Andrea A CoheeIndiana University School of Nursing, 600 Barnhill Drive, NU 120, Indianapolis, IN, 46202, USA.
David CellaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N. Michigan Ave - 21st Floor, Chicago, IL, 60611, USA.
Victoria L ChampionIU Simon Cancer Center, Indiana University School of Nursing, 600 Barnhill Drive, NU 318, Indianapolis, IN, 46202, USA.
Indiana University School of MedicineIndiana University Health · USIndiana University – Purdue University Indianapolis · USNorthwestern University · US

Funding

Building upon a tradition of excellence. The NCTN at Indiana UniversityU10CA180795 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI MILLER, KATHY D. · 2014 to 2018
$2.6M
American Cancer Society RSGPB-04-089-01NCI NIH HHS U10 CA180795
6 · The paper itself

Abstract

purposeYounger breast cancer survivors (BCS) often report cognitive impairment and poor quality of life (QoL), which could be interrelated. The purpose of this study was to examine the association of cognitive impairment and breast cancer status (BCS versus healthy control (HC)), with QoL, which included psychological (depressive symptoms, well-being, perceived stress, and personal growth) and physical well-being (physical functioning and fatigue).

methodsFour hundred ninety-eight BCS (≤45 years at diagnosis) who were 3 to 8 years post-chemotherapy treatment and 394 HC completed subjective questionnaires and a one-time neuropsychological assessment, including tests of attention, memory, processing speed, and verbal fluency. For each test, cognitive impairment was defined as scoring 1.5 and 2.0 standard deviations below the mean of the HC group. Separate linear regression models for each outcome were ran controlling for known covariates.

resultsBCS reported significantly more memory problems than HC (p < 0.0001), with up to 23% having significant impairment. Cognitive performance did not differ significantly between BCS and HCs. BCS vs. HCs had greater depression and fatigue, yet more personal growth. Objective and subjective cognitive impairment were significantly related to greater depressive symptoms and perceived stress and lower well-being and physical functioning; whereas, objective impairment was related to less personal growth and subjective impairment was related to greater fatigue.

conclusionsYounger BCS report significant cognitive impairment years after treatment which may relate to greater decrements in QoL. IMPLICATIONS TO CANCER SURVIVORS: Assessment and interventions to address cognitive concerns may also influence QoL outcomes in younger BCS.

Indexed as

Breast NeoplasmsCancer SurvivorsCognitive DysfunctionFatigueFemaleHumansQuality of LifeBreast cancer survivorCognitive impairmentPhysical well-beingPsychological well-beingQuality of life

Identifiers

PMID34173970
PMCPMC9300496
OpenAlexW3176154153

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.