Evidence map›Paper›PMID 34246583›Full record

ArticleJournal of geriatric oncology2022

Cognitive dysfunction prevalence and associated factors in older breast cancer survivors.

Adele Crouch, Victoria L Champion, Frederick W Unverzagt, Susan J Pressler, Lesa Huber, Lyndsi R Moser, David Cella, Diane Von Ah

Open access · greenAbstract read
In one paragraph

Article in Journal of geriatric oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Associations between MoCA screening-positive cognitive impairment, anxiety, depression, and quality of life in patients with oral cancer: a cross-sectional study in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Postoperative delirium in patients with cancer: a narrative review of major risk factors.Sao Paulo medical journal = Revista paulista de medicina · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Qigong in the care of breast cancer survivors with diabetes.Asia-Pacific journal of oncology nursing · 2024
    Article
  15. Article
  16. Review
  17. 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

8 authors at 4 institutions in 1 country.

Adele CrouchIndiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202, USA. Electronic address: adnielse@iu.edu.
Victoria L ChampionIndiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202, USA. Electronic address: vchampio@iu.edu.
Frederick W UnverzagtIndiana University School of Medicine, 355 W. 16th Street, Indianapolis, IN 46202, USA. Electronic address: funverza@iupui.edu.
Susan J PresslerIndiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202, USA. Electronic address: sjpress@iu.edu.
Lesa HuberIndiana University School of Public Health, 1025 E. 7(th) Street, Bloomington, IN 47405, USA. Electronic address: lehuber@indiana.edu.
Lyndsi R MoserIndiana University School of Medicine, 355 W. 16th Street, Indianapolis, IN 46202, USA. Electronic address: lrhabegg@iupui.edu.
David CellaNorthwestern University Feinberg School of Medicine, 625 N. Michigan Ave - 21(st) Floor, Chicago, IL 60611, USA. Electronic address: d-cella@northwestern.edu.
Diane Von AhIndiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202, USA. Electronic address: dvonah@iu.edu.
Indiana University – Purdue University Indianapolis · USIndiana University Bloomington · USIndiana University School of MedicineNorthwestern University · US

Funding

ECOG-ACRIN NCORP Research Base - TMISTUG1CA189828 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$199.7M
Building upon a tradition of excellence. The NCTN at Indiana UniversityU10CA180795 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI MILLER, KATHY D. · 2014 to 2018
$2.6M
Interdisciplinary Training in Cancer Prevention and ControlT32CA117865 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Victoria Lee Champion, Catherine E Mosher · 2016 to 2026
$2.4M
NCI NIH HHS T32 CA117865NCI NIH HHS U10 CA180795NCI NIH HHS UG1 CA189828
6 · The paper itself

Abstract

objectivesThe purpose of this study was to examine the prevalence and factors associated with objective and subjective cognitive dysfunction in older breast cancer survivors (BCS). MATERIALS AND

methodsThis cross-sectional descriptive study leveraged previously collected data from older BCS (n = 335). Separate linear regression models were used to determine relationships between demographic factors (age, education), medical factors (comorbidities), disease factors (time since diagnosis, cancer stage), cancer-related symptoms (depressive symptoms, anxiety, fatigue, sleep disturbance) and cognitive dysfunction measures, including objective learning, delayed recall, attention, executive function-working memory, verbal fluency and subjective attentional function.

resultsCognitive dysfunction was prevalent with up to 18.6% of older BCS experiencing mild-moderate dysfunction (1.5 standard deviations below mean of non-cancer controls) in at least one cognitive domain. Poor to moderate subjective attentional function was reported by 26% of older BCS. More depressive symptoms were significantly related to poorer cognitive function including learning (p < .01), delayed recall (p < .05), verbal fluency (p < .001), and subjective attentional function (p < .001) but not attention and executive function-working memory. Age, education, anxiety, and fatigue were also negatively associated with cognitive function in some models (p < .05-0.001).

conclusionCognitive dysfunction is common among older BCS and depressive symptoms, anxiety, and fatigue are related factors. Importantly, depressive symptoms were not only related to self-report, but also to cognitive performance. Healthcare providers should be aware of and assess for related factors and cognitive dysfunction itself in older BCS even years after diagnosis and treatment thorough geriatric assessment. Future longitudinal research is needed to discern these relationships.

Indexed as

Breast NeoplasmsCancer SurvivorsCognitive DysfunctionAgedCross-Sectional StudiesFemaleHumansPrevalenceAssociated factorsBreast cancer survivorsCognitive dysfunctionOlder adults

Identifiers

PMID34246583
PMCPMC8688207
OpenAlexW3182015630

What OpenQuestion holds

Textmetadata
LicenceTDM
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.