Evidence map›Paper›PMID 34255086›Full record

Observational studyJournal of the National Cancer Institute2022

Longitudinal Changes in Cognitive Function in a Nationwide Cohort Study of Patients With Lymphoma Treated With Chemotherapy.

Michelle C Janelsins, Mostafa Mohamed, Luke J Peppone, Allison Magnuson, Elizabeth K Belcher, Marianne Melnik, Shaker Dakhil, Jodi Geer, Charles Kamen, Lori Minasian and 5 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Cancer treatment-related cognitive impairment.Neuro-oncology advances · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Michelle C JanelsinsUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0003-2258-7247
Mostafa MohamedUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0003-2936-5794
Luke J PepponeUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0002-0346-5191
Allison MagnusonUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0002-0968-8265
Elizabeth K BelcherUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0003-2071-7351
Marianne MelnikCancer Research Consortium of West Michigan NCI Community Oncology Research Program, Grand Rapids, MI, USA.
Shaker DakhilWichita NCI Community Oncology Research Program, Wichita, KS, USA.
Jodi GeerMetro Minnesota Community Oncology Research Program, Saint Louis Park, MN, USA.
Charles KamenUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0002-4219-4320
Lori MinasianNational Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-0472-4079
Patrick M ReaganUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.
Supriya G MohileUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.
Gary R MorrowUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0002-7506-926X
Tim A AhlesMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-7936-2818
Charles E HecklerUniversity of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.ORCID 0000-0003-4869-2221
University of Rochester Medical Center · USMemorial Sloan Kettering Cancer Center · USMetro-Minnesota Community Oncology Research Consortium · USMichigan Cancer Research Consortium · USNational Cancer Institute · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
UNIVERSITY OF ROCHESTER--CCOP RESEARCH BASEU10CA037420 · NCI · UNIVERSITY OF ROCHESTER · PI MORROW, GARY R · 1985 to 2014
$21.1M
Translational Neuroscience Approaches to Cancer-Related Cognitive Impairment: Measurement, Mechanisms, and FunctionR01CA231014 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C · 2019 to 2024
$3.1M
Mitigating Cancer-Related Cognitive Dysfunction in Older Adults with Breast CancerK76AG064394 · NIA · UNIVERSITY OF ROCHESTER · PI MAGNUSON, ALLISON MARIAN · 2019 to 2023
$1.3M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA231014NCI NIH HHS U10 CA037420NCI NIH HHS UG1 CA189961NIA NIH HHS K76 AG064394
6 · The paper itself

Abstract

backgroundCancer-related cognitive decline (CRCD) is an important clinical problem, but limited research exists on assessment of cognitive function in patients with lymphoma.

methodsThe overall objective of this nationwide, prospective, observational study conducted in the National Cancer Institute Community Clinical Oncology Research Program (NCORP) was to assess changes in memory, attention, and executive function in patients with lymphoma from pre- (A1) to postchemotherapy (A2) and to 6 months postchemotherapy (A3). Individuals without cancer served as noncancer controls, paired to patients by age and sex, and assessed at the same time-equivalent points. Longitudinal linear mixed models (LMM) including A1, A2, and A3 and adjusting for age, education, race, sex, cognitive reserve score, baseline anxiety, and depressive symptoms were fit. We assessed changes in patients compared with control participants without cancer and assessed differences in cognitive function in those patients with Hodgkin vs non-Hodgkin disease and by disease subtype. All statistical tests were 2-sided.

resultsPatients with lymphoma (n = 248) and participants without cancer serving as controls (n = 212) were recruited from 19 NCORP sites. From pre- to postchemotherapy and from prechemotherapy to 6 months follow-up, patients reported more cognitive problems over time compared with controls (Functional Assessment of Cancer-Therapy-Cognitive Function [FACT-Cog] perceived cognitive impairment effect size (ES) = 0.83 and 0.84 for A1 to A2 and A1 to A3, respectively; P < .001; single-item cognitive symptoms ES range = 0.55 to 0.70 inclusive of A1 to A2 and A1 to A3; P < .001); the complaints were more pronounced in women with lymphoma compared with men with lymphoma (FACT-Cog Perceived Cognitive Impairment (PCI) score group-by-time-by-sex interaction, P = .007). Patients with lymphoma also performed statistically significantly less well on tests of verbal memory and delayed recall, attention and executive function, and telephone-based category fluency.

conclusionPatients with lymphoma experience worse patient-reported and objectively assessed cognitive function from prechemotherapy to 6-month follow-up compared with age- and sex-paired controls without cancer assessed at similar time intervals.

Indexed as

Cognitive DysfunctionLymphomaCognitionCohort StudiesFemaleHumansMaleNeuropsychological TestsProspective Studies

Identifiers

PMID34255086
PMCPMC8755506
OpenAlexW3179149848

What OpenQuestion holds

Textmetadata
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.