Evidence map›Paper›PMID 40028425›Full record

ArticleClinical and translational radiation oncology2025

The effect of radiation dose to the brain on early self-reported cognitive function in brain and head-and-neck cancer patients.

Femke Vaassen, David Hofstede, Catharina M L Zegers, Jeanette B Dijkstra, Ann Hoeben, Monique H M E Anten, Ruud M A Houben, Frank Hoebers, Inge Compter, Wouter van Elmpt and 1 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

11 authors.

Femke VaassenDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
David HofstedeDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Catharina M L ZegersDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Jeanette B DijkstraDepartment of Medical Psychology Maastricht University Medical Center+ Maastricht the Netherlands.
Ann HoebenDepartment of Medical Oncology GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Monique H M E AntenDepartment of Neurology Maastricht University Medical Centre+ Maastricht the Netherlands.
Ruud M A HoubenDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Frank HoebersDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Inge CompterDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Wouter van ElmptDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.
Daniëlle B P EekersDepartment of Radiation Oncology (Maastro) GROW Research Institute for Oncology and Reproduction Maastricht University Medical Centre+ Maastricht the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Assess cognitive changes after radiotherapy (RT) in brain and head-and-neck (HN) cancer patients using patient-reported outcome measures (PROMs) and evaluate a dose-effect relationship for brain structures. Materials and methods: Primary brain and HN cancer patients treated with RT between 2012-2021 were included. Patient characteristics, clinical parameters, and PROMs at baseline and 1-year follow-up were collected. Cognitive functioning (CF) from the EORTC QLQ-C30, communication deficit (CD) from the QLQ-BN20, and one cognition-related questions from the EQ6D questionnaire were used, the latter two only for brain patients. Missing data were imputed and the four-point scale scores were transformed to a 100-point scale. Change in scores from baseline to 1-year were categorized into improvement/constant or deterioration. Organs-at-risk (OARs) were contoured either clinically or retrospectively using autocontouring and dose to the OARs were calculated. Results: A total of 110 brain and 356 HN cancer patients were included. Median age was 56 (brain) and 67.5 (HN) years. Baseline and 1-year CF was significantly lower for brain patients (p < 0.001). Univariate analysis for ΔCF showed that age at start RT ≤ 65 years, receiving chemotherapy, higher CF Baseline score, brain mean dose > 3 Gy, and multiple dose levels to left and right hippocampus were statistically associated with cognitive deterioration. Multivariate analysis for ΔCF identified age at RT ≤ 65 years, higher CF Baseline score, and brain mean dose > 3 Gy as significant predictors. Conclusion: This study identified risk factors for subjective cognitive decline and suggests that patients' self-perceived cognitive deterioration may be related to age, CF baseline score and brain radiation dose above 3 Gy.

Indexed as

Cognitive declineCognitive functioningPatients-reported outcome measuresQuality of lifeRadiation doseRadiotherapy

Identifiers

PMID40028425
PMCPMC11869991

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Registered trials

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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.