An evaluation of memory and attention in BRCA mutation carriers using an online cognitive assessment tool Article Swipe
Joanne Kotsopoulos
,
Shana J. Kim
,
Susan Randall Armel
,
Louise Bordeleau
,
William D. Foulkes
,
Wendy McKinnon
,
Seema Panchal
,
Stephanie A. Cohen
,
Sophie Sun
,
Ping Sun
,
Larissa McKetton
,
Angela K. Troyer
,
Steven A. Narod
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.33654
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.33654
Background The objective of this study was to evaluate the impact of various surgical, hormonal, and lifestyle factors on memory and attention in women with a BRCA1 or BRCA2 mutation. Methods BRCA mutation carriers enrolled in a longitudinal study were invited to complete an online brain health assessment tool designed to screen for cognitive deficits. Four measures of memory and executive attention were assessed individually, and an overall score was compiled adjusting for age. Exposures, including preventive surgery, hormone use, and lifestyle factors, were captured by questionnaire. Performance on each of the 5 subtasks was analyzed according to various exposures. Analysis of covariance was used to compare overall scores. Results In total, 880 women completed the online cognitive assessment. The average age of the participants was 54 years (range, 23‐86 years). The mean overall test score was 54.4 (range, 0‐93). The individual subtask scores declined with age at test completion ( P < .0001) and increased with level of education ( P ≤ .01). Women who underwent a preventive oophorectomy had a significantly higher overall score compared with women who did not undergo this surgery (55.5 vs 50.5; P = .01). Reconstructive breast surgery was also associated with a higher overall score (56.5 vs 52.3; P = .005). Chemotherapy and hormone‐replacement therapy were not predictive of the overall score. Conclusions These findings are reassuring to high‐risk women who undergo early surgical menopause for their cancer predisposition. Further studies are needed to evaluate cognitive function over time when memory deficits become more prevalent.
Related Topics
Concepts
Medicine
Cognition
BRCA mutation
Hormone therapy
Cognitive test
Breast cancer
Internal medicine
Gynecology
Cancer
Psychiatry
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/cncr.33654
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.33654
- OA Status
- bronze
- Cited By
- 3
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3164906881
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3164906881Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/cncr.33654Digital Object Identifier
- Title
-
An evaluation of memory and attention in BRCA mutation carriers using an online cognitive assessment toolWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-06-02Full publication date if available
- Authors
-
Joanne Kotsopoulos, Shana J. Kim, Susan Randall Armel, Louise Bordeleau, William D. Foulkes, Wendy McKinnon, Seema Panchal, Stephanie A. Cohen, Sophie Sun, Ping Sun, Larissa McKetton, Angela K. Troyer, Steven A. NarodList of authors in order
- Landing page
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https://doi.org/10.1002/cncr.33654Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.33654Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.33654Direct OA link when available
- Concepts
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Medicine, Cognition, BRCA mutation, Hormone therapy, Cognitive test, Breast cancer, Internal medicine, Gynecology, Cancer, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2023: 1Per-year citation counts (last 5 years)
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51Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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