Neurocognitive and psychosocial outcomes in adult survivors of childhood soft‐tissue sarcoma: A report from the St. Jude Lifetime Cohort Article Swipe
Ingrid Tonning Olsson
,
Tara M. Brinkman
,
Mingjuan Wang
,
Matthew J. Ehrhardt
,
Pia Banerjee
,
Daniel A. Mulrooney
,
I‐Chan Huang
,
Kirsten K. Ness
,
Michael W. Bishop
,
Deokumar Srivastava
,
Leslie L. Robison
,
Melissa M. Hudson
,
Kevin R. Krull
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.32694
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.32694
Background To the authors' knowledge, few studies to date have examined long‐term neurocognitive outcomes in survivors of childhood soft‐tissue sarcoma. Methods A total of 150 survivors (41% of whom were female with a mean current age of 33 years [SD, 8.9 years] and a time since diagnosis of 24 years [SD, 8.7 years]) and 349 community controls (56% of whom were female with a mean current age of 35 years [SD, 10.2 years]) completed comprehensive neuropsychological testing, echocardiography, electrocardiography, pulmonary function tests, endocrine evaluation, and physical examination. Patient‐reported outcomes of health‐related quality of life (HRQOL) and social attainment were collected. Survivors were compared with norms and controls on neurocognitive outcomes using general linear models, and on HRQOL and social attainment using modified Poisson models. The impacts of treatment and chronic health conditions on outcomes were examined using multivariable general linear models (effect size was expressed as unstandardized β estimates that reflected the unit of change from a mean of 0 and an SD of 1) and modified Poisson models (effect size expressed as relative risks). Results Compared with controls and population norms, survivors demonstrated lower performance on measures of verbal reasoning (mean z score, −0.45 [SD, 1.15]; P < .001) mathematics (mean z score, −0.63 [SD, 1.07]; P < .001), and long‐term memory (mean z score, −0.37 [SD, 1.14]; P < .001). Cumulative anthracycline exposure (per 100 mg/m 2 ) was found to be associated with poorer verbal reasoning (β = −0.14 z scores; P = .04), reading (β = −0.09 z score; P = .04), and patient‐reported vitality (relative risk, 1.32; 95% CI, 1.09‐1.59). Neurologic and neurosensory chronic conditions were associated with poorer mathematics (neurologic conditions: β = −0.63 z score [ P = 0.02]; and hearing impairment: β = −0.75 z scores [ P < 0.01]). Better cognitive performance was associated with higher social attainment. Conclusions Long‐term survivors of soft‐tissue sarcoma are at risk of neurocognitive problems and poor HRQOL associated with anthracycline treatment and chronic health conditions.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/cncr.32694
- OA Status
- green
- Cited By
- 19
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2998879433
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2998879433Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/cncr.32694Digital Object Identifier
- Title
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Neurocognitive and psychosocial outcomes in adult survivors of childhood soft‐tissue sarcoma: A report from the St. Jude Lifetime CohortWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-01-08Full publication date if available
- Authors
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Ingrid Tonning Olsson, Tara M. Brinkman, Mingjuan Wang, Matthew J. Ehrhardt, Pia Banerjee, Daniel A. Mulrooney, I‐Chan Huang, Kirsten K. Ness, Michael W. Bishop, Deokumar Srivastava, Leslie L. Robison, Melissa M. Hudson, Kevin R. KrullList of authors in order
- Landing page
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https://doi.org/10.1002/cncr.32694Publisher landing page
- Open access
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.ncbi.nlm.nih.gov/pmc/articles/7104616Direct OA link when available
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Medicine, Neurocognitive, Psychosocial, Quality of life (healthcare), Cohort, Population, Poisson regression, Neuropsychology, Percentile, Pediatrics, Demography, Internal medicine, Cognition, Psychiatry, Mathematics, Statistics, Sociology, Nursing, Environmental healthTop concepts (fields/topics) attached by OpenAlex
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19Total citation count in OpenAlex
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2025: 3, 2024: 6, 2023: 4, 2022: 2, 2021: 3Per-year citation counts (last 5 years)
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.33 | 37 |
| abstract_inverted_index.35 | 68 |
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| abstract_inverted_index.To | 1 |
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| abstract_inverted_index.be | 233 |
| abstract_inverted_index.in | 14 |
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| abstract_inverted_index.to | 7, 232 |
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| abstract_inverted_index.(β | 239, 248 |
| abstract_inverted_index.100 | 226 |
| abstract_inverted_index.150 | 24 |
| abstract_inverted_index.349 | 54 |
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| abstract_inverted_index..001). | 221 |
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| abstract_inverted_index.score, | 193, 203, 215 |
| abstract_inverted_index.score; | 252 |
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| abstract_inverted_index.verbal | 189, 237 |
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| abstract_inverted_index.(HRQOL) | 94 |
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| abstract_inverted_index.Poisson | 122, 167 |
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| abstract_inverted_index.models, | 113 |
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| abstract_inverted_index.reading | 247 |
| abstract_inverted_index.risks). | 174 |
| abstract_inverted_index.sarcoma | 312 |
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| abstract_inverted_index.years]) | 52, 72 |
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| abstract_inverted_index.−0.45 | 194 |
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| abstract_inverted_index.−0.75 | 291 |
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| abstract_inverted_index.modified | 121, 166 |
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| corresponding_institution_ids | https://openalex.org/I1313298211 |
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