Longitudinal Neurocognitive Changes for Patients With Hematologic Malignancies Undergoing Hematopoietic Stem Cell Transplantation: A Systematic Review With Structured Narrative Synthesis.
Kah Hui Yap, Wei Hoong Loo, Gin Gin Gan
✦ AI-curated · Sources linked
In 30 seconds
This systematic review evaluated longitudinal neurocognitive changes in patients with hematologic malignancies undergoing hematopoietic stem cell transplantation (HSCT). Nine studies were included, revealing that while improvements may occur post-HSCT, allogeneic HSCT and myeloablative conditioning are significant risk factors for persistent cognitive decline. Notably, executive function and attention/processing speed were identified as core deficits.
Key findings
- Nine studies met inclusion criteria from an initial 2012, indicating moderate overall study quality.
- Allogeneic HSCT and myeloablative conditioning were identified as main risk factors for cognitive decline.
- Executive function and attention/processing speed impairments were core deficits linked to neurocognitive changes.
Why it matters
Understanding neurocognitive changes in patients undergoing HSCT is crucial, as these changes can significantly impact quality of life. Regular assessments and cognitive rehabilitation strategies may improve patient outcomes.