A systematic review of interventions for neurocognitive dysfunctions in patients and survivors of a pediatric brain tumor

Pediatr Blood Cancer. 2024 Dec;71(12):e31327. doi: 10.1002/pbc.31327. Epub 2024 Sep 19.

Abstract

Due to a high burden of neurocognitive impairment on patients with a pediatric brain tumor, interventions mitigating these symptoms are highly needed. Currently, evidence on the efficacy and feasibility of such interventions remains scarce. A systematic literature study was performed based on four different databases (PubMed, Web of Science Core Collection, Embase, and PsycArticles). Resulting articles (n = 2232) were screened based on title and abstract, and full text. We included 28 articles, investigating cognitive effects of either a lifestyle intervention (n = 6), a cognitive training (n = 15), or pharmacological intervention (n = 7). The most frequently studied interventions were the Cogmed and methylphenidate. Most interventions showed short-term efficacy. Fewer interventions also showed long-term maintenance of positive results. Despite positive trends of these interventions, results are heterogeneous, suggesting relatively limited efficacy of existing interventions and more potential of more individualized as well as multimodal approaches for future interventions.

Keywords: brain tumor; children; neurocognitive intervention.

Publication types

  • Systematic Review

MeSH terms

  • Brain Neoplasms* / complications
  • Brain Neoplasms* / psychology
  • Brain Neoplasms* / therapy
  • Cancer Survivors* / psychology
  • Child
  • Humans
  • Neurocognitive Disorders* / etiology
  • Neurocognitive Disorders* / psychology
  • Neurocognitive Disorders* / therapy