Published in:
01-09-2016 | Clinical Trials (S Hurvitz, Section Editor)
Screening for Cognitive Impairment Associated with Chemotherapy for Breast Cancer
Authors:
Diane F. Morean, Leora R. Cherney
Published in:
Current Breast Cancer Reports
|
Issue 3/2016
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Abstract
At least 20 % of women treated with chemotherapy for breast cancer experience some form of cognitive decline. Recent recommendations call for clinicians to screen cognitive abilities. Screening of factors that can contribute to cognitive impairment is also currently recommended. We describe a battery of free, online, self-report surveys that would take approximately 30 min to complete in the context of an overall functional assessment of wellness. Key physical characteristics to be screened include fatigue and insomnia. Significant psychological characteristics include distress, depression, and anxiety. Fundamental social characteristics include basic needs, workplace issues, and interpersonal well-being. Systematic screening that could be completed in the clinic waiting room or during chemotherapy infusion is an important first step towards more holistic patient care that addresses cognitive side effects, just as physical side effects of treatment are routinely addressed.