Standard of Care for Neuropsychological Monitoring in Pediatric Neuro-Oncology: Lessons From the Children's Oncology Group (COG)

被引:47
|
作者
Walsh, Karin S. [1 ,2 ]
Noll, Robert B. [3 ]
Annett, Robert D. [4 ]
Patel, Sunita K. [5 ]
Patenaude, Andrea F. [6 ]
Embry, Leanne [7 ]
机构
[1] Childrens Natl Hlth Syst, Dept Pediat Neuropsychol, Washington, DC USA
[2] George Washington Univ, Sch Med, Washington, DC USA
[3] Univ Pittsburgh, Dept Pediat, Pittsburgh, PA 15260 USA
[4] Univ Colorado Denver, Childrens Hosp Colorado, Aurora, CO USA
[5] City Hope Natl Med Ctr, Behav Res Sect, Dept Pediat, Med Ctr, Duarte, CA USA
[6] Harvard Univ, Sch Med, Dana Farber Canc Inst, 44 Binney St, Boston, MA 02115 USA
[7] Univ Texas Hlth Sci Ctr San Antonio, Dept Pediat Hematol Oncol, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
关键词
late effects; pediatric oncology; psychology; CHILDHOOD-CANCER SURVIVOR; LONG-TERM SURVIVORS; ACUTE LYMPHOBLASTIC-LEUKEMIA; NEUROCOGNITIVE STATUS; COST-EFFECTIVENESS; ADULT SURVIVORS; BRAIN-TUMORS; OUTCOMES; HEALTH; MEDULLOBLASTOMA;
D O I
10.1002/pbc.25759
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
As the mortality of pediatric cancers has decreased, focus on neuropsychological morbidities of treatment sequelae have increased. Neuropsychological evaluations are essential diagnostic tools that assess cognitive functioning and neurobiological integrity. These tests provide vital information to support ongoing medical care, documenting cognitive morbidity and response to interventions. We frame standards for neuropsychological monitoring of pediatric patients with CNS malignancy or who received cancer-directed therapies involving the CNS and discuss billing for these services in the United States in the context of clinical research. We describe a cost-effective, efficient model of neuropsychological monitoring that may increases access to neuropsychological care. (c) 2015 Wiley Periodicals, Inc.
引用
收藏
页码:191 / 195
页数:5
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