School of Nursing, University of Texas at Austin, 1710 Red River St, Austin, TX, USA.
Department of Physiological Nursing, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
J Cancer Res Clin Oncol. 2023 Oct;149(13):12561-12587. doi: 10.1007/s00432-023-05088-0. Epub 2023 Jul 11.
PURPOSE: Disparities in cognitive function among racial and ethnic groups have been reported in non-cancer conditions, but cancer-related cognitive impairment (CRCI) in racial and ethnic minority groups is poorly understood. We aimed to synthesize and characterize the available literature about CRCI in racial and ethnic minority populations. METHODS: We conducted a scoping review in the PubMed, PsycInfo, and Cumulative Index to Nursing and Allied Health Literature databases. Articles were included if they were published in English or Spanish, reported cognitive functioning in adults diagnosed with cancer, and characterized the race or ethnicity of the participants. Literature reviews, commentaries, letters to the editor, and gray literature were excluded. RESULTS: Seventy-four articles met the inclusion criteria, but only 33.8% differentiated the CRCI findings by racial or ethnic subgroups. There were associations between cognitive outcomes and the participants' race or ethnicity. Additionally, some studies found that Black and non-white individuals with cancer were more likely to experience CRCI than their white counterparts. Biological, sociocultural, and instrumentation factors were associated with CRCI differences between racial and ethnic groups. CONCLUSIONS: Our findings indicate that racial and ethnic minoritized individuals may be disparately affected by CRCI. Future research should use standardized guidelines for measuring and reporting the self-identified racial and ethnic composition of the sample; differentiate CRCI findings by racial and ethnic subgroups; consider the influence of structural racism in health outcomes; and develop strategies to promote the participation of members of racial and ethnic minority groups.
目的:在非癌症情况下,不同种族和族裔群体之间的认知功能差异已有报道,但癌症相关认知障碍(CRCI)在少数族裔群体中的情况了解甚少。我们旨在综合和描述关于少数族裔人群中 CRCI 的现有文献。
方法:我们在 PubMed、PsycInfo 和 Cumulative Index to Nursing and Allied Health Literature 数据库中进行了范围综述。如果文章以英文或西班牙文发表,报告了成年癌症患者的认知功能,并描述了参与者的种族或族裔,则将其纳入。文献综述、评论、致编辑的信和灰色文献被排除在外。
结果:符合纳入标准的文章有 74 篇,但只有 33.8%根据种族或族裔亚组区分了 CRCI 的发现。认知结果与参与者的种族或族裔有关。此外,一些研究发现,患有癌症的黑人和非白人个体比他们的白人同龄人更有可能经历 CRCI。生物、社会文化和仪器因素与种族和族裔群体之间的 CRCI 差异有关。
结论:我们的研究结果表明,少数族裔个体可能会受到 CRCI 的不成比例的影响。未来的研究应使用标准化指南来衡量和报告样本的自我认同的种族和族裔组成;根据种族和族裔亚组区分 CRCI 的发现;考虑结构种族主义对健康结果的影响;并制定策略,促进少数族裔群体成员的参与。
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