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脑肿瘤患儿和青少年的神经认知与心理结果:一项观察性纵向前瞻性研究方案的制定

Neurocognitive and Psychological Outcomes among Children and Adolescents with Brain Tumors: Development of an Observational and Longitudinal Prospective Study Protocol.

作者信息

Zucchetti Giulia, Gamberini Giorgia, Ciappina Sabrina, Cagnazzo Celeste, Ricci Federica, Vallero Stefano, Quarello Paola, Peretta Paola, Fagioli Franca

机构信息

Pediatric Oncology and Hematology Division, Regina Margherita Children's Hospital, 10126 Turin, Italy.

Section of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, Regina Margherita Children's Hospital, University of Turin, 10126 Turin, Italy.

出版信息

Behav Sci (Basel). 2023 Jun 27;13(7):536. doi: 10.3390/bs13070536.

DOI:10.3390/bs13070536
PMID:37503983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10376337/
Abstract

Children and adolescents affected by brain tumors are at risk for neuropsychological sequelae that need to be evaluated in order to plan adequate rehabilitation programs, and to support their development and recovery. This work aims to describe an innovative prospective observational study protocol for the early evaluation and monitoring over time of neuropsychological outcomes in this pediatric population. Pediatric patients aged 3-17 with a brain tumor diagnosis will be assessed through the use of a battery of Italian standardized neuropsychological tests, with good psychometric properties and age-appropiate, at three different time points of their clinical course: at diagnosis and before surgery (T0), after surgical removal and before the start of potential adjuvant therapies (T1), and at the one-year follow-up after potential adjuvant therapies (T2). This study will allow clinicians to support the neuropsychological development of these children by promoting appropriate and timely rehabilitation and educational programs from the early phases of their clinical course.

摘要

受脑肿瘤影响的儿童和青少年有出现神经心理后遗症的风险,需要进行评估,以便制定适当的康复计划,并支持他们的发育和康复。这项工作旨在描述一种创新的前瞻性观察性研究方案,用于对这一儿科人群的神经心理结果进行早期评估和长期监测。年龄在3至17岁、被诊断患有脑肿瘤的儿科患者将在其临床病程的三个不同时间点,通过使用一系列具有良好心理测量特性且适合其年龄的意大利标准化神经心理测试进行评估:诊断时及手术前(T0)、手术切除后及潜在辅助治疗开始前(T1),以及潜在辅助治疗后的一年随访时(T2)。这项研究将使临床医生能够通过在这些儿童临床病程的早期阶段促进适当且及时的康复和教育计划,来支持他们的神经心理发育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8636/10376337/7b7078f6e812/behavsci-13-00536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8636/10376337/7b7078f6e812/behavsci-13-00536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8636/10376337/7b7078f6e812/behavsci-13-00536-g001.jpg

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本文引用的文献

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Neuropsychological Outcomes of Children Treated for Brain Tumors.接受脑瘤治疗儿童的神经心理学结果
Children (Basel). 2023 Feb 27;10(3):472. doi: 10.3390/children10030472.
2
Cognitive Risk in Survivors of Pediatric Brain Tumors.儿童脑肿瘤幸存者的认知风险
J Clin Oncol. 2021 Jun 1;39(16):1718-1726. doi: 10.1200/JCO.20.02338. Epub 2021 Apr 22.
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Possible association between the integrity of cerebellar pathways and neurocognitive performance in children with posterior fossa tumors.小脑通路的完整性与后颅窝肿瘤患儿神经认知表现之间的可能关联。
Pediatr Blood Cancer. 2020 Sep;67(9):e28538. doi: 10.1002/pbc.28538. Epub 2020 Jul 11.
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Brain Inj. 2020 Mar 20;34(4):583-590. doi: 10.1080/02699052.2020.1725982. Epub 2020 Feb 12.
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Facial emotion recognition in children treated for posterior fossa tumours and typically developing children: A divergence of predictors.儿童后颅窝肿瘤治疗后与正常发育儿童的面部情绪识别:预测指标的差异。
Neuroimage Clin. 2019;23:101886. doi: 10.1016/j.nicl.2019.101886. Epub 2019 Jun 12.
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Posterior Fossa Society Consensus Meeting 2018: a synopsis.2018年后颅窝协会共识会议:概述
Childs Nerv Syst. 2020 Jun;36(6):1145-1151. doi: 10.1007/s00381-019-04220-1. Epub 2019 Jun 8.
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Neurocognitive and Psychosocial Outcomes in Pediatric Brain Tumor Survivors.小儿脑肿瘤幸存者的神经认知和心理社会结局
Bioengineering (Basel). 2018 Sep 11;5(3):73. doi: 10.3390/bioengineering5030073.
8
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Clin Neuropsychol. 2017 Feb;31(2):307-328. doi: 10.1080/13854046.2016.1216070. Epub 2016 Oct 5.
9
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Pediatr Blood Cancer. 2015 Dec;62 Suppl 5:S460-513. doi: 10.1002/pbc.25749.
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Standard of Care for Neuropsychological Monitoring in Pediatric Neuro-Oncology: Lessons From the Children's Oncology Group (COG).儿童神经肿瘤学中神经心理学监测的护理标准:来自儿童肿瘤学组(COG)的经验教训。
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