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Neuropsychological Interventions for Cancer-Related Cognitive Impairment: A Network Meta-Analysis of Randomized Controlled Trials

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Abstract

The aim of this network meta-analysis was to evaluate the comparative effects of neuropsychological interventions for cancer-related cognitive impairment (CRCI), and to rank the best intervention options for adult cancer patients with CRCI. Twenty-seven eligible randomized controlled trials (RCTs) were searched, and a total of six interventions identified: cognitive behavioral therapies (CBT), cognitive rehabilitation (CR), cognitive training (CT), meditation/mindfulness-based interventions, psychoeducation, and supportive care. In terms of effectiveness, the relative effect size of CBT, CR, and CT in managing subjective cognition had statistically significant differences – 0.94 (0.43–1.44), 0.54 (0.03–1.05), and 0.47 (0.13–0.81), respectively. The most effective interventions to manage the objective cognition of attention were meditation or mindfulness-based interventions: intervention effect size was 0.58 (0.24–0.91). The relative effect size of CT had a statistically significant difference in managing verbal memory, and the intervention effect size was 1.16 (0.12–2.20). The relative effect size of psychoeducation in managing executive function compared with control had a statistically significant difference, which was 0.56 (0.26–0.86). For managing information processing speed, the most effective intervention was CT and the effect size was -0.58 (-1.09—-0.06). This network meta-analysis found that CT is the most effective intervention for managing the objective cognition of verbal memory and processing speed; meditation/mindfulness-based interventions may be the best option for enhancing attention; psychoeducation is the most effective intervention for managing executive function; CT may be the best option for managing verbal fluency as the intervention ranking probability. For the management of subjective cognition, CBT may be the most effective intervention.

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References

  • Arring, N. (2021). An Attention-Restorative Therapy (ART)-Based Virtual Reality Intervention to Address Cancer-Related Cognitive Impairments Among Breast Cancer Survivors. https://clinicaltrials.gov/ct2/show/NCT05030792. Accessed on 15 September 2021.

  • Bai, L., Wang, X., Zhou, R., & Zeng, Q. (2020). Virtual cognitive rehabilitation training in transhepatic arterial infusion chemoembolization for liver cancer application in patients with mild cognitive impairment. Chinese Journal of Modern Nursing, 26(11), 1449–1454. [in Chinese].

    Google Scholar 

  • Bellens, A., Roelant, E., Sabbe, B., Peeters, M., & van Dam, P. A. (2020). A video-game based cognitive training for breast cancer survivors with cognitive impairment: A prospective randomized pilot trial. Breast (edinburgh, Scotland), 53, 23–32. https://doi.org/10.1016/j.breast.2020.06.003

    Article  Google Scholar 

  • Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Wiley.

    Book  Google Scholar 

  • Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2011). Introduction to meta-analysis. John Wiley & Sons.

    Google Scholar 

  • Bray, V. J., Dhillon, H. M., Bell, M. L., Kabourakis, M., Fiero, M. H., Yip, D., & Vardy, J. L. (2017). Evaluation of a Web-Based Cognitive Rehabilitation Program in Cancer Survivors Reporting Cognitive Symptoms After Chemotherapy. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 35(2), 217–225.

    Article  Google Scholar 

  • Cheng, A. S. K., Guan, Q., Su, Y., Zhou, P., & Zeng, Y. (2021). Integration of Machine Learning and Blockchain Technology in the Healthcare Field: A Literature Review and Implications for Cancer Care. Asia-Pacific Journal of Oncology Nursing, in press.

  • Cherrier, M. M., Anderson, K., David, D., Higano, C. S., Gray, H., Church, A., & Willis, S. L. (2013). A randomized trial of cognitive rehabilitation in cancer survivors. Life Sciences, 93(17), 617–622. https://doi.org/10.1016/j.lfs.2013.08.011

    Article  CAS  PubMed  Google Scholar 

  • Cifu, G., Power, M. C., Shomstein, S., & Arem, H. (2018). Mindfulness-based interventions and cognitive function among breast cancer survivors: A systematic review. BMC Cancer, 18(1), 1163. https://doi.org/10.1186/s12885-018-5065-3

    Article  PubMed  PubMed Central  Google Scholar 

  • Damholdt, M. F., Mehlsen, M., O’Toole, M. S., Andreasen, R. K., Pedersen, A. D., & Zachariae, R. (2016). Web-based cognitive training for breast cancer survivors with cognitive complaints-a randomized controlled trial. Psycho-Oncology, 25(11), 1293–1300. https://doi.org/10.1002/pon.4058

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Debray, T. P., Schuit, E., Efthimiou, O., Reitsma, J. B., Ioannidis, J. P., Salanti, G., & Workpackage, GetReal. (2018). An overview of methods for network meta-analysis using individual participant data: When do benefits arise? Statistical Methods in Medical Research, 27(5), 1351–1364. https://doi.org/10.1177/0962280216660741

    Article  PubMed  Google Scholar 

  • Dijkshoorn, A., van Stralen, H. E., Sloots, M., Schagen, S. B., Visser-Meily, J., & Edelstein K. (2019). Cognitive rehabilitation for cancer-related cognitive dysfunction: a systematic review. Support Care Cancer, 27(9):3253–3279.

  • Ding, K., Zhang, X., Zhao, J., Zuo, H., Bi, Z., & Cheng, H. (2020). Managing Cancer and Living Meaningfully (CALM) Intervention on Chemotherapy-Related Cognitive Impairment in Breast Cancer Survivors. Integrative Cancer Therapies, 19, 1534735420938450. https://doi.org/10.1177/1534735420938450

    Article  PubMed  PubMed Central  Google Scholar 

  • Dos Santos, M., Hardy-Léger, I., Rigal, O., Licaj, I., Dauchy, S., Levy, C., & Joly, F. (2020). Cognitive rehabilitation program to improve cognition of cancer patients treated with chemotherapy: A 3-arm randomized trial. Cancer, 126(24), 5328–5336. https://doi.org/10.1002/cncr.33186

    Article  PubMed  Google Scholar 

  • Ercoli, L. M., Petersen, L., Hunter, A. M., Castellon, S. A., Kwan, L., Kahn-Mills, B. A., & Ganz, P. A. (2015). Cognitive rehabilitation group intervention for breast cancer survivors: Results of a randomized clinical trial. Psycho-Oncology, 24(11), 1360–1367. https://doi.org/10.1002/pon.3769

    Article  CAS  PubMed  Google Scholar 

  • Efthimiou, O., Debray, T. P., van Valkenhoef, G., Trelle, S., Panayidou, K., Moons, K. G., GetReal Methods Review Group. (2016). GetReal in network meta-analysis: A review of the methodology. Research Synthesis Methods, 7(3), 236–263.

    Article  Google Scholar 

  • Ferguson, R. J. (2020). Telehealth and Memory Study (TAMS). https://clinicaltrials.gov/ct2/show/NCT04586530. Accessed on 15 September 2021.

  • Ferguson, R. J., McDonald, B. C., Rocque, M. A., Furstenberg, C. T., Horrigan, S., Ahles, T. A., & Saykin, A. J. (2012). Development of CBT for chemotherapy-related cognitive change: Results of a waitlist control trial. Psycho-Oncology, 21(2), 176–186. https://doi.org/10.1002/pon.1878

    Article  PubMed  Google Scholar 

  • Ferguson, R. J., Sigmon, S. T., Pritchard, A. J., LaBrie, S. L., Goetze, R. E., Fink, C. M., & Garrett, A. M. (2016). A randomized trial of videoconference-delivered cognitive behavioral therapy for survivors of breast cancer with self-reported cognitive dysfunction. Cancer, 122(11), 1782–1791. https://doi.org/10.1002/cncr.29891

    Article  PubMed  Google Scholar 

  • Fernandes, H. A., Richard, N. M., & Edelstein, K. (2019). Cognitive rehabilitation for cancer-related cognitive dysfunction: A systematic review. Supportive Care in Cancer, 27(9), 3253–3279.

    Article  PubMed  Google Scholar 

  • Goedendorp, M. M., Knoop, H., Gielissen, M. F., Verhagen, C. A., & Bleijenberg, G. (2014). The effects of cognitive behavioral therapy for postcancer fatigue on perceived cognitive disabilities and neuropsychological test performance. Journal of Pain and Symptom Management, 47(1), 35–44. https://doi.org/10.1016/j.jpainsymman.2013.02.014

    Article  PubMed  Google Scholar 

  • He, H., Xiang, Y., Gao, F., Bai, L., Gao, F., Fan, Y., & Ma, X. (2019). Comparative efficacy and acceptability of first-line drugs for the acute treatment of generalized anxiety disorder in adults: A network meta-analysis. Journal of Psychiatric Research, 118, 21–30. https://doi.org/10.1016/j.jpsychires.2019.08.009

    Article  PubMed  Google Scholar 

  • Henneghan, A. M., Becker, H., Harrison, M. L., Inselmann, K., Fico, B., Schafer, H., & Kesler, S. (2020). A randomized control trial of meditation compared to music listening to improve cognitive function for breast cancer survivors: Feasibility and acceptability. Complementary Therapies in Clinical Practice, 41, 101228. https://doi.org/10.1016/j.ctcp.2020.101228

    Article  PubMed  PubMed Central  Google Scholar 

  • Higgins, J. P., Jackson, D., Barrett, J. K., Lu, G., Ades, A. E., & White, I. R. (2012). Consistency and inconsistency in network meta-analysis: concepts and models for multi-arm studies. Research Synthesis Methods, 3(2), 98–110.

  • International Agency for Research on Cancer. (2021). Global Cancer Observatory: Cancer Today. Lyon, France: IARC. Available from: https://gco.iarc.fr/today

  • Jansen, J. P., & Naci, H. (2013). Is network meta-analysis as valid as standard pairwise meta-analysis? It all depends on the distribution of effect modifiers. BMC Medicine, 11, 159. https://doi.org/10.1186/1741-7015-11-159

  • Johns, S. A., Von Ah, D., Brown, L. F., Beck-Coon, K., Talib, T. L., Alyea, J. M., & Giesler, R. B. (2016). Randomized controlled pilot trial of mindfulness-based stress reduction for breast and colorectal cancer survivors: Effects on cancer-related cognitive impairment. Journal of Cancer Survivorship: Research and Practice, 10(3), 437–448. https://doi.org/10.1007/s11764-015-0494-3

    Article  Google Scholar 

  • Kesler, S., Hadi Hosseini, S. M., Heckler, C., Janelsins, M., Palesh, O., Mustian, K., & Morrow, G. (2013). Cognitive training for improving executive function in chemotherapy-treated breast cancer survivors. Clinical Breast Cancer, 13(4), 299–306. https://doi.org/10.1016/j.clbc.2013.02.004

    Article  PubMed  PubMed Central  Google Scholar 

  • King, S., & Green, H. J. (2015). Psychological intervention for improving cognitive function in cancer survivors: A literature review and randomized controlled trial. Frontiers in Oncology, 5, 72. https://doi.org/10.3389/fonc.2015.00072

    Article  PubMed  PubMed Central  Google Scholar 

  • Kucherer, S., & Ferguson, R. J. (2017). Cognitive behavioral therapy for cancer-related cognitive dysfunction. Current Opinion in Supportive and Palliative Care, 11(1), 46–51.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lange, M., Joly, F., Vardy, J., Ahles, T., Dubois, M., Tron, L., & Castel, H. (2019). Cancer-related cognitive impairment: An update on state of the art, detection, and management strategies in cancer survivors. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 30(12), 1925–1940. https://doi.org/10.1093/annonc/mdz410

    Article  CAS  Google Scholar 

  • Li, H., Xu, X., Lu, L., Sun, R., Guo, Q., Chen, Q., & Zhang, Y. (2021). The comparative impact among different intensive statins and combination therapies with niacin/ezetimibe on carotid intima-media thickness: A systematic review, traditional meta-analysis, and network meta-analysis of randomized controlled trials. European Journal of Clinical Pharmacology. https://doi.org/10.1007/s00228-021-03113-0.Advanceonlinepublication

    Article  PubMed  Google Scholar 

  • Liu, G., Yu, L., Jia, H., & Gu, X. (2014). Research progress of indirect comparison and network meta-analysis in systematic reviews. Chinese Journal of Evidence-Based Medicine, 14(10), 1276–1280. [in Chinese].

    Google Scholar 

  • Martín-Martín, L. M. (2021). Telehealth Program to Prevent Cancer and Chemotherapy-related Cognitive Impairment. https://clinicaltrials.gov/ct2/show/NCT04783402. Accessed on 15 September  2021.

  • Meneses, K., Benz, R., Bail, J. R., Vo, J. B., Triebel, K., Fazeli, P., & Vance, D. E. (2018). Speed of processing training in middle-aged and older breast cancer survivors (SOAR): Results of a randomized controlled pilot. Breast Cancer Research and Treatment, 168(1), 259–267. https://doi.org/10.1007/s10549-017-4564-2

    Article  PubMed  Google Scholar 

  • Mihuta, M. E., Green, H. J., & Shum, D. (2018). Efficacy of a web-based cognitive rehabilitation intervention for adult cancer survivors: A pilot study. European Journal of Cancer Care, 27(2), e12805. https://doi.org/10.1111/ecc.12805

    Article  CAS  PubMed  Google Scholar 

  • Miladi, N., Dossa, R., Dogba, M. J., Cléophat-Jolicoeur, M., & Gagnon, B. (2019). Psychostimulants for cancer-related cognitive impairment in adult cancer survivors: A systematic review and meta-analysis. Supportive Care in Cancer, 27(10), 3717–3727.

    Article  PubMed  Google Scholar 

  • Milbury, K., Chaoul, A., Biegler, K., Wangyal, T., Spelman, A., Meyers, C. A., & Cohen, L. (2013). Tibetan sound meditation for cognitive dysfunction: Results of a randomized controlled pilot trial. Psycho-Oncology, 22(10), 2354–2363. https://doi.org/10.1002/pon.3296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Myers, J. S., Cook-Wiens, G., Baynes, R., Jo, M. Y., Bailey, C., Krigel, S., Klemp, J., & Asher, A. (2020). Emerging from the Haze: A Multicenter, Controlled Pilot Study of a Multidimensional, Psychoeducation-Based Cognitive Rehabilitation Intervention for Breast Cancer Survivors Delivered with Telehealth Conferencing. Archives of Physical Medicine and Rehabilitation, 101(6), 948–959. https://doi.org/10.1016/j.apmr.2020.01.021

    Article  PubMed  Google Scholar 

  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Medicine, 18(3), e1003583.

  • Park, J. H., Jung, Y. S., Kim, K. S., & Bae, S. H. (2017). Effects of compensatory cognitive training intervention for breast cancer patients undergoing chemotherapy: A pilot study. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 25(6), 1887–1896. https://doi.org/10.1007/s00520-017-3589-8

    Article  Google Scholar 

  • Peterson, B. M., Johnson, C., Case, K. R., Shackelford, D., Brown, J. M., Lalonde, T. L., & Hayward, R. (2018). Feasibility of a combined aerobic and cognitive training intervention on cognitive function in cancer survivors: A pilot investigation. Pilot and Feasibility Studies, 4, 50. https://doi.org/10.1186/s40814-018-0242-3

    Article  PubMed  PubMed Central  Google Scholar 

  • Review Manager (RevMan). (2020). [Computer program] Version 5.4. The Cochrane Collaboration.

  • Riley, R. D., Jackson, D., Salanti, G., Burke, D. L., Price, M., Kirkham, J., & White, I. R. (2017). Multivariate and network meta-analysis of multiple outcomes and multiple treatments: Rationale, concepts, and examples. BMJ (clinical Research Ed.), 358, j3932. https://doi.org/10.1136/bmj.j3932

    Article  Google Scholar 

  • Salanti, G., Ades, A. E., & Ioannidis, J. P. (2011). Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: An overview and tutorial. Journal of Clinical Epidemiology, 64(2), 163–171.

    Article  PubMed  Google Scholar 

  • Salanti, G., Del Giovane, C., Chaimani, A., Caldwell, D. M., & Higgins, J. P. T. (2014). Evaluating the quality of evidence from a network meta-analysis. PLoS One, 9(7), e99682.

  • Shari, N. I., Zainal, N. Z., & Ng, C. G. (2020). Effects of brief acceptance and commitment therapy (ACT) on subjective cognitive impairment in breast cancer patients undergoing chemotherapy. Journal of Psychosocial Oncology, 1–30. Advance online publication. https://doi.org/10.1080/07347332.2020.1856283

  • Shim, S., Yoon, B. H., Shin, I. S., & Bae, J. M. (2017). Network meta-analysis: Application and practice using Stata. Epidemiology and Health, 39, e2017047. https://doi.org/10.4178/epih.e2017047

    Article  PubMed  PubMed Central  Google Scholar 

  • Sousa, H., Almeida, S., Bessa, J., & Pereira, M. G. (2020). The Developmental Trajectory of Cancer-Related Cognitive Impairment in Breast Cancer Patients: A Systematic Review of Longitudinal Neuroimaging Studies. Neuropsychology Review, 30(3), 287–309. https://doi.org/10.1007/s11065-020-09441-9

    Article  PubMed  Google Scholar 

  • StataCorp,. (2017). Stata Statistical Software: Release 15. StataCorp LLC.

    Google Scholar 

  • Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, https://doi.org/10.3322/caac.21660. Advance online publication. https://doi.org/10.3322/caac.21660

  • Tan, T., Zhou, L., Chen, C., Fu, L., & Cui, Z. (2020). Intervention effect of multisensory training on memory impairment of breast cancer patients during chemotherapy. Chinese Journal of Physical Medicine and Rehabilitation, 42(9), 836–838. [in Chinese].

    Google Scholar 

  • Van der Gucht, K., Ahmadoun, S., Melis, M., de Cloe, E., Sleurs, C., Radwan, A., & Deprez, S. (2020). Effects of a mindfulness-based intervention on cancer-related cognitive impairment: Results of a randomized controlled functional magnetic resonance imaging pilot study. Cancer, 126(18), 4246–4255. https://doi.org/10.1002/cncr.33074

    Article  PubMed  Google Scholar 

  • Von Ah, D., Carpenter, J. S., Saykin, A., Monahan, P., Wu, J., Yu, M., & Unverzagt, F. (2012). Advanced cognitive training for breast cancer survivors: A randomized controlled trial. Breast Cancer Research and Treatment, 135(3), 799–809. https://doi.org/10.1007/s10549-012-2210-6

    Article  Google Scholar 

  • Wefel, J. S., Kesler, S. R., Noll, K. R., & Schagen, S. B. (2015). Clinical characteristics, pathophysiology, and management of noncentral nervous system cancer-related cognitive impairment in adults. CA: A Cancer Journal for Clinicians, 65, 123–138.

    Google Scholar 

  • Wu, L. M., Amidi, A., Tanenbaum, M. L., Winkel, G., Gordon, W. A., Hall, S. J., & Diefenbach, M. A. (2018). Computerized cognitive training in prostate cancer patients on androgen deprivation therapy: A pilot study. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 26(6), 1917–1926. https://doi.org/10.1007/s00520-017-4026-8

    Article  Google Scholar 

  • Zeng, Y., Cheng, A. S., & Chan, C. C. (2016). Meta-Analysis of the Effects of Neuropsychological Interventions on Cognitive Function in Non-Central Nervous System Cancer Survivors. Integrative Cancer Therapies, 15(4), 424–434. https://doi.org/10.1177/1534735416638737

    Article  PubMed  PubMed Central  Google Scholar 

  • Zeng, Y., Dong, J., Huang, M., Zhang, J. E., Zhang, X., Xie, M., & Wefel, J. S. (2020). Nonpharmacological interventions for cancer-related cognitive impairment in adult cancer patients: A network meta-analysis. International Journal of Nursing Studies, 104, 103514. https://doi.org/10.1016/j.ijnurstu.2019.103514

    Article  PubMed  Google Scholar 

  • Zeng, Y., Zhang, J. E., Cheng, A., Cheng, H., & Wefel, J. S. (2019). Meta-Analysis of the Efficacy of Virtual Reality-Based Interventions in Cancer-Related Symptom Management. Integrative Cancer Therapies, 18, 1534735419871108. https://doi.org/10.1177/1534735419871108

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, Y., Luo, Y., & Zeng, Y. (2017). Meta-analysis of meditative/relaxation-based interventions for cognitive impairment in cancer patient. International Journal of Nursing Sciences, 4(3), 322–327. https://doi.org/10.1016/j.ijnss.2017.03.010

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, X., Yang, L., Hou, L., Liu, J., Zhu, H., & Zhang, J. (2020). Effect of a psychological nursing intervention on quality of life and cognitive function in patients with gastric carcinoma: A randomised controlled trial. European Journal of Cancer Care, 29(6), e13292. https://doi.org/10.1111/ecc.13292

    Article  PubMed  Google Scholar 

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Acknowledgements

This research was funded by the National Natural Science Foundation of China to support Yingchun Zeng (Grant #: 72004039).

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Authors and Affiliations

  1. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China

    Andy S. K. Cheng

  2. Institute of Neurological Diseases, Affiliated Hospital of North Sichuan Medical College, North Sichuan Medical College, Nanchong, China

    Xiaoming Wang

  3. Department of Nursing, China Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China

    Niu Niu

  4. Department of Nursing, Home For The Aged Guangzhou, Guangzhou, China

    Minyu Liang

  5. Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China

    Yingchun Zeng

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  1. Andy S. K. Cheng
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Cheng, A.S.K., Wang, X., Niu, N. et al. Neuropsychological Interventions for Cancer-Related Cognitive Impairment: A Network Meta-Analysis of Randomized Controlled Trials. Neuropsychol Rev 32, 893–905 (2022). https://doi.org/10.1007/s11065-021-09532-1

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