儿童后窝肿瘤患者执行功能的评估:建议将基于照顾者的评分和基于表现的测试结合起来。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Developmental Neurorehabilitation Pub Date : 2022-01-01 Epub Date: 2021-05-12 DOI:10.1080/17518423.2021.1915404
Hoffmann-Lamplmair Doris, Ritter Irene, Leiss Ulrike, Slavc Irene, Pletschko Thomas
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引用次数: 2

摘要

目的:本研究旨在得出关于儿童后窝肿瘤(PPFT)长期幸存者执行功能(EF)评估的有效结论。方法:44例患者(女性18岁,平均年龄11岁)在我科连续治疗PPFTs(髓母细胞瘤、室管膜瘤、低级别胶质瘤)。诊断后4年,根据诊断时的年龄和治疗方式对其EF进行调查。我们比较了不同EF测量方法(TMT-B、Number Repetition、WCST、BRIEF)的有效性、敏感性和特异性,并采用了优势与困难问卷作为EF问题的潜在筛查方法。结果:发现EF损伤,特别是化疗/放疗患者。护理人员评分和基于表现的ef测试将不同的患者确定为低于平均水平。TMT-B的敏感性最高。优势与困难问卷并不能充分筛查EF。结论:使用基于表现的测试和护理人员问卷来评估PPFT患者是必要的,因为EF损伤在行为水平上并不总是可见的,但仍可能影响日常生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The assessment of executive functioning in pediatric patients with posterior fossa tumors: A recommendation to combine caregiver-based ratings and performance-based tests.

Objective: This study addresses the issue of drawing valid conclusions about the assessment of executive functioning (EF) in long-term survivors of pediatric posterior fossa tumors (PPFT).

Method: All 44 patients (females = 18, mean age = 11 years) were treated consecutively at our department for PPFTs (medulloblastomas, ependymomas, low-grade-gliomas). Four years after diagnosis, their EF was investigated, considering age at diagnosis and treatment type. The validity, sensitivity, and specificity of different EF measures (TMT-B, Number Repetition, WCST, BRIEF) were compared and Strengths-and-Difficulties-Questionnaire was incorporated as a potential screening for EF issues.

Results: EF impairments were found, especially in patients with chemo-/radiotherapy. Caregiver-ratings and performance-based-EF-tests identified different patients as below average. Sensitivity was highest in TMT-B. Strengths-and-Difficulties-Questionnaire was not an adequate screening for EF.

Conclusion: It is essential to assess patients with PPFT with performance-based-tests as well as caregiver-questionnaires, since EF impairments are not always visible at the behavioral level but may still influence everyday life.

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来源期刊
Developmental Neurorehabilitation
Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS
CiteScore
3.10
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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