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Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis.


ABSTRACT:

Objective

This study aimed to examine the characteristics of research conducted on nonpharmacological interventions for cognitive impairment in patients with breast cancer and identify the primary effects of nonpharmacological interventions through a systematic review and meta-analysis.

Methods

Five electronic databases were searched to identify all randomized controlled trial studies until September 30, 2022, using the key terms "breast cancer," "cognitive disorders," and their possible variations. The Cochrane Risk of Bias tool was used to assess risk of bias. The effect sizes were calculated in Hedges' g. Potential moderators influencing the intervention effects were explored.

Results

Twenty-three studies were included in the systematic review, and 17 studies were included in the meta-analysis. Among the nonpharmacological interventions for patients with breast cancer, cognitive rehabilitation and physical activity were the most common, followed by cognitive behavioral therapy. The meta-analysis indicated that nonpharmacological interventions had a significant effect on attention (g ​= ​0.83; 95% CI: 0.14 to 1.52; I 2 ​= ​76%), immediate recall (g ​= ​0.33; 95% CI: 0.18 to 0.49; I 2 ​= ​0%), executive function (g ​= ​0.25; 95% CI: 0.13 to 0.37; I 2 ​= ​0%), and processing speed (g ​= ​0.44; 95% CI: 0.14 to 0.73; I 2 ​= ​51%) among objective cognitive functions, as well as subjective cognitive function (g ​= ​0.68; 95% CI: 0.40 to 0.96; I 2 ​= ​78%). Intervention type and mode of delivery were potential moderators for the effects of nonpharmacological interventions on cognitive functions.

Conclusions

Nonpharmacological interventions can improve subjective and objective cognitive functioning among patients with breast cancer undergoing cancer treatment. Therefore, it is necessary to provide nonpharmacological interventions by screening patients at high risk of cancer-related cognitive impairment.

Systematic review registration

CRD42021251709.

SUBMITTER: Park JH 

PROVIDER: S-EPMC10121786 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis.

Park Jin-Hee JH   Jung Su Jin SJ   Lee Lena J LJ   Rhu Junghyun J   Bae Sun Hyoung SH  

Asia-Pacific journal of oncology nursing 20230301 4


<h4>Objective</h4>This study aimed to examine the characteristics of research conducted on nonpharmacological interventions for cognitive impairment in patients with breast cancer and identify the primary effects of nonpharmacological interventions through a systematic review and meta-analysis.<h4>Methods</h4>Five electronic databases were searched to identify all randomized controlled trial studies until September 30, 2022, using the key terms "breast cancer," "cognitive disorders," and their p  ...[more]

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