Experiences of Cancer-Related Cognitive Impairment Across Cancer Types: Qualitative Systematic Review
Notice bibliographique
Résumé
BACKGROUND: Cancer-related cognitive impairment (CRCI) is frequently reported during cancer treatment, with 35% of patients experiencing cognitive issues even after treatment completion. Commonly reported impairments include difficulties with memory, attention, executive function, and processing speed, which often reduce daily functioning and quality of life (QoL). Despite its prevalence, CRCI remains underresearched across various cancer types, limiting understanding of the patient experience. OBJECTIVE: This study aims to synthesize the qualitative evidence regarding the lived experience of CRCI across cancer types. It seeks to do so by exploring how commonly CRCI is subjectively experienced among cancer populations. It also aims to explore the cognitive domains perceived as most affected and the impact on QoL and functional ability. METHODS: We conducted a qualitative systematic review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. A comprehensive search across PubMed, APA PsycInfo, CINAHL, and Scopus for studies published from 2013 through July 2025 was performed. Articles addressing the experience of CRCI using qualitative or mixed methods were included. Two independent reviewers screened titles, abstracts, and full texts, with a third reviewer resolving conflicts during the inclusion process. Two reviewers piloted the data extraction process by discussing and selecting 10% of the studies. The Critical Appraisal Skills Programme checklist was used for data extraction and quality assessment. Data were analyzed using thematic analysis. RESULTS: The database search identified 11,269 papers; 51 were included for analysis. Breast cancer was the most represented cancer type (n=32). The analysis revealed 4 themes. "Cognitive challenges" explores the impacted cognitive domains such as memory, concentration, executive functions, language, and processing speed; "navigating employment" discusses challenges associated with return to work, support, and disclosure; "emotional, behavioral, and psychological impacts" explores emotional and psychological responses; and "support systems" emphasizes the role of social and health care support. CRCI negatively affects QoL and functional ability, and there is lack of understanding and resources in place to manage its effects. CONCLUSIONS: This qualitative systematic review highlights the significant disruption of CRCI in daily life, stressing the need for increased awareness, standardized screening, and further research into digital interventions. Improved management of CRCI can support survivors of cancer in reintegrating into their daily lives and employment. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/56888.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,009 | 0,002 |
| Bibliométrie | 0,000 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».