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• W2045443444 abstract "PurposeCognitive alterations are reported in breast cancer patients receiving chemotherapy. This has adverse effects on patients’ quality of life and function. This systematic review investigates the effectiveness of pharmacologic and non-pharmacologic interventions to manage cognitive alterations associated with breast cancer treatment.MethodsMedline via EBSCO host, CINAHL and Cochrane CENTRAL were searched for the period January 1999–May 2014 for prospective randomised controlled trials related to the management of chemotherapy-associated cognitive alterations. Included studies investigated the management of chemotherapy-associated cognitive alterations and used subjective or objective measures in patients with breast cancer during or after chemotherapy. Two authors independently extracted data and assessed the risk of bias.ResultsThirteen studies involving 1138 participants were included. Overall, the risk of bias for the 13 studies was either high (n = 11) or unclear (n = 2). Pharmacologic interventions included psychostimulants (n = 4), epoetin alfa (n = 1) and Ginkgo biloba (n = 1). Non-pharmacologic interventions were cognitive training (n = 5) and physical activity (n = 2). Pharmacologic agents were ineffective except for self-reported cognitive function in an epoetin alfa study. Cognitive training interventions demonstrated benefits in self-reported cognitive function, memory, verbal function and language and orientation/attention. Physical activity interventions were effective in improving executive function and self-reported concentration.ConclusionCurrent evidence does not favour the pharmacologic management of cognitive alterations associated with breast cancer treatment. Cognitive training and physical activity interventions appear promising, but additional studies are required to establish their efficacy. Further research is needed to overcome methodological shortfalls such as heterogeneity in participant characteristics and non-standardised neuropsychological outcome measures." @default.
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• W2045443444 date "2015-03-01" @default.
• W2045443444 modified "2023-09-25" @default.
• W2045443444 title "Systematic review of pharmacologic and non-pharmacologic interventions to manage cognitive alterations after chemotherapy for breast cancer" @default.
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• W2045443444 doi "https://doi.org/10.1016/j.ejca.2014.12.017" @default.
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