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• W2897785511 abstract "Patients with brain tumors are typically treated with radiation, chemotherapy, and/or surgery which can result in cognitive-linguistic dysfunction. Speech-language pathologists (SLPs) are expected to provide appropriate services for patients, however, there is little data describing the potential cognitive-linguistic deficits experienced by patients with brain tumors in the SLP literature. The purpose of this study was to describe the incidence and characteristics of cognitive-linguistic dysfunction in an outpatient radiation oncology setting. A total of 28 subjects were enrolled on an institutional review board-approved prospective pilot study from December 2016 through November 2017. Patients were screened for study enrollment at the start of radiation (RT) using responses on the Functional Assessment of Cancer Therapy-Brain (FACT-Br), a quality of life questionnaire used in our standard clinical practice for assessing brain tumor patients. Subjects were eligible if they reported any amount of difficulty on at least 1 of the 5 items felt to have cognitive-linguistic relevance by the study team (see table). Patients were evaluated with the Cognitive Communication Survey (CCS) which includes an adapted version of the Mayo-Portland Adaptability Inventory and 45 potential symptoms to self-report in the physiological, cognitive, linguistic, and socio-emotional domains, as well as a battery of standardized cognitive and language assessments including the Cognitive-Linguistic Quick Test and subtests from the Comprehensive Aphasia Test (CAT). The CAT is normed on post-stroke patients with aphasia, but was chosen because there are currently no SLP assessments normed on patients with brain tumors. All 28 subjects completed the baseline CCS and 22 completed the standardized tests with an SLP while undergoing RT. A total of 26 out of 28 subjects reported at least one of 45 potential symptoms on the CCS (average = 7, range = 0-21). However, only 9 subjects (32%) were referred for SLP consults before or during RT, and 7 subjects (78% of those who had consults) were determined to need and received SLP services. All 22 subjects who completed the CAT standardized assessment scored below normal on the “naming” section, which assesses the ability to name an item or action in a provided picture. We have identified 5 items from the commonly utilized FACT-Br that identify brain tumor patients who may benefit from SLP evaluation. Our data suggests that patients may be under-referred for SLP services, and when referred, were often found to have cognitive-linguistic deficits beyond what was self-reported.Abstract MO_38_2834; Table 1Selected Items from the FACT-BrNot at allA little bitSome-whatQuite a bitVery muchI have difficulty expressing my thoughts12345I am able to concentrate12345I can remember new things12345I am able to find the right word(s) to say what I mean12345I get frustrated that I cannot do things I used to12345 Open table in a new tab" @default.
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• W2897785511 date "2018-11-01" @default.
• W2897785511 modified "2023-09-27" @default.
• W2897785511 title "Cognitive-Linguistic Deficits Following Treatment of Brain Tumors: Results of a Prospective Pilot Study" @default.
• W2897785511 doi "https://doi.org/10.1016/j.ijrobp.2018.07.1078" @default.
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