Characteristics associated with differences in neurocognitive domains among allogeneic HCT survivors, assessed by the Childhood Cancer Survivor Study NCQ
Characteristic . | N . | Emotional regulation . | Task efficiency . | Organization . | Memory . | ||||
---|---|---|---|---|---|---|---|---|---|
Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | ||
Total | 1210 | 0.22 (0.16-0.29)† | 17.4† | 0.69 (0.61-0.77)† | 31.2† | 0.21 (0.15-0.28)† | 20.9† | 0.61 (0.54-0.69)† | 26.0† |
Sex | |||||||||
Female | 578 | 0.27 (0.17-0.36) | 18.2 | 0.79 (0.67-0.90) | 32.5 | 0.29 (0.19-0.39) | 23.5 | 0.78 (0.68-0.88) | 29.4 |
Male | 633 | 0.18 (0.09-0.27) | 16.6 | 0.60 (0.50-0.71) | 30.0 | 0.14 (0.06-0.23) | 18.5 | 0.46 (0.37-0.56)† | 22.9† |
Time since initial transplant, y | |||||||||
<5 | 184 | 0.28 (0.10-0.46) | 19.6 | 0.80 (0.60-1.00) | 31.9 | 0.28 (0.10-0.46) | 21.5 | 0.63 (0.43-0.83) | 26.1 |
5-10 | 253 | 0.29 (0.14-0.43) | 19.0 | 0.79 (0.62-0.95) | 37.2 | 0.25 (0.10-0.41) | 21.4 | 0.64 (0.48-0.79) | 25.4 |
10-15 | 168 | 0.12 (-0.05-0.28) | 11.3 | 0.59 (0.39-0.79) | 27.4 | 0.18 (0.00-0.36) | 20.8 | 0.62 (0.42-0.82) | 26.2 |
15-2 | 188 | 0.25 (0.09-0.41) | 21.3 | 0.71 (0.54-0.89) | 30.7 | 0.22 (0.07-0.37) | 19.7 | 0.66 (0.49-0.83) | 27.7 |
20-25 | 170 | 0.10 (-0.07-0.26) | 12.4 | 0.55 (0.34-0.76) | 25.9 | 0.13 (-0.03-0.30) | 22.4 | 0.49 (0.30-0.68) | 22.9 |
25+ | 247 | 0.26 (0.12-0.40) | 18.6 | 0.66 (0.48-0.84) | 31.1 | 0.19 (0.06-0.32) | 19.8 | 0.63 (0.47-0.79) | 27.4 |
Current age (by decade) | |||||||||
<50 y | 169 | 0.44 (0.24-0.64) | 23.7 | 0.78 (0.59-0.98) | 37.1 | 0.24 (0.06-0.42) | 21.9 | 0.89 (0.67-1.10) | 35.5 |
50-59 y | 297 | 0.33 (0.19-0.46) | 19.2 | 0.75 (0.58-0.92) | 32.2 | 0.32 (0.18-0.45) | 23.8 | 0.66 (0.51-0.82) | 25.8 |
60-69 y | 474 | 0.16 (0.06-0.25) | 16.9 | 0.61 (0.49-0.73) | 28.3 | 0.13 (0.03-0.24) | 18.8 | 0.55 (0.43-0.66) | 27.0 |
≥70 y | 270 | 0.10 (-0.02-0.21) | 12.2 | 0.71 (0.56-0.86) | 31.4 | 0.22 (0.10-0.35) | 20.7 | 0.51 (0.39-0.64) | 18.6 |
Hearing issues | |||||||||
No | 870 | 0.14 (0.07-0.22) | 15.2 | 0.59 (0.51-0.68) | 28.2 | 0.14 (0.07-0.22) | 20.2 | 0.52 (0.44-0.60) | 23.9 |
Yes | 333 | 0.44 (0.32-0.57)† | 23.4† | 0.94 (0.78-1.09)† | 38.6† | 0.37 (0.25-0.50)† | 22.3 | 0.84 (0.70-0.98)† | 31.1 |
Stroke/seizures | |||||||||
No | 1069 | 0.20 (0.13-0.27) | 16.7 | 0.63 (0.55-0.71) | 29.3 | 0.19 (0.12-0.25) | 20.2 | 0.56 (0.49-0.64) | 24.6 |
Yes | 122 | 0.41 (0.19-0.63) | 23.0 | 1.19 (0.93-1.45)† | 45.1† | 0.37 (0.16-0.57) | 24.6 | 0.97 (0.73-1.21)† | 36.1† |
Sleep disturbance | |||||||||
No (T-score <60) | 1106 | 0.14 (0.08-0.21) | 15.3 | 0.59 (0.51-0.66) | 29.0 | 0.14 (0.08-0.21) | 19.0 | 0.53 (0.45-0.60) | 23.9 |
Yes (T-score ≥60) | 102 | 1.07 (0.81-1.33)† | 39.2† | 1.73 (1.42-2.04)† | 52.9† | 0.94 (0.68-1.20)† | 40.8† | 1.53 (1.25-1.82)† | 48.0† |
Characteristic . | N . | Emotional regulation . | Task efficiency . | Organization . | Memory . | ||||
---|---|---|---|---|---|---|---|---|---|
Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | Z-score, mean (95% CI) . | % Impaired* . | ||
Total | 1210 | 0.22 (0.16-0.29)† | 17.4† | 0.69 (0.61-0.77)† | 31.2† | 0.21 (0.15-0.28)† | 20.9† | 0.61 (0.54-0.69)† | 26.0† |
Sex | |||||||||
Female | 578 | 0.27 (0.17-0.36) | 18.2 | 0.79 (0.67-0.90) | 32.5 | 0.29 (0.19-0.39) | 23.5 | 0.78 (0.68-0.88) | 29.4 |
Male | 633 | 0.18 (0.09-0.27) | 16.6 | 0.60 (0.50-0.71) | 30.0 | 0.14 (0.06-0.23) | 18.5 | 0.46 (0.37-0.56)† | 22.9† |
Time since initial transplant, y | |||||||||
<5 | 184 | 0.28 (0.10-0.46) | 19.6 | 0.80 (0.60-1.00) | 31.9 | 0.28 (0.10-0.46) | 21.5 | 0.63 (0.43-0.83) | 26.1 |
5-10 | 253 | 0.29 (0.14-0.43) | 19.0 | 0.79 (0.62-0.95) | 37.2 | 0.25 (0.10-0.41) | 21.4 | 0.64 (0.48-0.79) | 25.4 |
10-15 | 168 | 0.12 (-0.05-0.28) | 11.3 | 0.59 (0.39-0.79) | 27.4 | 0.18 (0.00-0.36) | 20.8 | 0.62 (0.42-0.82) | 26.2 |
15-2 | 188 | 0.25 (0.09-0.41) | 21.3 | 0.71 (0.54-0.89) | 30.7 | 0.22 (0.07-0.37) | 19.7 | 0.66 (0.49-0.83) | 27.7 |
20-25 | 170 | 0.10 (-0.07-0.26) | 12.4 | 0.55 (0.34-0.76) | 25.9 | 0.13 (-0.03-0.30) | 22.4 | 0.49 (0.30-0.68) | 22.9 |
25+ | 247 | 0.26 (0.12-0.40) | 18.6 | 0.66 (0.48-0.84) | 31.1 | 0.19 (0.06-0.32) | 19.8 | 0.63 (0.47-0.79) | 27.4 |
Current age (by decade) | |||||||||
<50 y | 169 | 0.44 (0.24-0.64) | 23.7 | 0.78 (0.59-0.98) | 37.1 | 0.24 (0.06-0.42) | 21.9 | 0.89 (0.67-1.10) | 35.5 |
50-59 y | 297 | 0.33 (0.19-0.46) | 19.2 | 0.75 (0.58-0.92) | 32.2 | 0.32 (0.18-0.45) | 23.8 | 0.66 (0.51-0.82) | 25.8 |
60-69 y | 474 | 0.16 (0.06-0.25) | 16.9 | 0.61 (0.49-0.73) | 28.3 | 0.13 (0.03-0.24) | 18.8 | 0.55 (0.43-0.66) | 27.0 |
≥70 y | 270 | 0.10 (-0.02-0.21) | 12.2 | 0.71 (0.56-0.86) | 31.4 | 0.22 (0.10-0.35) | 20.7 | 0.51 (0.39-0.64) | 18.6 |
Hearing issues | |||||||||
No | 870 | 0.14 (0.07-0.22) | 15.2 | 0.59 (0.51-0.68) | 28.2 | 0.14 (0.07-0.22) | 20.2 | 0.52 (0.44-0.60) | 23.9 |
Yes | 333 | 0.44 (0.32-0.57)† | 23.4† | 0.94 (0.78-1.09)† | 38.6† | 0.37 (0.25-0.50)† | 22.3 | 0.84 (0.70-0.98)† | 31.1 |
Stroke/seizures | |||||||||
No | 1069 | 0.20 (0.13-0.27) | 16.7 | 0.63 (0.55-0.71) | 29.3 | 0.19 (0.12-0.25) | 20.2 | 0.56 (0.49-0.64) | 24.6 |
Yes | 122 | 0.41 (0.19-0.63) | 23.0 | 1.19 (0.93-1.45)† | 45.1† | 0.37 (0.16-0.57) | 24.6 | 0.97 (0.73-1.21)† | 36.1† |
Sleep disturbance | |||||||||
No (T-score <60) | 1106 | 0.14 (0.08-0.21) | 15.3 | 0.59 (0.51-0.66) | 29.0 | 0.14 (0.08-0.21) | 19.0 | 0.53 (0.45-0.60) | 23.9 |
Yes (T-score ≥60) | 102 | 1.07 (0.81-1.33)† | 39.2† | 1.73 (1.42-2.04)† | 52.9† | 0.94 (0.68-1.20)† | 40.8† | 1.53 (1.25-1.82)† | 48.0† |