Abstract

Cancer-associated cognitive dysfunction (CACD) is experienced by up to two-thirds of cancer survivors and may persist for decades following completion of treatment. Cognitive dysfunction in survivors may be subtle and may impact performance in or more cognitive domains; therefore, there is a need for objective measures of function that have adequate sensitivity and specificity to detect cognitive decline in this population. This chapter discusses brief cognitive screening measures and their utility in detecting dysfunction, as well as more comprehensive flexible neuropsychological assessment measures and their use in cancer survivors. The chapter provides a review of research examining the sensitivity and specificity of these measures in the detection of CACD, as well as their effect on patient outcomes, and provides recommendations for future research and the use of flexible neuropsychological assessment batteries in the screening and assessment of CACD.

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