PMID- 26203065 OWN - NLM STAT- MEDLINE DCOM- 20160822 LR - 20220409 IS - 1523-5866 (Electronic) IS - 1522-8517 (Print) IS - 1522-8517 (Linking) VI - 17 IP - 12 DP - 2015 Dec TI - Screening for cognitive deficits in 8 to 14-year old children with cerebellar tumors using self-report measures of executive and behavioral functioning and health-related quality of life. PG - 1628-36 LID - 10.1093/neuonc/nov129 [doi] AB - BACKGROUND: We aimed to identify a brief screening measure for detection of cognitive deficit in children treated for cerebellar tumors that would be useful in clinical practice. METHODS: A sample of 72 children, aged 8-14 years, and within 3 years post diagnosis for standard-risk medulloblastoma (n = 37) or low-grade cerebellar astrocytoma (n = 35) and 38 children in a nontumor group were assessed using teacher-, parent-, and child-report of the Behavior Rating Inventory of Executive Function (BRIEF), Strengths and Difficulties Questionnaire (SDQ), and Pediatric Quality of Life Inventory (PedsQL). The accuracy of these scores as a screen for a full-scale Intelligence Quotient (FSIQ) < 80 on the Wechsler Intelligence Scale for Children (WISC-IV UK) was assessed using their receiver operating characteristic (ROC) curves. RESULTS: The questionnaires with the highest areas under the ROC curves were the child- and parent-report PedsQL, the teacher-report BRIEF, and the SDQ. At optimal cutoff scores, their sensitivities (95% CIs) to cases of FSIQ < 80 were 84 (60-96)%, 65 (41-84)%, 79 (54-93)%, and 84 (60-96)%, and their specificities (95% CIs) were 79 (68-86)%, 87 (77-93)%, 77 (66-86)%, and 71 (64-84)% respectively. All cases of FSIQ < 80 screened positive on either teacher-report SDQ or self-report PedsQL. CONCLUSIONS: The PedsQL child- and parent-report and the teacher-report BRIEF and SDQ have moderately good accuracy for discriminating between children with and without a FSIQ < 80. The PedsQL could be used in a clinical setting, and the BRIEF and SDQ in an educational setting, to screen for cases with FSIQ < 80 in children treated for brain tumors. CI - (c) The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Bull, Kim S AU - Bull KS AD - Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK (K.S.B., H.M.Y, C.R.K.); University Hospital Southampton NHS Foundation Trust, Southampton, UK (C.R.K.); School of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK (C.L.); Division of Health and Social Care Research, King's College London, London, UK (J.L.P.); NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, UK (J.L.P.). FAU - Liossi, Christina AU - Liossi C AD - Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK (K.S.B., H.M.Y, C.R.K.); University Hospital Southampton NHS Foundation Trust, Southampton, UK (C.R.K.); School of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK (C.L.); Division of Health and Social Care Research, King's College London, London, UK (J.L.P.); NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, UK (J.L.P.). FAU - Peacock, Janet L AU - Peacock JL AD - Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK (K.S.B., H.M.Y, C.R.K.); University Hospital Southampton NHS Foundation Trust, Southampton, UK (C.R.K.); School of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK (C.L.); Division of Health and Social Care Research, King's College London, London, UK (J.L.P.); NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, UK (J.L.P.). FAU - Yuen, Ho Ming AU - Yuen HM AD - Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK (K.S.B., H.M.Y, C.R.K.); University Hospital Southampton NHS Foundation Trust, Southampton, UK (C.R.K.); School of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK (C.L.); Division of Health and Social Care Research, King's College London, London, UK (J.L.P.); NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, UK (J.L.P.). FAU - Kennedy, Colin R AU - Kennedy CR AD - Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK (K.S.B., H.M.Y, C.R.K.); University Hospital Southampton NHS Foundation Trust, Southampton, UK (C.R.K.); School of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK (C.L.); Division of Health and Social Care Research, King's College London, London, UK (J.L.P.); NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, UK (J.L.P.). CN - Children's Cancer and Leukaemia Group (CCLG) LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150722 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 SB - IM MH - Adolescent MH - Astrocytoma/*complications MH - Cerebellar Neoplasms/*complications MH - Child MH - Cognition Disorders/*diagnosis/etiology MH - *Executive Function MH - Female MH - Humans MH - Intelligence Tests MH - Longitudinal Studies MH - Male MH - Medulloblastoma/*complications MH - Prospective Studies MH - *Quality of Life MH - ROC Curve MH - *Self Report MH - Sensitivity and Specificity PMC - PMC4633931 OTO - NOTNLM OT - cerebellar tumors OT - children OT - cognitive deficit OT - health-related quality of life OT - screening EDAT- 2015/07/24 06:00 MHDA- 2016/08/23 06:00 PMCR- 2016/12/01 CRDT- 2015/07/24 06:00 PHST- 2015/04/21 00:00 [received] PHST- 2015/06/12 00:00 [accepted] PHST- 2015/07/24 06:00 [entrez] PHST- 2015/07/24 06:00 [pubmed] PHST- 2016/08/23 06:00 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - nov129 [pii] AID - 10.1093/neuonc/nov129 [doi] PST - ppublish SO - Neuro Oncol. 2015 Dec;17(12):1628-36. doi: 10.1093/neuonc/nov129. Epub 2015 Jul 22.